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Click ‘Get Form’ to open the itemized statement example in the editor.
Begin by entering the 'Name of Applicant' and 'Name of Project' at the top of the form. This identifies who is submitting the claim.
Fill in the 'Maximum possible claim' amount, which is $15,000 in this case, along with the 'Effective date of Contribution Agreement'.
In the 'CURRENT CLAIM' section, list each date associated with expenses. For each entry, provide a detailed description of services or items claimed, such as professional fees or travel expenses.
Next, input the corresponding amounts for each expense under the 'Amount' column. Ensure accuracy to reflect true costs incurred.
Complete the 'CLAIM BREAKDOWN' section by categorizing total amounts into Professional Fees, Travel Expenses, etc., and calculate subtotals and GST.
Finally, certify your claim by signing and dating at the bottom of the form to validate your submission.

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