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Date Worked
DECLARATION:This claim is only for days I have worked and incurredthe cost. All claims are for costs wholly and exclusivelyincurred in the line of my service provision to CoreAccounts. I have receipts in hand and will make theseavailable to Core Accounts upon request.
Mileage
Date
Time AwayFrom Home
hours
hours
hours
hours
hours
hours
hours
Car @45p per mile
Detail ofexpenses
Claim Value(£5.00/£10.00)
£
£
£
£
£
£
£
Motorcycle @24p per mile
Bicycle @20p per mile
Monetary Value
£
£
£
£
£
£
£
£Total
PRINT NAME:
DATE:
WORK POSTCODE:
TRANSPORT METHOD:
SUBSISTENCE
(FOOD AND DRINK):
SIGNATURE:
DATE:
TRAVEL TO AND FROM
PLACE OF TEMPORARY WORK:
OTHER EXPENSES (INCLUDING
PUBLIC TRANSPORT OR TAXIS):
PLEASE SEND TO CLS ACCOUNTS AS SOON AS POSSIBLE
EMAIL: [email protected] or POST: Suite 17, STANTA Bus. Centre,
3 Soothouse Spring, St.Albans, Herts AL3 6PF.
ID NUMBER:
HOME POSTCODE:
CAR/BIKE REG NO:
Claims should be made in accordance to the Core Accounts expensespolicy. This can be found on our website: www.coreacc.com
EXPENSES CLAIM FORM
16.03
ALINA STEFAN
23.03.2016
EN3 7PG
BUSS
14314
E17 4QP
14.03
15.03
18.03
10
10
10
10
10
10
10
10
ALINA STEFAN
23.03.2016
14.03
15.03
16.03
18.03
TRAVEL BUSS
TRAVEL BUSS
TRAVEL BUSS
TRAVEL BUSS
5
5
5
5
5
