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Relocation Expenses claim form _FI003d_ - Newcastle University

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Relocation Expenses claim form _FI003d_ - Newcastle University Powered By Docstoc
					Please read Expenses Policy on website www.ncl.ac.uk/internal/finance/expenses                           Newcastle University                                                                                                            FI003d
                                                                                                   Claim Form - Relocation Expenses
Name of Claimant ………………………………………………………………………………….                                                                                                 Personnel Number ……………………………………………………..
                                                                                                                                                  ( As shown on your pay advice)


School/Support Service …………………………………………………………………………                                                                                               Claim No. ………………………………………………………………….


Previous Home Address…. ……………………………………………………………………..                                                                      New Home Address ……….……………………………………………………………………..

...……………………………………………………………………………………………………..                                                                               ……………………………………………………………………………………………………….

...……………………………………………………………………………………………………..
                             Post code…………………………….                                                                        ……………………………………………………………………………………………………….
                                                                                                                                                 Post code……………………………………….


                                                                                                                                                  Amount available to claim £ ……………………………

   Date          RECEIPT                                     Description of Expenditure Claimed                                                           MILES          AMOUNT
                   NO*                                                                                                                                  Travelled           £                  COST CENTRE / WBS element




                                                                                                                                                  Total claim
                                                                                                                                                  Previous claims
                                                                                                                                                  Claimed to date

* Receipts to be sequentially numbered and attached to reverse of form
 Mileage will be paid at a rate of 40p per mile for first 200 miles of a round trip and 25p per mile thereafter

CLAIMANT                                                    AUTHORISING SIGNATORY                                         VERIFYING SIGNATORY                                      HUMAN RESOURCES AUTHORISATION
Expenses claimed have been incurred as a result of moving   I confirm that the expenses now claimed are fully compliant   I confirm the Authorising Signatory is valid             This claim is in agreement with HM Revenue and
home to take up employment at the University                with the expenses policy                                                                                               Customs guidance on allowances permitted for moving
                                                                                                                                                                                   home to take up new employment


Claimants Signature ………………………………….                          Authorised by ………………………………………..                               Signed …………………………………………….                                HRO Signature ……………………………………

                                                            Name (Block letters) ………………………………..                           Name (Block letters) …………………………….


Date …………………………………………………….                                  Date …………………………………………………..                                    Date ……………………………………………….                                 Date ………………………………………………..

				
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