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Expense Form

  • Mileage Claim: For travel to and from your home / accomodation and your workplace, plus any work related trips using your own vehicle.

  • Traveled from PostcodeTraveled to PostcodeReturn Journey Y/NNumber of Journeys 
    Add a new row
  • Travel Expenses: For travel from home to your workplace and work related journeys made by public transport.
    This also includes car parking, congestion charges and toll fees. You will be required to submit receipts for all claims in this section.

  • Date (dd/mm/yyyy)From - ToMode of TransportReceipt Value/Ticket £ 
    Add a new row
  • Subsistence: For food and non-alcoholic drink purchased whilst away from your main residence during the working day. Please state the departure and arrival time to your main residence/temporary accomodation and tick the relevant subsistence claim

  • Date (dd/mm/yyyy)Time Left For WorkTime Arrived On SiteWorked up to 10hrsWorked over 10hrs 
    Add a new row
  • Accommodation/Personal Incidentals: For expenses related to temporary accomodation (e.g. B&B, Hotels) whilst working away from your main residence, food and non alcoholic drink and incidental expenses.

  • Date of StayName of HotelLocationReceipt Value £ 
    Add a new row
  • Other Expenses: Other legitimate work related expenses related to your employment. These must be supported with an original VAT receipt.

  • Date of PurchaseProvider/SupplierType of ExpenseReceipt Value £ 
    Add a new row
  • Drop files here or
    Accepted file types: jpeg, jpg, gif, png, pdf.
  • *All VAT receipts matching the above claims must be attached and returned to AlphaPay LTD, The Whitehouse, Wilderspool Park, Greenalls Avenue, Warrington, WA4 6HL.

  • Declaration - Read & Agree - “I declare that the expenses stated here were incurred, wholly, necessarily and exclusively in the performance of my duties. I can confirm my current workplace is temporary and I anticipate I will work less than 24 months at this site. It is my intention to undertake multiple assignments and I will inform AlphaPayLTD if my intentions change. I also confirm that it is my responsibility to ensure that my vehicle is road worthy and that I have instructed my car insurers that my vehicle is used for business purposes and have the adequate business insurance cover”

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Company registration number: 09911652
VAT registration number: 228 8451 85
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