Expense Claim Form



Subsistence / Food Allowance no receipts required


@ £5.00 =

BREAKFAST RATE CAN ONLY BE CLAIMED IF YOU DO NOT USUALLY LEAVE HOME BEFORE 6AM

@ £5.00 =

5 HOUR RATE - YOU MUST OF BEEN AWAY FROM HOME FOR MORE THAN 5 HOURS *

@ £10.00 =

10 HOUR RATE - YOU MUST OF BEEN AWAY FROM HOME FOR MORE THAN 10 HOURS *

@ £15.00 =

LATE DINNER RATE CAN ONLY BE CLAIMED IF YOU DO NOT USUALLY WORK PAST 8PM

* You can only claim for either one meal or two meal allowance not both.


Travel no receipts required


CAR/VAN - MILEAGE CLAIMED AT 45p PER MILE, UP TO 10,000 MILES PER TAX YEAR.
CAR/VAN - MILEAGE CLAIMED AT 25p PER MILE, AFTER 10,000 MILES PER TAX YEAR.
MOTORBIKE - MILEAGE CAN BE CLAIMED AT 24p PER MILE NO LIMIT ON MILES PER TAX YEAR.
BICYCLE - MILEAGE CAN BE CLAIMED AT 20p PER MILE NO LIMIT ON MILES PER TAX YEAR.
@ £0.45 =
@ £0.25 =
@ £0.24 =
@ £0.20 =

Accommodation receipts required


London rate £120.00 per night / Elsewhere £90.00 per night / Staying with friends or family £25.00 per night. Please read Expense Policy for further details.
@ £120.00 =
@ £90.00 =
@ £25.00 =

Other travel expenses receipts required


These can include car parking, toll charges, public transport costs, taxi fare and car hire. Please read Expense Policy for further details.
Add item

Other expenses receipts required


There are other expenses you can claim for, ie. calls made for business; tools, work clothes etc. Please read Expense Policy for further details.
Add item

£

I declare that all expenses included on this claim were incurred wholly, exclusively and necessarily in the performance of my duties as an employee of Duplex Payroll. I have read and understood the terms and conditions of the Duplex Payroll Umbrella Expense Guidelines and understand that any expenses may be rejected or removed from this claim if they do not adhere to said terms and conditions.

IMPORTANT INFORMATION
All expenses must be incurred to be claimed otherwise this can be construed as fraudulent by HMRC.

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