Juvenile Justice Division
CONVENOR INVOICE / EXPENSE CLAIM FORM -
Attendance at Training / Local Induction Meeting
(Young Offenders Act 1997)
Once completed forward this form and supporting documentation to the assigned Assistant Manager. Convenors must not incur any expense without firstly seeking approval of the Assistant Manager or Area Manager.
I Insert Name, claim reimbursement for my attendance (mark X where applicable):
☐ Initial Convenor Training
☐ Local Induction Meeting
☐ Annual Training
Date of Local Induction Meeting / Training: 00/00/0000
Venue: Insert name of venue
☐ I understand that I am not eligible to claim for hours for attendance at the four Day Convenor Training but I am eligible for expenses, OR
☐ I understand the maximum number of hours I am eligible to claim for attendance at the Local Induction Meeting is three hours, OR
☐ I understand the maximum number of hours I am eligible to claim for attendance at the Annual Training is five hours.
(mark X where applicable)
Hours of Attendance for Local Induction Meeting /Annual Training:
Start Time: 00:00
Finish Time: 00:00
Total Time Claimed: 00:00
Convenor Signature: ______Date: ______
Travel Expenses:
TRAVEL DIARY (must be completed if box 2 or 3 is selected below)
NB: Expenses only paid for journeys over 100 km as per Youth Justice Conference Policy - consult with Assistant Manager if you have any queries.
Date of Travel / From / To / Total KmsTotal
Travel Expenses / Amount
1. Public Transport by: (mark X where applicable)
Train ☐ Bus ☐ Taxi ☐ other ☐
Attach tickets/ receipts. / $00.00
2. Petrol Claim (as per travel diary above)
Attach receipts, current registration papers and comprehensive Insurance policy of vehicle OR
(Note: Expenses only paid for journeys over 100 km) / $00.00
3. Mileage – Use of private motor vehicle
Casual rate is $26.4 cents per kilometre.
Attach current registration papers and comprehensive Insurance policy of vehicle.
(Note: Expenses only paid for journeys over 100 km) / $00.00
I hereby certify that the expenses claimed above were incurred by me in the course of training with Juvenile Justice – Department of Justice.
Convenor Signature: ______Date: ______
Office Use Only
Cost Centre / GL Account No: / Internal Order / Business Description / Amount + GST000 000 0000 / 62240015
(Travel – Fares) / 35OTH0028 / Reimburse Public Transport Costs / $00.00
000 000 0000 / 62240010
(Travel – Motor Vehicle) / 35OTH0028 / Mileage Allowance / $00.00
Checked and date entered into Justice SAP: 00/00/0000
Administrative Assistant (signature): ______
Date: 00/00/0000
Certified correct under section 12 of the Public Finance and Audit Act 1983:
Endorsed by: Insert name of Assistant Manager
Signature: ______
Date: 00/00/0000
Authorised by: Insert name of Area Manager
Signature: ______
Date: 00/00/0000
Convenor Invoice /Expense Claim Form – Training Page 3