Claim form for Reimbursement of Expenses

CLAIMS FORMS MUST BE SUBMITTED TO THE BAPEN OFFICE WITHIN 6 WEEKS OF MEETING / EVENT

NOTE: RECEIPTS AND / OR TICKETS TO BE PROVIDED WHERE APPROPRIATE STANDARD CLASS TRAVEL ONLY WILL BE REIMBURSED

TAXI FARES WILL ONLY BE REIMBURSED IN EXCEPTIONAL CIRCUMSTANCES

OTHER EXPENSES NEED PRIOR APPROVAL BY A BAPEN OFFICER

EXPENSE CLAIMS WILL NOT BE REIMBURSED UNTIL AFTER THE EVENT DATE (IF SUBMITTED PRIOR TO THE EVENT)

This form is for the use of members of BAPEN and other personnel involved in BAPEN business who incur expenses which cannot be claimed from another source.

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Meeting attended

Date of meeting

Details of meeting/event

Travel type (Mileage is payable @ 0.45p per mile if travel is by Car)

Mileage

Cost of travel (£)

Other expenses

Cost of other expenses (£)

Total cost of all expenses (£)

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Bacs payment - Please provide the following details:

Account No.

Sort Code

Email address to send remittance advice to

Please sign

Clear Signature

Claim form for Reimbursement of Expenses

CLAIMS FORMS MUST BE SUBMITTED TO THE BAPEN OFFICE WITHIN 6 WEEKS OF MEETING / EVENT

Bacs payment - Please provide the following details:

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