Your Details First Name * Last Name * Email * Your Claim 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 Please provide details Please note: Claims must be made within 30 days of the meeting or activity claimed for. Claims made after that date will be rejected. Please bear in mind, 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. Date of event/ meeting/ business activity * 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… Enter other… Public Transport Expenses Receipt 1 One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Receipt 2 One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Receipt 3 One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. 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 £ 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 expenses receipt 1 One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Other expenses receipt 2 One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Other expenses receipt 3 One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Other expenses £ Summary Total value of this claim (public transport, mileage, honorarium and other costs) * £ 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 ABCD will make payment by direct bank transfer. If you have already supplied your bank details for payments, please check the "yes" option. If this is your first claim or we do not have your details stored, please check the "no" option and then enter your details. * Yes, I am happy for you to make payment using my stored bank details No, please provide details below Note: Where VAT has been charged this will be reported in VAT reporting and calculations by the ABCD book-keeper. Bank details Name on bank account Account number Sort code
