Expenses Claim

Your Details

First Name ^*

Last Name ^*

Email ^*

Your Claim

Please note, claims must be made within 30 days of the meeting or activity claimed for. Claims made after that date will be rejected.

All claims must be made within the financial calendar year in which they relate to and therefore any claims made in December must be received by 31 December of that financial year even if this is less than 30 days since the meeting.

Please state which meeting this claim relates to ^*

Nature of the business for which you are claiming

Speaker travel expenses/ honorarium claim

Committee meeting

CPD fee

JBDS

Other…

Date of event, meeting or business activity

Please indicate the type of claim you're making

Public Transport Expenses

Mileage Claim

Reimbursement of loss of earnings

Other…

Honorarium Claim

If you have received an email containing details of eligibility of honorarium for this activity, please select the amount from the options below:

Honorarium amount

£250.00

£150.00

Other…

Public Transport Expenses

Receipt 1

One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Receipt 2

One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Receipt 3

One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Total value of public transport in relation to this claim

£

Mileage Claims

Individuals may claim mileage up to a value of 45pence per mile and where possible submit a recent receipt for petrol/diesel.

Total miles claimed in respect of this claim

Total value of mileage in relation to this claim

£

Other Expenses

Enter any other expenses you have incurred in the conduct of your business on behalf of ABCD. All other expenses must be pre-approved by the Chair e.g. accommodation etc.

Other expense receipt 1

One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Other expense receipt 2

One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Other expense receipt 3

One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Summary

Total value of this claim (public transport, mileage, honorarium and other costs) ^*

£

Note: Where VAT has been charged this will be reported in VAT reporting and calculations by the ABCD book-keeper.

Please complete the following

I understand that details of this payment should be reported to HMRC and that I will account to them for any income tax and national insurance charges arising

I agree to indemnify ABCD against any income tax or national insurance which may be levied on ABCD by the tax authorities in relation to this payment

I confirm that all details of this claim are accurate and were incurred as a result of activities for and on behalf of ABCD

I confirm that ABCD can make payment by direct bank transfer using the account details currently stored for payments

Bank details

Name on bank account

Account number

Sort code

Expenses Claim

Gold

Silver

Gold

Silver

Bronze

Expenses Claim

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