Primary Care Support England GP Registrar Mileage Claim Form Name of GP Registrar Name of GP Trainer Regular User/Standard User * delete as appropriate Month of claim Date of Details of Journey Miles Travelled Visit (A) Home to Practice & Public Transport (A) (Nature or reason for starting and finishing point (usually the Practice) and places visited.) Practice Business (B) Return (max 20 (D) miles) (C) Date of Details of Journey Miles Travelled Visit (A)
Primary Care Support England GP Registrar Mileage Claim Form Name of GP Registrar Name of GP Trainer Regular User/Standard User * delete as appropriate Month of claim Date of Visit (A) Details of Journey Miles Travelled (A) (Nature or reason for starting and finishing point (usually the Practice) and places visited.) Practice Business (B) Home to Practice & Return (max 20 miles) (C) Public Transport (D) Date of Visit (A) Details of Journey Miles Travelled
PCSE_GPRegistrar_MileageClaimForm_TV_2016-Copy.docx