TRAVEL EXPENSES FORM

Please ensure you have complied with GROW’s Travel Policy before completing this form.

1. Please complete this form using BLOCK CAPITALS;

2. Please send an email to alex@growmentoring.org with the subject ‘GROW Travel Expenses – [Insert the name of the relevant event here]’ attaching your travel receipts/confirmation emails as appropriate. Please note that notification and mobile banking screenshots are not valid as receipts/proof of purchase, with the sole exception of Transport for London charges.

3. If you do not have travel receipts/confirmation emails, please provide further information on this in your email;

4. Please list all individual receipt amounts and the total amount to be claimed in the boxes below;

5. If multiple items are on a single receipt, please highlight which amounts you are claiming for on that receipt; and

6. If the receipt is not in pound sterling/GBP we will need a copy of your bank statement to confirm the conversion rates.

Name

First Name

Last Name

Phone

(###)

###

####

Date submitted

YYYY

Event

Date of event

YYYY

Total claimed

Full name of Account Holder

Sort Code (6 digits)

Account Number (8 digits)

Full Name and Address of Bank

If you are not the bank account holder, please specify your relationship and reason for specifying this account

Building Society Roll Number

Swift Code

IBAN Number (if non-UK Bank Account)

Purpose of claim

Individual receipt amount

Account Number (if non-UK Bank Account)

Purpose of claim (if multiple)

Individual receipt amount (if multiple)

Purpose of claim (if multiple)

Individual receipt amount (if multiple)

Purpose of claim (if multiple)

Individual receipt amount (if multiple)