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					                                                            CLAIM VOUCHER - EMPLOYEES

                                                                                                      TRAVEL & TRAVEL RELATED
                                                                                                             EXPENSES

Complete the shaded areas in full. The claim will be returned if information is missing or incorrect. Ensure the claim has been authorised and the vouchers
 are attached in support of the claim.        Claims must be received in Payroll by 10th of each month to be included in that month end payment.
                                                       Send to: Payroll, Directorate of Finance, Floor 4 Owen Harris

          Payroll Number:                                                       Name:

                                                                                                       Directorate
   This claim covers month:                                            to
                                                                                                        /Faculty:

            Vehicle Registration No:                                                                   Vehicle C.C.

                                                                                Purpose of trip/travel - Mileage ONLY                        Miles travelled




                                                                                                                                         Overseas Travel &          UK Travel &
   Date                 From                      To                        Purpose of trip/travel - Travel & Subsistence
                                                                                                                                           Subsistence              Subsistence




                                                                                                               Total Expenses            £               -      £              -
   Mileage @ 40p per mile                   Total Miles                     0                 @            0.40                          Total Mileage          £              -
                                                                                                                         Total claim for month                  £              -
   Travel Expenses &
      Subsistence               1                                                  3      3       0    3     3     0                                            £              -
          Mileage               1                                                  3      3       0    3     3     3                                            £              -
    Overseas Travel &
      Subsistence               1                                                  3      5       0    3     5     1                                            £              -

I certify that these journeys and related costs have been incurred in respect of my official duties. I also certify that I have insurance cover which indemnifies the University in
                                            the event of an accident or claim arising out of the use of the vehicle on official business.


 Employee's Signature                                                                   Date :                                   I have attached all vouchers in support of my claim


Budget Holder        (Print
        Name)                                                                                                                    I have checked the vouchers, and confirm the rates
                                                                                                                                and any additions are correct. The cost centre codes
   Budget Holder' s                                                                                                                                 are correct.
                                                                                        Date :
      Signature

  Finance use only :            Input by:                                   Checked by :                                               Date :

				
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