All fields are mandatory unless otherwise stated. Please use BLOCK CAPITALS to complete Payee name: Address: Postcode: Contact tel. no. Payee email address Bank Account No. Sort Code: Building Society Account name: reference (if applicable) rate Mileage Fares Other No. of Subsistence Date Details (including start & finish times) per £ p £ p £ p £ p mile Total amounts claimed Grand total amount claimed £ p I certify that the expenditure detailed above has been actually been incurred by me. Signature of claimant…………………………………………………………... Date………………… Once fully completed, securely staple all receipts to this form and forward to the school for processing. For school use only V Amount Subjective Cost centre Analysis Capital Vat amount A CIS Excl. Vat. T Mini chart of accounts Proj code V Amount Subjective Cost centre Analysis Capital Vat amount A CIS Excl. Vat. T Mini chart of accounts Proj code V Amount Subjective Cost centre Analysis Capital Vat amount A CIS Excl. Vat. T Mini chart of accounts Proj code V Amount Subjective Cost centre Analysis Capital A Vat amount CIS Excl. Vat. T Mini chart of accounts Proj code I confirm that the appropriate checks have been carried out and this amount is properly payable. Approving officer Date:………………….. Print name: Contact Tel:……………………..
All fields are mandatory unless otherwise stated. Please use BLOCK CAPITALS to complete Payee name: Address: Postcode: Contact tel. no. Payee email address Bank Account No. Sort Code: Building Society reference (if applicable) Account name: Date Details (including start & finish times) No. of rate per mile Mileage £ p Fares £ p Subsistence £ p Other £ p Total amounts claimed Grand total amount claimed £ p I certify that the expenditure detailed above has been actually been incurred by me. Signature of claimant…………………………………………………………... Date………………… Once fully completed, securely staple all receipts to this form and forward to the school for processing. For school use only Subjective Cost centre Analysis Capital Amount Excl. Vat. V A T Vat amount CIS Proj code Mini chart of accounts Subjective Cost centre Analysis Capital Amount Excl. Vat. V A T Vat amount CIS Proj code Mini chart of accounts Subjective Cost centre Analysis Capital Amount Excl. Vat. V A T Vat amount CIS Proj code Mini chart of accounts Subjective Cost centre Analysis Capital Amount Excl. Vat. V A T Vat amount CIS Proj code Mini chart of accounts I confirm that the appropriate checks have been carried out and this amount is properly payable. Approving officer Date:………………….. Print name: Contact Tel:……………………..
School%20Travel%20Expenses%20claim%20form.docx