Cheque Requisition Reimbursement Request (Tillsonburg Minor Hockey Inc.)

Cheque Requisition Reimbursement Request

Please note this is only for reimbursements for TILLSONBURG teams. If you are expense is related to the Storm teams, please complete the requisition request located on their webpage - Under the "Operations/Volunteers" tab.

Personal Information

First & Last Name^*

Email address for contact^*

Example: [email protected]. Your submission will be sent to this address.

E-Transfer Email Address^*

Example: [email protected]

Phone Number^*

519-555-5555

What team are you associated with?^*

What role do you hold on this team?^*

If "Other" role selected, please state which role.

Please note - if related to a Storm team - you must complete a form on their webpage instead.

Expense Information

What type of expense?^*

Total Value of your Expense Request?^*

Add up the grand total of all invoices combined.

Upload all Receipts. Receipts must be original and be shared in their entirety.^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 10. Maximum File Size: 4MB.

How many receipts have you uploaded?^*

If this is expense is for a Storm team - you must complete the form on the Storm website located under the "Operations/Volunteers" tab.

Here is a quick link to their form - CLICK HERE

Please do not proceed with submitting this form if your expenses are for Storm teams.

Yes, This is for TMHI expenses^*

1 - I understand that all requests for expense cheques must be reviewed and approved prior to any funds being processed.

2 - I understand that all receipts must be provided in entirety for any reimbursements to be provided.

3 - I confirm that the receipts provided in this document are valid and factual.

I agree to the terms and conditions stated above^*

Cheque Requisition Reimbursement Request (Tillsonburg Minor Hockey Inc.)

OMHA Digital Network

Personal Information

Expense Information

Get Mobile!

Contact Us