Allowance Claim Form

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ALLOWANCE CLAIM

(Technical Crew)
INSTRUCTIONS :
No receipts are required to claim the standard allowances associated with overnights whilst on duty. Provide details of the date & place of the overnight, sign-on & sign-off times (local time) for the start & finish days, and circle the applicable amount. USE A SEPARATE LINE FOR EACH DAY.
Note that time validity periods apply to some claims - refer to the Pilots Agreement for details. Miscellaneous expenditure claims must be submittedon a separate Aircrew Expense Claim (GST) form, and require prior authorisation. Allowance claims must be signed & dated, and must be
submitted monthly. PLEASE DO NOT DELAY SUBMITTING CLAIMS BEYOND A MONTH, AS THIS CREATES DIFFICULTIES FOR SUPPORT
STAFF TO VERIFY. Claims need to reach Flight Operations Administration by the 5th of each month in order to be paid in the following payroll.

NAME:

PAYROLL NO :

Date of

Place of

Sign-On

Overnight

Overnight

Time

Time

Please use a
separate line

Use IATA
three letter

on commencing

for each day

code

duty

Lunch

Dinner

Incidental Provision

30 mins

30 mins

30 mins

at the end
of tour

incursion
into period

incursion
into period

incursion
into period

Expenses
Allowance

of duty

0600-0800

1200-1400

1800-2000

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

$25.10

$35.55

$49.80

$24.05

$80.00

$214.50

Sign-Off Breakfast

I
of own
Accom.

OFFICE USE

Line

Checked

Totals

By:
(initials)

36 hrs notice
required

TOTAL OVERNIGHT ALLOWANCES


$5,362.50
CLAIMED :

CALLOUT ON A DESIGNATED DAY OFF (Claimable when duty performed on a DDO)


Date of
Duty

Details of actual Duty Carried Out

Claim

Checked

(Please provide flight numbers & sign-on/sign-off time)

Amount

By:

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)

$0.00

0.00 x $174.83 per hr (Min 5Hrs)


TOTAL

$0.00
$0.00

MISCELLANEOUS AUTHORISED EXPENSE CLAIMS


Claims for miscellaneous expenses must be made on a separate "Aircrew Expense Claim (GST)" form

CERTIFICATION & SIGNATURE


I certify that the above details are accurate to the best of my knowledge.

Signed: . Date:

OFFICE USE ONLY


Payment Authorised: .

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