Financial Declaration

Declaration
Committee/Group expense was for
Total amount to be reimbursed
IBAN for money to be transferred to
Expense Description
Name of the event that the expense was for
Who paid for the expenses (first and last name)?
Who was the the recipient of the expense? If multiple receipts, please list with numerical labelling [e.g. PLUS (1), Jumbo (2), Albert Heijn (3)].
What types of items were purchased? If multiple receipts, please match the numerical label of the previous question [e.g. (1) PLUS Groceries, (2) Jumbo Groceries, (3) Albert Heijn Groceries].
Receipts
If multiple receipts, please list in order as described in Expense Description.
Not able to combine the receipts into one PDF? Submit your second receipt here!
Not able to combine the receipts into one PDF? Submit your third receipt here!
Disclaimer
Do have questions, comments, or concerns regarding your declaration?
I declare that I have filled in this declaration form truthfully and I declare that all the declared expenses were made for the association with the board’s approval.

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