boards of trustees by-elections reimbursement of expenses claim form

Boards of trustees by-elections:
reimbursement of expenses claim form
Your completed application form should be sent to the Resourcing Contact Centre:
Postal address: PO Box 1666, Wellington 6011
Email: [email protected]
Fax: (04) 463 8374
School details
School name:
School number:
Election date:
Type of
representative:
Parent / Staff (circle one)
Additional documentation required
Proof of payment receipts for all expenses must be attached; otherwise your application cannot be processed.
Acceptable proof of payment receipts include the following:
 receipts from supplier,
 bank statement,
 SUE report,
 School financial ledger.
Please note, an invoice is not sufficient as proof of payment.
Please indicate the type of election held
voting election held
 Where there is confirmation that a voting election has been held, the Board can receive up to 100% of total
election funding.
no voting election
 If a no voting election is held, a board is only eligible to receive up to a maximum of 70% of the total election
funding.
Calculating your claim
The Ministry will only reimburse a board for the actual expenses paid up to the maximum reimbursement entitlement.
The maximum reimbursement is calculated using the following formula:
(Per pupil amount x most recent funding roll) + base grant
2016 rates
$ 670.88 – base grant
$ 7.67 – per pupil funding for all schools except intermediates
$11.50– per pupil funding for intermediates only
Rates are GST inclusive.
The maximum amount that can be claimed in 2016 for staff elections is $96.00
Total claim
Total amount of claim ______________________________________________________
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Certification
This section needs to be completed by the board chair or secretary.
I certify that this is a true and correct application.
Board chair or secretary
This section needs to be completed by the returning officer.
I certify that the expenses incurred in the conduct
of the election are true and correct.
Returning Officer