Accord Expenses Claim Form (Page 2 of 3) in pdf

Accord Expenses Claim Form Page 2

Meals & Refreshments:

Breakfast (Up to £5 if travelling before 8am)

£…………………….

Lunch (Up to £10 if at an ‘all day’ meeting)

£…………………….

Dinner (Up to £15 if travelling after 8pm)

£…………………….

Please attach receipt for all claims made for meals & refreshments.

Accommodation:

£…………………….

Where stayed:

………………………………………………………………

Date/s of stay

………………………………………………………………

Please attach receipt for all claims made for accommodation.

(

Out of Pocket Expenses:

£…………………….

Date/s claimed for:

………………………………………………………………

(Max £5 per night)

Please attach receipt for all out of pocket expenses.

Miscellaneous

£…………………….

Description:

………………………………………………………………

………………………………………………………………………………………………………

Please attach receipt for all miscellaneous expenses.

_____________________

TOTAL CLAIMED:

______________

Claimed by: ....................................................................................................

Authorised by (name and signature): ...............................................................................

Credit to account:

Sort Code: ………………………………………………

Account Number: ……………………………………….

Please read the explanatory notes overleaf

Your claim will be returned unpaid if it is incorrectly completed

Accord Expenses Claim Form Page 2