If you are in receipt of benefits please note that some expenses are treated as earnings. Some reimbursements may be taxable. You are advised to seek advice. Please contact your local Jobcentre Plus or Benefits Agency for further information. Please ask for assistance from the Supervising Manager if you have any query in completing this form. Please ensure receipts, copies of bills etc are attached for any costs incurred.
(To be completed once and kept on file)
Personal Details & Preferred Payment Method
Name:
Address:
Telephone Number:
Email address:
Preferred Payment Method
Cash
Cheque
BACS
Bank details (only required if payment method is BACS)
Account name:
Account Number:
Sort code:
Volunteer Travel and Other Expenses
Date
Travel expenses
Single/ Return
Total Distance
Mileage Rate
Amount Claimed
Car, Rail, Bus, Taxi, etc
From
To
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