Phone Bill Submission

Phone Bill Submission Form

Requisitioner Name(Required)

Pay to(Required)

Requisition Date(Required)

Payment Option(Required)

Etransfer

Cheque

Email for Etransfer(Required)

Mailing Address for Cheque

Street Address Address Line 2 City Province Postal Code

Type in the office address if picking up.

Description / Explanation of Expense (Please list invoice # if more than 1):(Required)

e.g. Invoice Number – Date – Billing Period

Total Amount Requested in CAD(Required)

Upload File 1(Required)

Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

Upload File 2 (if more bills)

Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

Upload File 3 (if more bills)

Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

Upload File 4 (if more bills)

Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

TYPE YOUR NAME AS SIGNTURE(Required)

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