Claim Form - SUSU - Southampton University Students' Union

							Cheque received by (sign)……………………………………………………………..…(Print Name)…………….……………………..……………..Date……………………………….
                                                           SOUTHAMPTON UNIVERSITY STUDENTS' UNION
                                                                    ATHLETIC UNION



     Club/company P/L No:                                    Claim Date                            Our ref                                 Second Ref




FULL DETAILS, ALL RECEIPTS, COVERING LETTERS, ETC MUST BE ATTACHED. NO CLAIMS WILL BE MET FROM UNION FUNDS WITHOUT RECEIPTS
CAR TRAVEL CLAIMS MUST BE ACCOMPANIED BY LOG SHEETS. THE AU MUST HAVE SIGHT OF DRIVING LICENCE, MOT AND INSURANCE.
PURCHASES MUST HAVE BEEN APPROVED BY AU AND MADE ON OFFICIAL ORDER FORMS. AU CANNOT PAY A COACH DIRECT.
THE CLUB MUST PAY THE COACH AND OBTAIN A RECEIPT TO CLAIM THE MONEY BACK.




Name of Club/Budgetary Area…………………………………………………………………………………………………………..


Claim in respect of:   Give details of Event, Number of Students, Venue and Date, items purchased etc




PRIVATE CAR TRAVEL CLAIMS: PLEASE TICK BOX to confirm that driving licence, MOT and Insurance certificates have been seen

Comments:




PLEASE INVOICE:




                                                                            VAT Code                  Net                          VAT                  Total
   Main                       Second              Detail                                            Amount                        Amount
AAU0/AMB6
   etc                   See back of form      See below




                                                                                                                                   TOTAL




Payment to be by (please tick box)               cheque                                      BACS


(If you wish to receive this or future payments by BACS (i.e. direct to your bank account) please contact Accounts Office with details)




                                                 …………………………………………………………………………………………….
Payable to:…………………………………………………………………………………………………………………………………………….


Claimant's Signature………………………………………………………………………...………………………..Claimant's Title…………………………………….………………….


Authorised by………………………………………………………...……………………………………………….......Date……………………...……………………………………………..

Authorised by………………………………………………………...……………………………………………….......Date……………………...……………………………………………..




Cheque received by (sign)……………………………………………………………..…(Print Name)…………….……………………..……………..Date……………………………….
                           Second Cost Centre
                           Codes for Athletic Union

One numeric, two alpha

General AU activity          9    A   A          Lacrosse            9   L   E
Aikido                       9    A   O          LifeSaving          9   L   G
American football            9    A   N          Modern wu shu       9   M   N
Archery                      9    A   Y          Motor (wessex)      9   M   R
Athletic & cross country     9    A   C          Mountain bike       9   M   B
Badminton                    9    B   N          Mountaineering      9   M   G
Baseball                     9    B   L          Netball             9   N   L
Basketball                   9    B   K          Okinawan shorin     9   O   N
Boat                         9    B   T          Paragliding and     9   P   G
Boxing                       9    B   G          Riding              9   R   G
Bujinkan budo taijutsu       9    B   J          Rifle               9   R   E
Canoe polo                   9    C   P          Roller-hockey       9   R   R
Canoe recreational           9    C   E          Rugby               9   R   Y
Caving                       9    C   G          Sailing             9   S   G
Croquet                      9    C   R          Shaolin kung fu     9   S   N
Chess                        9    C   S          Shorinji kempo      9   S   I
Cricket                      9    C   T          Ski & snowboard     9   S   K
Darts                        9    D   S          Sky Diving          9   S   E
Dodgeball                    9    D   L          Snooker             9   S   R
Fencing                      9    F   G          Squash              9   S   H
Football                     9    F   L          Sub aqua            9   S   B
Gliding                      9    G   G          Surf                9   S   F
Goju ryu karate              9    G   U          Swimming            9   S   W
Golf                         9    G   F          Table tennis        9   T   E
Handball                     9    H   L          Tae kwon do         9   T   K
Hillwalking                  9    H   G          Tchoukball          9   T   L
Hockey                       9    H   Y          Ten pin bowling     9   T   N
Ice & In line Hockey         9    I   Y          Tennis              9   T   S
Jiu jitsu                    9    J   U          Trampoline          9   T   R
Judo                         9    J   O          Triathlon           9   T   O
Karate do shotokai (kds)     9    K   E          Trident paintball   9   T   T
Kendo                        9    K   O          Ultimate frisbee    9   U   E
Kick boxing                  9    K   K          Vixens              9   V   S
Kitesurfing                  9    K   G          Volleyball          9   V   L
Ko-do ryu                    9    K   U          Waterpolo           9   W   O
Kung fu wu shu               9    K   F          Waterskiing         9   W   G
                                                 Windsurfing         9   W   S
Other (historical)   9   Z   Z