I acknowledge that I attended the identified HQ tournament as an official representative from Brisbane.

* Brisbane Women's Hockey Association will provide a fuel levy reimbursement upon submission of this form.  The amount calculated is different per tournament.

* Travel expenses will be reimbursed to those who attended in an official capacity only.

* Please ensure correct BSB & Account number are input

*THis submission opportunity will close 10 days after the conclusion of your tournament attendance.

* Late claims will not be processed