Expenses Claim Form Surname by ywi13046

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									                                                                                                        Expenses Claim Form



            Surname:                                                                                 Address:
           Forename:
          Department:


Reason for incurring
           expenses:
                                 Total Mileage:                 0.00                    Bank Name:
                                   Subsistence:                 0.00                    Bank Address:
                                        Travel:                 0.00
                             Foreign currency:
                                 Other expenses:                0.00
                     Total expenses claimed:                    0.00
                               Less advance:                    0.00
                      Net Expenses claimed:                     0.00                    Sort Code:
                                                                                        Account Number:

          Budget code
             Amount


I CERTIFY THAT: The Expenses claimed have been incurred by me solely on College business in accordance with the Financial Reg ulations and the
College Travel Policy. Proof of expenditure has been provided.

CAR MILEAGE CLAIMS ONLY: I certify that my motor insurance policy is endorsed to give complete indemnity for business use as required by the
Financial Regulations. I also certify that the number of business miles claimed within the current tax year has not exceeded 4000 miles.




Claimant's signature:                                                                                    Date:
    Claimant's name:
        Approved by                                                                                      Date:
    (Head of Dept / Authorised
                    Signatory)

             Print name:

Payment Information: payment will only be made by BACS transfer if the claimant has a UK address

Tick as follows:                                   I already have a BACS transfer set up:
                                                   I live outside the UK; please send a cheque

Please state if an Encashment Letter is required.
If the Claimant has an Overseas Address please ensure an Overseas Request Form has been completed.



Approved Finance                                                                                         Date:
Input by:                                                                                                Date:
Checked by:                                                                                              Date:
Mileage
                                                                          Journeys from home                                         Journeys to home
                                                                                                                       Business                                         Business
Date      Details of Journey (inc start & finish points)   Acct code      Home to site NPW to site                   (site to site) site to NPW Site to home             Miles




                                                                                                                                                          Total miles       0.00

          Method of Transport                              Car                       0.40 40p per mile


                                                                                                                                                     TOTAL MILEAGE CLAIM    £0.00




Travel

Date      Details of claim                                 Account code       Mode of          Currency   Exchange      Cost          Cost equiv £
                                                                             transport                      Rate




                                                                                                                     Total travel:            0.00
Subsistence

Date     Details of claim         Acct code   Currency    Exchange      Cost        Cost equiv £
                                              GBP blank     Rate




                                                               Total subsistence:             0.00



Other items claimed

Date     Details of claim   M/H   Acct code   Currency    Exchange      Cost        Cost equiv £
                                              GBP blank     Rate




                                                                     Total Claim:             0.00
Meetings / Entertainment

Claims will not be processed if this record is not completed
                        Date:
           Reason for Expense

Record of people involved:
    Name                        Organisation        Name       Organisation
  1                                            11
  2                                            12
  3                                            13
  4                                            14
  5                                            15
  6                                            16
  7                                            17
  8                                            18
  9                                            19
 10                                            20

                        Date:
           Reason for Expense

Record of people involved:
    Name                        Organisation        Name       Organisation
  1                                            11
  2                                            12
  3                                            13
  4                                            14
  5                                            15
  6                                            16
  7                                            17
  8                                            18
  9                                            19
 10                                            20

                        Date:
           Reason for Expense

Record of people involved:
    Name                        Organisation        Name       Organisation
  1                                            11
  2                                            12
  3                                            13
  4                                            14
  5                                            15
  6                                            16
  7                                            17
  8                                            18
  9                                            19
 10                                            20

								
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