Telephone: 01226 733 209

Expenses Online Form

Motor Expenses

For travel to and from your workplace/accommodation using your own transport.

Mileage Claim

Make of Car / Bike Model Fuel Type Registration Current Mileage
Date Travel From - To Passenger Name
(if applicable)		 Miles Travelled
(including round trip)

Travel Expenses

For travel from home to workplace made by public transport and bicycle.

Date Travel From - To Transport Taken Miles Value £

Subsistence

For food and non-alcoholic drink purchased whilst away from your main residence during the working day. £5 can be claimed if you are working over 5 hours per day, or £10 claimed if you are working a 10 hour day. Please tick the relevant box per day. The early start/late finish applies to workers who start before 6am or finish after 8pm and is not intended for regular work patterns.

Type of Claim Mon Tues Weds Thurs Fri Sat Sun
£5 CLAIM
10 CLAIM
Early Start
Late Finish

Accommodation Expenses

If the assigned work takes you away from your normal permanent address due to the workplace, you are allowed to claim the full cost of hotel or guest house stays along with meals taken, including one alcoholic drink. VAT receipts are required.

Date Name of Hotel, Guest House etc Location Value £
(including meals/drinks)

Other Business Expenses

Legitimate work expenses e.g. PPE, training courses. All must be supported with an original VAT receipt.

Date Supplier Name Type of Expense Value £

Declaration

I confirm that my expenses were incurred exclusively in performance with my work duties. I have submitted all original VAT receipts where possible to support these claims.

Need Help?

If you have any questions regarding the correct completion of this form please visit 'Application explained' section on our website or call us on 01226 733209

Orbital Management Services, 10 Regent Street South, Barnsley S70 2HT. Contact Number: 01226 733 209. Email: info@orbitalservices.co.uk
Company Number: 06435616. Copyright © 2010 Orbital Management Services Ltd.