Leader Expenses Claim Form – 2nd Acomb Scout Group

Your Name *

Please enter your name

Email address *

Please enter your email address

Expense Details *

Please include details of the receipt number; date; description of the expense; event/ section budget and value

Section of person submitting the form *

Select one option only, if you have receipts for more than one budget/fund please raise a separate claim.

Is this a fuel claim *

Did you use the group fuel card? *

Which Vehicle(s) do this claim relate to? *

How many external vehicles does the claim relate to? *

Vehicle 1 Registration number *

Vehicle 2 Registration number *

Vehicle 3 Registration number *

Where should the cost be allocated *

Select one option only, if you have receipts for more than one budget/fund please raise a separate claim.

Has payment been taken via OSM *

Event/ Camp/ Fund/ Budget Name *

Please enter the name of the Event/ Camp/ Fund/ Budget the receipt(s) should be allocated to.

Nature of the other expense *

You selected “Other” from the list above, please provide details

How much is to be claimed back from event/section *

Total value to be reimbursed *

Please enter the total of all receipts in this claim. This is the amount that will be transferred to your bank account.

Account Name

Sort Code

Account number

Receipts Upload *

Click or drag files to this area to upload. You can upload up to 10 files.

Please add receipt image(s) (all receipts in one image if possible).

Declaration *

I confirm that the expenses included in this claim are accurate and incurred in the course of the business of 2nd Acomb Scout Group and that it may take a minimum of 5 days for this to be processed.