Expenses Form

I am filling in this form on behalf of:*
- An individual or myself
- An organisation
I would like to notify a specific Zero Waste Europe officer*
By default the Finance Team will be notified. If you have been instructed to notify a specific member of the team, or would like to flag it for someone please select their name from the dropdown list.
Prior to filling in this form, please read and ensure that you agree with the Online Reimbursement Form Terms & Conditions.

These conditions provide guidance for submitting your reimbursement claim.
Confirm understanding of Terms & Conditions*
- I have read and agree to the Online Reimbursement Terms & Conditions

Details of Reimbursement
Project or activity*
Name of Participant*
Name of participant in claim activities or reimbursee. For example name on travel tickets, or person to be reimbursed.
First Last
Name of organisational contact*
Name of contact at organisation of reimbursee, or person filling in form on the reimbursee's behalf.
First Last
Name of organisation*
Details of Reimbursee
Email*
Additional email notifications
Optional additional email address to receive notification
Phone Number*
Address*
Please fill in all sections of the address field. If a section does not apply to your address please enter 'N/A'.

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

PLEASE NOTE A MAX OF 10 EXPENSES ARE POSSIBLE PER FORM SUBMISSION
Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Do you have more claims to submit?*
- No I am done (select this option and then submit form)
- Yes, I need to submit more expenses (select this option and click next)

Cost Description*
Supplier / Purchase location
PLEASE NOTE: If different legs of your journey have been purchased separately please submit them as individual expense items.
For example: if you are traveling from the UK to Utrecht by train, and the first leg was purchased in GBP, and the second leg purchased in EUR, please submit them on subsequent pages with supporting evidence.
Cost Type*
Please Note: If you are adding costs in a different currency to EUR please use the exchange rate from INFOREURO from the date of purchase.

Example: 1 Thai Bat = 0.002951 EUR in September 2019

IMPORTANT: Please enter currency numbers in the European standard 1.300,00 for one thousand three hundred. Final currencies in Euros will be represented €1.300,00.
Price in local currency*
Purchase Date*
DD slash MM slash YYYY
Exchange Rate to Euros (on date of purchase)*
Calculated Cost in Euros
Upload receipts or tickets*
Drop files here or

Accepted file types: jpg, gif, jpeg, png, pdf, jpg, png, pdf, jpeg, gif, Max. file size: 50 MB, Max. files: 5.
Please use JPEG, PNG, or PDF file formats. Max individual file size: 15MB
Subtotal in Euros
Including all previous expenses in form.
Please Note: You have reached the limit on the total number of expenses in this form. To submit further expenses please make an additional separate claim.
I will be submitting further expenses in a separate form:
- Yes
- No

Bank Details*
IBAN BIC
My bank account is:*
- EU
- NOT EU
Name of the account holder*
Additional information for non-EU bank accounts includes:
- Beneficiary Account Number / IBAN
- Swift Code / BIC
- Bank of Beneficiary
- Account Currency
- The routing number of the bank
If bank account is based outside of EU please provide any necessary extra information:*
Total amount of claim in Euros
I declare the given declaration is correct, original and not duplicated and that no other organisation or authority will reimburse my expenses for this event.
Signature*

Step 1 of 13 - Org or Individual

Details of Reimbursement

Details of Reimbursee