Expense Claim Form

Expense Claim Form
The society operates a policy of total transparency and accountability for all expenses associated with its charitable activities and all claims are subject to the society’s expenses policy.

THE SOCIETY ONLY PAYS CLAIMS SUBMITTED WITHIN ONE MONTH OF THE EXPENSE BEING INCURRED AND FOR WHICH ORIGINAL RECEIPTS ARE PROVIDED
Name*

First NameLast Name
Email*
example@example.com

Expense 1
Is this a mileage claim*

YesNo
Please upload receipt for this expense*

Cancelof
Date of claim*

DayMonthYear
Meeting, event or activity*
Category of expense*
Description of expense*
Category of Expense 1
Amount (£)*
Amount Expense 1
Miles travelled*
Mileage is reimbursed @ 45p per mile. Total claim is restricted to 100 miles unless prior approval has been obtained from the Society
Mileage Claim Amount (£)
Would you like to add another expense?*

YesNo

Expense 2
Is this a mileage claim*

YesNo
Please upload receipt for this expense*

Cancelof
Date of claim*

DayMonthYear
Meeting, event or activity*
Category of expense*
Description of expense*
Category of Expense 2
Amount (£)*
Amount Expense 2
Miles travelled*
Mileage is reimbursed @ 45p per mile. Total claim is restricted to 100 miles unless prior approval has been obtained from the Society
Mileage Claim Amount (£)
Would you like to add another expense?*

YesNo

Expense 3
Is this a mileage claim*

YesNo
Please upload receipt for this expense*

Cancelof
Date of claim*

DayMonthYear
Meeting, event or activity*
Category of expense*
Description of expense*
Category of Expense 3
Amount (£)*
Amount Expense 3
Miles travelled*
Mileage is reimbursed @ 45p per mile. Total claim is restricted to 100 miles unless prior approval has been obtained from the Society
Mileage Claim Amount (£)
Would you like to add another expense?*

YesNo

Expense 4
Is this a mileage claim*

YesNo
Please upload receipt for this expense*

Cancelof
Date of claim*

DayMonthYear
Meeting, event or activity*
Category of expense*
Description of expense*
Category of Expense 4
Amount (£)*
Amount Expense 4
Miles travelled*
Mileage is reimbursed @ 45p per mile. Total claim is restricted to 100 miles unless prior approval has been obtained from the Society
Mileage Claim Amount (£)
Would you like to add another expense?*

YesNo

Expense 5
Is this a mileage claim*

YesNo
Please upload receipt for this expense*

Cancelof
Date of claim*

DayMonthYear
Meeting, event or activity*
Category of expense*
Description of expense*
Category of Expense 5
Amount (£)*
Amount Expense 5
Miles travelled*
Mileage is reimbursed @ 45p per mile. Total claim is restricted to 100 miles unless prior approval has been obtained from the Society
Mileage Claim Amount (£)

Expense 1