PCV Activity/ Event Payment Claim

PCV Activity / Event Payment Claim

“Use this form for each payment claim. You only need to complete the Contractor Declaration once — you do not need to resubmit it here.”

Date of Claim(Required)

Contractor / Supplier Name(Required)

First Last

Email Address(Required)

“Used to match this claim to the declaration on file”

Have you already submitted a Contractor Declaration to PCV?(Required)

Yes

Please complete the Contractor Declaration form first, then come back and submit this claim.

https://ponyclubvic.org.au/pcv-contractor-declaration/

Event / Activity Details(Required)

Date of Event / Activity

Details (e.g. Coaching, Workbook Marking, Trainer & Mentor)

Job / Event & Location

Amount ($)

Are you claiming reimbursement of purchases?(Required)

Yes

Reimbursement amount

Upload receipts

Drop files here or

Max. file size: 128 MB, Max. files: 5.

Signature (typed full name)