Details of the Claim Expenses Course/Meeting Fee £ Details of Journey – (start-> to -> finish) Mode of transport: Public Transport £ (Receipts must be attached) Total Number of Miles: _@ 24p per mile Private Transport £ (Mileage will be calculated at shortest route) Passengers Name(s) of passenger(s): ____ (Reimbursed at 5p per mile £ Total miles travelled with passenger _ per passenger) (Passengers must be travelling to the same event & also entitled to reimbursement of travel expenses) Accommodation Expenditure £ Subsistence Meal Expenditure £ Other Expenses £ Please specify:- TOTAL AMOUNT OF CLAIM £ DETAILS OF CLAIM (ALL CLAIMS MUST BE ACCOMPANIED BY RECEIPTS) Please read the guidance notes you obtained along with this claim form very carefully. Courses and meetings must be related to your fellowship and be within the UK. Where there is no receipt a written explanation must be attached and payment will be at the discretion of Health Education England. Health Education England reserves the right to reimburse the cheapest option wherever relevant. COURSE/MEETING LOCATION DATE(S) From: To: Claimant Declaration: I declare that the expenses claimed hereunder were necessarily incurred by me in attending the above event and are in accordance with the conditions governing the payment of travelling expenses attached. I understand that any fees are paid gross and that I am responsible, where appropriate, for declaring this income for tax purposes. Signed: Date: Please return this completed form by email to Authorised By Name : Contact Number: Signed : Date:
Details of the Claim Expenses Course/Meeting Fee £ Details of Journey – (start-> to -> finish) Public Transport Mode of transport: (Receipts must be attached) £ Private Transport Total Number of Miles: _@ 24p per mile (Mileage will be calculated at shortest route) £ Passengers (Reimbursed at 5p per mile per passenger) Name(s) of passenger(s): ____ Total miles travelled with passenger _ (Passengers must be travelling to the same event & also entitled to reimbursement of travel expenses) £ Subsistence Accommodation Expenditure £ Meal Expenditure £ Other Expenses Please specify:- £ TOTAL AMOUNT OF CLAIM £ DETAILS OF CLAIM (ALL CLAIMS MUST BE ACCOMPANIED BY RECEIPTS) Please read the guidance notes you obtained along with this claim form very carefully. Courses and meetings must be related to your fellowship and be within the UK. Where there is no receipt a written explanation must be attached and payment will be at the discretion of Health Education England. Health Education England reserves the right to reimburse the cheapest option wherever relevant. COURSE/MEETING LOCATION DATE(S) From: To: Claimant Declaration: I declare that the expenses claimed hereunder were necessarily incurred by me in attending the above event and are in accordance with the conditions governing the payment of travelling expenses attached. I understand that any fees are paid gross and that I am responsible, where appropriate, for declaring this income for tax purposes. Signed: Date: Please return this completed form by email to Authorised By Name : Contact Number: Signed : Date:
SW-HEE-Expenses-Invoice-TIG-Study-Leave.docx