Nominal Code: A/C: 9533 CC: 800 DEPT: 477
Account Name: WV VOLUNTEERS EXPENSES
Method of Payment: Cash (up to £30) (click to select)
To Whom Payable: (BLOCK CAPITALS)
Details of Payment Amount
Details of travel and mileage as per schedule (see reverse):
Amount in Words:
Bank Sort Code: (Sort Code, Account Number and
Bank Account No: email address required for BACS
Email Address: transfer only)
Name Helen Kendrick ADDITIONAL INFO:
July 09 5c160ac6-2b68-48cd-88b6-0555703f50fc.Doc
Date Reason for Journey From To Miles Daily Total
Mileage Summary Calculate the total miles per day and enter in the ‘Daily
Total’ column above.
Date Band 1 Band 2 Band 3
For each separate day, claim:
o up to 100 miles at Band 1 rate
o 101-200 miles at Band 2 rate
o the remainder at Band 3 rate
Mileage rates can be obtained from the Finance Office or
Add up the number of miles per band in the Mileage
TOTAL Summary table.
Miles: AMOUNT Multiply number of miles by the rate to get the amount
CLAIMED claimed for each band.
Rate: 0.25 0.17
Add up total amount claimed and transfer to the front of the
Total: £ money request form.