Salary Sacrifice Claim Form

Bookssorted Pty Ltd

ABN: 85 169 295 461

First Floor, 1 Dickson Place,

Dickson ACT 2602

02 6161 8580

www.bookssorted.com.au

This form implements security policies and practices based on

ISO27001
Australian Government Information Security Manual
ACSC cyber security principles and guidelines including the Essential Eight Model, the Australian Privacy Principles and Privacy Act
All data captured and transmitted using this form is stored on secured Australian servers

SUPPORTING DOCUMENTATION REQUIREMENTS

In order to ensure quick processing of work-related expenses, please submit a valid tax invoice.

For more details on what constitutes a valid tax invoice, please refer to this ATO link

SALARY SACRIFICE CLAIMS

How many expenses are you claiming? *

OneTwoThree

If you need to claim more than three expenses, then please complete another form

Claim 1

Amount *make sure that you use 2 decimal places. For example. 916.60 not 916.6

Purchase Date *

Description *

Tax Invoice *

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Claim 2

Amount *make sure that you use 2 decimal places. For example. 916.60 not 916.6

Purchase Date *

Description *

Tax Invoice *

Browse

Claim 3

Amount *make sure that you use 2 decimal places. For example. 916.60 not 916.6

Purchase Date *

Description *

Tax Invoice *

Browse

DECLARATION

By signing this I agree to the following;

I certify that the claims listed in this form will be used primarily for work purposes
I am completely responsible for the claims listed above
I acknowledge that Bookssorted will not cover any liability or costs as a result of these claims
I understand that any work expenses reimbursed by Bookssorted are not deductible in my personal income tax return and is considered double-dipping
I understand that submission of false or misleading information may lead to serious tax offences and result in my claim being denied

First Name *

Last Name *

Mobile Phone *

Date *

Email Validation *

Send code

As part of validating your claim we ask that you verify your email address as registered with Bookssorted. Enter your email address and click Send Code. A code will be sent to your email address. Enter the code and click Submit Code.

I have read and accept the Bookssorted Privacy Policy *

Signature *

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