All expenses should be entered net of VAT. The Enter VAT amount.

If price has no VAT

VAT exclusive total should be entered on your included enter 0.
Contractor invoice , with VAT charged on your full invoice
Cost Centre Company Code Month of Claim Year of Claim amount.
Company/Name

Telephone
Email
Dept / Location Number

Other Expenses - Description

Additional No. of
Project Code /
Date of expense Details of cost Reciept no
Activity Code
Company business Subsistence Fares Car Parking Hotel Total VAT Total including VAT
Code miles

1 0.00 0.00 0.00

2 0.00 0.00 0.00

3 0.00 0.00 0.00

4 0.00 0.00 0.00

5 0.00 0.00 0.00

6 0.00 0.00 0.00

7 0.00 0.00 0.00

8 0.00 0.00 0.00

9 0.00 0.00 0.00

10 0.00 0.00 0.00

12 0.00 0.00 0.00

13 0.00 0.00 0.00

14 0.00 0.00 0.00

15 0.00 0.00 0.00

16 0.00 0.00 0.00

17 0.00 0.00 0.00

18 0.00 0.00 0.00

19 0.00 0.00 0.00

20 0.00 0.00 0.00

Rate per mile p Total no. of business miles 0.00 0.00 0.00

Photocopy receipts must be attached Row includes totals from overflow sheet (mileage total inclusive of overflow sheet) 0.00 0.00 0.00 0.00

Private car Note: Contractor Declaration

Please attach copies of invoices / receipts for amounts claimed behind this
Engine Capacity (cc) expense claim form.

Petrol Diesel
Please ensure, once your business expenses are approved, an invoice is
raised for payment of these expenses. Invoices which charge VAT on VAT Claimants Signature Date
will not be processed for payment.

Authorised Signature Date

Print Name Pages authorised for this claim