RAISE Travel and Expenses Claim Form

1
Name* This field is required.of claimant
First Name
Last Name
2
Email* This field is required.so our Administrator can contact you
example@example.com
3
Please indicate your status* This field is required.
RAISE Student Committee Member
RAISE Staff Committee Member
RAISE Administrator
Guest speaker or panellist
Editorial Assistant for SEHEJ
RAISE Network Member
Other
4
Please indicate the type of expense or fee* This field is required.you can select more than one
Travel (e.g. train fare)
Accomodation
Meals/sustenance
Conference Attendance
Administration fee
Research Fund
Other
5
Has your expenses claim/fee been discussed/pre-approved by the treasurer or relevant budget holder* This field is required.
YESNO
6
Please provide brief details of the the expenses/fees incurred* This field is required.e.g. what is the expenses claim/fee for? What were the dates? Any other useful contextual information to help process your claim as quickly as possible. You will be asked for the total amount and breakdown of costs in subsequent questions
Huge
Large
Normal
Small
Ok
Ok
7
How much are you claiming for in total? * This field is required.Please indicate total amount in £. e.g. £87.48
8
How many receipts/invoices are you attaching in total?* This field is required.
9
If you are submitting multiple receipts, please indicate the breakdown of costs below* This field is required.e.g. receipt 1: £XX.XX receipt 2: £XX.XX receipt 3: £XX.XX
Huge
Large
Normal
Small
Ok
Ok
10
Please upload the electronic receipts/invoices to support your claim* This field is required.If submitting multiple receipts, please name files as per previously described, starting with your name e.g. J Bloggs_Receipt 1_train 38.77; J Boggs_Receipt 2_sust 3.89; J Bloggs_Receipt 3_taxi etc. This really helps me to match the receipts! Original copies of receipts are preferred, for example a clear photograph, download, or screenshot, preferably jpg, jpeg or jpeg.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Bank Details* This field is required.Please ensure you enter your bank details correctly
Name as it appears on your bank account
Name of bank
Sort code (6 digits)
Account number (8 digits)
12
Signature* This field is required.please sign below to confirm the details you have entered are correct
Clear
Should be Empty: