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What Is Form 2721A?

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WSIB Travel Expense Form Instructions

Form 2721a travel expense form - ontario, canada.

  • Canada Legal Forms
  • Ontario Legal Forms
  • Ontario Workplace Safety & Insurance Board

Form 2721A, Worker Travel Expense Form , is a document Ontario-based employees prepare before they travel to treat their workplace injuries and illnesses to be reimbursed for incurred expenses. The Workplace Safety and Insurance Board (WSIB) guarantees they will pay for your travel expenses after it will be confirmed you actually had a medical appointment as a result of the workplace-related injury or illness.

Alternate Name:

  • WSIB Travel Expense Form.

The latest version of the document was released on March 1, 2023 , with all previous editions obsolete. You can download a fillable WSIB Travel Expense Form via the link below .

Here is how you should fill out WSIB Travel Expense Form:

  • State the number of your claim - before you can submit this form, you need to prepare a claim and file it with the human resources department so that the expenses are pre-approved and the payment is not delayed.
  • Write down your full name, current address, and telephone numbers . If you have a new address , check the appropriate box.
  • Describe your travels - date and time , points of departure and arrival, and the reason for travel. Obtain the stamp of the treating agency or the name and signature of your physician. Indicate whether you traveled by public transit or taxi and record the amount of money you have spent.
  • Enter the roundtrip distance and the sum of money you spent on parking if necessary. Provide a full breakdown of meal expenses .
  • Calculate the total amount of expenses and write it down at the bottom of the form.
  • Confirm the details in the document are true and complete, enter your full name, sign and date the form. Note that the statement alone is not enough - you need to attach original parking receipts, taxi receipts, and other documentation that proves you have spent the amount of money stated in the form.

Complete this document during the travel to keep track of all the payments and expenses and then mail it to 200 Front St W Toronto, Ontario, M5V 3J1. Keep a copy of the form for your own records.

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Download form 2721a travel expense form - ontario, canada, linked topics.

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Examples

Travel Expense Log

Ai generator.

wsib medical travel expense form

Traveling is one of the most popular solutions to relax your mind and take your attention away from the stress of your daily work and responsibilities. People travel around the world seeking adventure. There can be several reasons for an employee or employer to move around the world, like business meetings , seminars, and workshops. People may require to travel for a medical reason as well, i.e., for the treatment of any chronic disease.

A travel log is an important tool that can be used by the company in case of an employee or by the insurance agency in case of medical traveling or even by an individual to keep track of the expenses during the journey. Here is a list of 10+ travel log examples and templates.

Travel Expense Log Examples & Templates

1. travel expense log example.

Travel Expense Log Example

Size: 243 KB

This template is a sample of a medical travel expense reimbursement log. We are living in a much-unexpected world. A medical condition can come up at any moment and create trouble. To make the medical expenses manageable, people tend to get themselves insured by health insurance agencies. This template can be used by an individual to get a reimbursement against the expenses for the medical emergency from the company they are working in or from an insurance company.

2. Student Team Travel Expenses Log

Student Team Travel Expenses Log

Size: 16 KB

This template can be used as a receipt for the student team travel expense log. Several colleges and universities conduct sports or other group events. Some events are to be conducted within the town, and some may require to take the team to a different location for the purpose of participation. This template can be used by the university to prepare a money receipt to record the money spent.

3. Travel Expenses Log Sample

Sample Travel Expenses Log

Size: 546 KB

This template can be useful to record the travel expense that was incurred by the employee for the work purpose of a university. Universities send their employees to different places for the purpose of either attending a workshop or for their self-development. This template can be filled by the employee to get the reimbursement from the university for the expenses incurred.

4. Travel Expense Log Report

Travel Expense Log Report

Size: 264 KB

This template can be used as a travel expense detail report. This template can be used by an employee of a particular company which sent the person for any business tour. Companies deal with several projects, and they may require to send people for inquiries outside the state. This template can be used as a reimbursement form for the employee. Refer to  Expense Report Examples & Samples  for more.

5. Travel Expense Log Template

Travel Expense Log Template

Size: 175 KB

This template is a travel expense log. Some universities send their students or employees for some trips for study or the official business of the university. It may be required to go on overnight or multi-day tours. This form can be used by a student or employee of the university for recording the expenses and the trip details. This template can be used to get the reimbursements against the expenses met by the student/employee.

6. Travel Expense Log Form

Travel Expense Log Form

Size: 497 KB

This template is a sample template of worker traveler expense form used by Wsib Cspaat Company. Several companies send their employees to outstation venues for correct medical treatment for work-related injuries. This template provides us with an instruction sheet that needs to be followed by the worker while filling the form to list the travel expense incurred and get reimbursement from the company, in case their injury has been accepted by the company of having incurred while working for the company.

7. Travel Expense Log Format

Travel Expense Log Format

This template is a sample of travel expenses form of a college. Occasionally, universities send their employees and students outside on tours to gain knowledge. The trip may include the fares and the charges of lodging that earlier were incurred by the employee or student. This template can come handy to the employee or student to claim for reimbursement.

8. Travel Mileage and Expense Log

Travel Mileage and Expense Log

Size: 461 KB

This template is a sample of a mileage and expense log. A taxpayer of the country may work in single or multiple jobs at the same time. This may require a lot of traveling and uncountable hidden expenses. This template can be used by an individual to record the list of expenses that they had to incur while commuting from one workplace to another.

9. Travel Business Expense Log

Travel Business Exspense Log

Size: 825 KB

This template is used by a company as a business expense log. A company may incur a lot of expenses while running a business . It may be for the expenditure that was used for the purpose of car expenses and other expenses like food. This template can be used to record all those expenses to facilitate a correct tax filing.

10. Printable Travel Expense Log

Printable Travel Expense Log

Size: 153 KB

This template is an example of a university travel expense sheet . Universities send students and teachers to attend several seminars and trips. This template can be used by the students and employees to record all the expenses that were incurred by the students and attach the receipts to get reimbursements from the university for the expenses.

11. Travel Mileage Expense Log Form

Travel Mileage Expense Log Form

Size: 180 KB

This template is a sample guide of travel mileage expense log form. Preparing and properly filling an expense log needs knowledge. This template can be used to teach people the correct way to fill up a millage form. Any student and employee may be required to fill an expense form, so it is important for them to know the process of filling up a form to get the reimbursement.

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COMMENTS

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