CLAIM VOUCHER - EMPLOYEES
TRAVEL & TRAVEL RELATED
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:
This claim covers month: to
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
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.
Finance use only : Input by: Checked by : Date :