Twitter Your contact details First name * Surname * Email * Street address * Suburb / Town * State * QLD NSW VIC SA WA ACT Post Code * Phone number * Your bank details Provide your bank account details for payment BSB * Account * Event details Select tournament or other event and your role Tournament * DH McKenzie AFC#1 Robyn Chaplin Memorial AFC#2 AFC#3 AFC#4 AYC#1 AYC#2 AYC#3 Junior National Championships Under 15 and Cadet National Championships National Championships Intermediate Schools Senior Schools Other Details of any other tournament not listed Tournament start date * Officiating payment claim Please indicate referee type and number of FULL DAYS and number of HALF DAYS where referee services were provided Referee type * Standard Senior Number of FULL DAYS worked * Does not include additional travel days Number of HALF DAYS worked * Does not include additional travel days Travel subsidy for local referees For referees where no flights are required (“Local referees”), but who live some distance from the venue, the AFF will reimburse the cost of petrol / tolls / train fares. All claims for travel expenses must be supported with receipts (upload via link below). Travel subsidy Own travel arrangements for interstate referees Referees should not arrange their own travel without approval by the AFF. Where that approval is granted, referees will be reimbursed the agreed amount on presentation of receipts (upload via link below). Total travel costs claimed Supplier statement The Australian Taxation Office requires a statement from suppliers where no ABN is provided on a claim for payment. Please select one of the options below: Reason for not quoting an ABN: * The payer is not making the payment in the course of carrying on an enterprise in Australia. The supplier is an individual aged under 18 years and the payment does not exceed $350 a week. The payment does not exceed $75, excluding any goods and services tax (GST). The supply that the payment relates to is wholly input taxed The supply is made by an individual or partnership without a reasonable expectation of profit or gain. The supplier is not entitled to an ABN as they are not carrying on an enterprise in Australia. The whole of the payment is exempt income for the supplier. The supplier is an individual and the supply is made in the course or furtherance of an activity done as a private recreational pursuit or hobby Supporting information (optional) Total claim Officiating payment Officiating full day: Officiating payment half Officiating half day: Travel payment Travel subsidy (local): Own travel arrangements Travel expenses (interstate): Total claim Total:
