Payment Request

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Extinction Rebellion UK Payment Request

Please allow up to two weeks for payment, but get in touch with your budget holder if it is not received by then (there are occasional glitches that mean a payment request may be missed) or if it is required more urgently.

Please note that any requests should be pre-agreed by your budget holder. We cannot fund local groups, they need to be self funding.

DO NOT USE FOR VLE: Please use the separate VLE claim form if you are on payroll VLE

DO NOT USE FOR CCFB: Please use the separate CCFB claim form if you are claiming Capped Charges For Business

Late claims: In order to efficiently plan budgets, any claims should be submitted by the end of the month following that in which the amount was paid (e.g. by end of Feb for an invoice paid in Jan). If it is later than that please give the reason for the delay in the Additional Information box.

Your full name*

Please put your full name (not a nickname)

Your email address*

Total amount requested*

Please put in £ (GBP) as a number (no currency symbol). If another currency then put approximate amount in £ and exact currency amount required in the Additional Information section. If this is for travel expenses and you are able to cover part of the cost this would be greatly appreciated.

Which Team or Project is this for?*

If unsure then give details in the Additional Information section

Who is the budget holder?*

Please put the name of the person who pre-authorised this expenditure.

Is this an advance payment?*

No. I am applying for money already spent or that requires immediate payment to a supplier and attach receipt(s)Yes, this has already been agreed as an advance payment and I will provide receipts within 30 days as arranged with the budget holder

What was it used for?*

E.g. Room hire, printing leaflets.

Payment Details:

Name of Payee*

Name of person or company to be paid. This needs to exactly match the name on the bank account to avoid delays in payment.

Additional information

You can add any other information that may be needed. It can be helpful to have your phone number in case there are problems or queries with handling your request. If it is an approved advance, then please put this.0/250

Sort code*

Account number*

Please attach any receipts, invoices or photos of them.

Browse for files or drag them to the boxes below. You can attach up to four items. If you have more then please combine them into one file, for example a photo or a Zip file. Instructions on how to create a zip file: in Windows and on a Mac. Alternatively email multiple files to payments@comprev.co.uk giving the date of the request and the PayReq ID that will be on the confirmation email.

Receipt 1

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Receipt 2

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Receipt 3

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Receipt 4

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GDPR Permission*

I agree to Extinction Rebellion using this information in relation to finance and transparency

Extinction Rebellion has a policy of transparency and openness. For payment requests, the purpose of the payment will be publicly available. Names and bank details will not be made available.