Form Hr 01- Application Form - Fees And Related Payments Page 4

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D. My details
1
When can this form be used?
Please tell us which School or Service is employing you.
The kinds of work which you can claim payment for are
summarised on the previous page. Please note that you
If you are not a University employee, please provide us with
cannot include in your claim:
your home address to which we can send payment advice.
journeys undertaken in working hours which are not part
E. Present circumstances
of a service to the University
Your payment will be subject to Tax and National Insurance
depending on your current circumstances. You should
private car journeys undertaken in a vehicle which did not
therefore complete this section clearly and accurately.
at the time of use meet necessary legal and /or insurance
requirements
F. Bank details
sums for which you have already been reimbursed.
The University makes all such payments to your bank
account. You should therefore complete this section clearly
2
Do I need to fill in the whole of the form?
and accurately to ensure you receive a payment. Payments
You must fill in all the sections which are relevant to your
will be made to staff/students using their bank account
claim including your National Insurance number, your date of
details held on the HR System. If your bank account has
birth, and your passport number.
changed, please highlight by writing NEW BANK DETAILS.
3
How do I complete the form?
G. Signature and authorisation
Section-by-section guidance is provided below:
The total amount you claim is the sum of your fee (section
A. Claim details
A) and the total cost of expenses including mileage
You must state the dates on which you carried out the work
expenses (section B).
and explain what the fee you are claiming for relates to.
The person who signs to authorise the claim must have
delegated authority for the project(s) from which the fees
B. Vehicle and mileage details
will be paid.
Complete this section if you are including private vehicle
mileage in your claim.
If you choose to use this form to pay monies to an individual
for work done, you must satisfy yourself that the person
‘Previous claims’ are those which you have submitted since
has the right to work in the UK. The documents that must
1 April.
be checked, prior to any work being done, can be found
The University encourages you to make use of public
at
transport as often as possible when travelling in the course
humres-document_check_guidance.pdf
of University business.
The University can be fined up to £10,000 per person
Prior to undertaking travel on behalf of the University you
for anyone found to be working illegally. If you have any
must ensure you have appropriate legal and insurance cover
concerns about an individual’s right to work please contact
(eg. MOT, full UK driving licence etc)
Human Resources.
You cannot claim reimbursement for commuting to and
H. Equal Opportunities monitoring
from the University and your home.
The University is obliged to collate this information for the
Expenses
Higher Education Statistics Agency.
If you are claiming expenses, please make a brief record of
I. Pension postponement notice
the details here. If the expenses relate to travel, please state
This must be completed on your first day of work.
your destination and business purpose of your visit. If you
travelled by private
car, tell us the mileage covered. You must provide VAT
receipts for all of the expenses you have included.
Please attach them to the form. If you are unable to
provide a receipt for an item to which you are claiming
reimbursement, please tell us why.
C. Accounting information
You can get advice from your sponsoring School/
Department about the information which should be given
in this section.
Your claim may be split across more than one project. If
this is the case, please start new entries for each project to
which costs will be charged.

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