Volunteer Expenses Claim Form Volunteer Name and Number*Date* Date Format: DD slash MM slash YYYY Family Number*Please enter a number from 1 to 9999.(Please complete if changed)AddressTel No.Email(Please complete if changed bank account details or this is the first time you have claimed)Bank Account Number Or please tick if you would prefer to be paid via cheque Sort CodePlease complete this section if claiming mileage (Click + to add further lines)DateNumber of Miles @ 45p a mileReason for journeyAmount To be completed by Administrator Please complete this section for all other expenses attach receipts if possible (Click + to add further lines)DateReason for Expense e.g. telephone call, text, postage, photo, bus fare to visit family, etcAmount 1. If you need to make telephone calls in connection with your FAMILY visits, please try and keep them at the cheapest rate. 2. Please discuss with your Co-ordinator, beforehand if possible, any other miscellaneous expenses. 3. Submit claim by the last Thursday of the monthIf your claim includes car mileage, “I certify I hold a full driving licence and have adequate insurance cover, the car is roadworthy, taxed and has a current MOT certificate”Claimant's SignatureDate Date Format: DD slash MM slash YYYY To donate your expenses, please tick here. We will guide you through the reimbursement and donation process in March. This iframe contains the logic required to handle Ajax powered Gravity Forms.