Expenses Form

Please use the form below to fill out your expenses.

Employee Name:*
Email Address:*
Company Name:
Week Ending:

General Expenses*


Description Date Amount (£)
Accommodation
Clothing/Equipment
Daily Allowance
Laundry
Other
TOTAL

Weekly Mileage Report

Car Make & Model:
Engine size: Reg. number:*
Milage start:* Milage end:*
Date From To Return Mileage
Total business mileage:*
Amount claimed at 45/20 pence per mile**:
**45p up to 10,000 miles, 20p thereafter. Start and finish mileage must be shown.
Petrol receipts do not need to add up to your mileage claim amount.

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I confirm by submitting this form that all the above expenses have been incurred wholly and exclusively in the performance of my duties and that they are necessary for me to complete my work.