Travel Expense Claim Form

Travel Expense Claim Form

Use this form to claim mileage and travel expenses for business-related travel
Internal References
Your Details
Name*

First NameLast Name
Email*
example@example.com
What profile do you want to use for this claim?*

Claim in £(GBP); distance in milesClaim in €(EUR); distance in km
Type of travel expense claim*

Committee memberEmployeeLay preacherSponsorVolunteer
Mileage rate
Distance units
Travel Details
What entity does this travel expense claim relate to?*

British Union ConferenceIrish Mission - Northern IrelandIrish Mission - Republic of IrelandScottish MissionWelsh Mission
What department does this travel expense claim relate to?*
Use the following table to claim mileage for use of your own vehicle:
- Enter each journey separately.
- Enter distances in miles (UK) or kilometres (Republic of Ireland) as applicable.

Mileage details

Total distance travelled
Mileage rate
Mileage Reimbursement Total
Use the following table to claim other travel-related expenses:
- Enter each expense separately and ensure receipts are attached where required.
- Examples include: parking, tolls, public transport, taxi, airfares, etc.

Other travel expenses

Upload Receipts and Supporting Documentation

Please upload supporting documentation if applicable
Cancelof
Other Travel Expenses Total
Travel Expense Claim Summary
Mileage Reimbursement
Other Travel Expenses
TOTAL
Optional: Additional information - please use this space to provide any further information or clarification relating to this claim.
Bank Details

Use this section to enter your bank details for reimbursement
Do you need to provide bank details?*

Use bank details on fileI would like to provide bank details
Bank*
Account name*
Enter your name as it appears on your bank statement
Sort code*
Enter your sort code as 6 digits, ignore dashes (e.g. 000000)
Account number*
Enter your account number as 8 digits (e.g. 12345678)
BIC/SWIFT code*
Enter your BIC/SWIFT code (e.g. XXXXXXXX)
IBAN*
Enter your IBAN (e.g. IE00 XXXX 0000 0000 0000 00)
Declaration
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Your Details