Volunteer Reimbursement Form

Notice: Volunteers can be reimbursed for activity-related expenses each month up to $50 plus the costs for travel (submitted separately).

Please fill out the required fields and attach itemized receipts:

Month *

Year *

Volunteer Name *

Volunteer Email *

Client First Name or Initials. Don't enter full name. *

Expense Information

Date +

Description of the Expense

Receipt

Amount *

Date +

Description of the Expense

Receipt

Amount

Date +

Description of the Expense

Receipt

Amount

Date +

Description of the Expense

Receipt

Amount

Current Total:

0.00000

If you have finished completing the form, please check the box below. *

Complete

Family & Children's Services of the Waterloo Region
200 Ardelt Avenue
Kitchener, ON N2C 2L9
Phone: 519-576-0540 x3144
E-Mail:volunteer.services@facswaterloo.org