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NON-STAFF EXPENSES CLAIM FORM
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Please read the instructions provided overleaf. Claimants must complete all sections of the claim form; the personal details; Bank Details; date, reason and type of expense; the value of the expense; and financial code(s) (if known).
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Claimants must provide a grand total expense to be claimed, sign the form and it must be sent to the College, Institute or Department for checking, who should ensure that receipts are attached and an appropriate financial code(s) is included.
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An incomplete or unchecked form will not be processed.
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Brunel Student ID Number :
Claimant Name:
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(Student ID)
UK Bank Details: Sort Code: / /
Account Number:
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Overseas Account Information:
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All other claimants:
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(Sundry Supplier ID)
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P999999-GBP / P999998-Overseas
Postal Address:
Reimbursement Currency
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Date:
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Email Address:
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Financial Code(s) to be charged:
Date of Expense
Reason for ExpenseType of ExpenseTravel & SubsistenceOtherReceipt ReceivedMileageRate per mile (£)Amount claimed & Currency
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ACCOUNT-SUB PROJECTAmountAmount(√)Not for use by Brunel staff
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--GRAND TOTAL:
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 I certify that the above expenditure has been properly incurred on University business in accordance with the instructions overleaf:
Checked by: (print name & Dept.)
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Claimant signature:
Date:
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NON-STAFF EXPENSES CLAIM FORM - INFORMATION
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