Claim for reimbursement for relocation expenses

This form is to be completed by ongoing employees for all relocation expense claims.
Tax invoices and receipts and/or other relevant supporting documentation are required for all claims including quotes.
Claims should be lodged as soon as the relocation is complete.
All relevant fields must be completed to ensure timely payment of claims (incomplete forms may cause delay in payment).

Employer details

Employer name

Employer state

Email address of Employer or an Authorised Person

An email will be sent to the email address to ensure details are correct and to authorise the request.

Employee details

Full name

An email will be sent to the employee for their records.

Work phone number

Mobile number

New home address (including postcode)

vFire reference number (if known)

Are you maintaining a previous home in a former locality?

Yes

Number of accompanying dependants

Number of dependants left in former work base

Travel expenses

Re-order	Date	Travel from	Travel to	Type of travel (air, bus, train)	Number of travellers	Total cost	Weight	Operations
	Date	Travel from	Travel to	Type of travel (air, bus, train) Type of travel (air, bus, train) Enter other…	Number of travellers	Total cost	Item weight

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Temporary accommodation

You may be responsible for a co-contribution for temporary accommodation costs based on the number of accompanying dependants and if you are maintaining a home in your former locality.

Temporary accommodation reimbursements will be based on the relevant commercial and non-commercial rates located on the Independent Parliamentary Expenses Authority (IPEA) website.

Re-order	Location	Commercial or non-commercial temporary accommodation	Date from	Date to	Number of nights	Number of travellers	Weight	Operations
	Location	Commercial or non-commercial temporary accommodation Commercial Non-commercial	Date from	Date to	Number of nights	Number of travellers	Item weight

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Relocation expenses

Re-order	Type of relocation	Relocation from	Relocation to	Length of storage	Total cost	Weight	Operations
	Type of relocation Type of relocation Enter other…	Relocation from	Relocation to	Length of storage	Total cost	Item weight

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Vehicle expenses

Vehicle reimbursements, where an employee has driven their own vehicle to travel to the new location, will be based on the relevant per-kilometre motor vehicle allowance rate located on the Independent Parliamentary Expenses Authority (IPEA) website.

Re-order	Date	Travel from	Travel to	Kilometres driven	Weight	Operations
	Date	Travel from	Travel to	Kilometres driven	Item weight

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Please ensure you email all quotes and invoices with your vFire reference number (if known) to mpshelp@finance.gov.au. Failure to provide quotes may delay the processing of your claim.

I certify that I have taken a direct route to my new location

I certify that the above information is correct

I understand that knowingly giving false or misleading information is a serious offence under the Criminal Code Act 1995

I have read and understood the Privacy Collection Notice below

Privacy Collection Notice: The Department of Finance (the Department) uses and discloses personal information collected in this form to facilitate the administration of the parliamentary business resources framework, and for employment purposes including to facilitate the management of your employment and for workforce planning purposes. The Department handles your personal information in accordance with the Privacy Act 1988. Personal and sensitive information may be disclosed to your employing Parliamentarian or other third party entities relevant to your employment, for workforce planning purpose or for improving culture in Commonwealth Parliamentary workplaces, including, but not limited to, the Independent Parliamentary Expenses Authority (IPEA), the Department of Parliamentary Services, the Parliamentary Workplace Support Service (PWSS), or will be disclosed as otherwise authorised or required by law. Details of the related expenditure may be tabled in Parliament, published on the Department’s website, or provided to the Special Minister of State, IPEA, or publicly, as authorised by law. More information is available at https://maps.finance.gov.au/maps-privacy-statement.