Canada 150 Community Infrastructure Program - Claim Statement
The purpose of the Claim Statement is to list eligible and supported costs that you have incurred and paid and would like to claim for reimbursement.
To complete the Claim Statement, please download the MS Excel file provided. Once you have downloaded the file, refer to the Claims Submission Process for step-by-step instructions on how to complete and submit the form.
Text from the sheet including some examples may be found below.
Program: Canada 150 Community Infrastructure Program
Date Claim Prepared:
New Invoices – List only Supported Eligible Costs claimed to Contribution Agreement
Project Cost Category per Contribution Agreement (See Annex 1: Project Costs & Financing)
Net Claim Amount
- Sample Request (I=Invoice, P = Proof of Payment)
Cost Category Summary (Federal Use Only)
Please ensure this matches your records. Adjustments Net Claim
Cost Category Total:
HST recovery rate:
- Date modified: