Centrum Care Homes Staff Expense and Mileage Claim Form
Mileage Claim Form
Note: You cannot claim for travel from your home to your place of work. Mileage claims should not be rounded. Mileage is reimbursed at 30p per mile.
Name
*
First Name
Last Name
Care Home
Please Select
Croft Lodge
Estuary VIew
The White House
Beacon House
Willow House
Windward House
Central Team
Please complete all columns and be sure to total the miles at the bottom
Rows
Date
From
To
Miles
Reason for Travel
Claim 1
Claim 2
Claim 3
Claim 4
Claim 5
Total
Staff Expense Claim Form
Please complete the form below for any expenses you have incurred personally so that it can be reimbursed in your pay
Please complete all columns and be sure to total the expenses at the bottom and submit the associated receipts. We are unable to reimburse claims where no proof of purchase has been provided
Rows
Date
Paid with Personal or Business card?
Company
Purpose/Reason (please include customer name if applicable)
Total £
Claim 1
Claim 2
Claim 3
Claim 4
Claim 5
Total
Upload receipts here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature
*
Submit
Should be Empty: