Volunteer Visitor Program Record of Visits

This form is to be completed on the last day of each calendar month and submitted to the Volunteer Co-ordinator.
It needs to be submitted monthly EVEN IF YOU DON’T WISH TO BE REIMBURSED, so that you’ll be covered by insurance if you injure yourself while visiting. If you are not claiming reimbursement, please enter a zero (0) in the Amount field.
Visits up to five times a month (as agreed with the client) can be reimbursed at flat amount of $10 per visit. The maximum that can be claimed per month is $50.

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