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United Dioceses of Cork, Cloyne and Ross
Employees and Contract for Services
Travel Claim from the Diocesan Council or Diocesan Board of Education
N.B. A separate claim should be made in respect of each event/purpose of travel on a given day
Please read the Diocesan Regulations governing expenses before completing this form. - This form should include claims in respect of one calendar month only. - Forms should be submitted as soon as possible after the end of the month in which the ministry was undertaken. - Forms should be submitted and claims made no later than before the end of the calendar month following the month in which the expenses were incurred. - Incomplete forms will not be processed and expenses will not be paid. - Claims for small amounts will be accumulated and paid quarterly.
Your Position
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Select your name
Assistant Secretary
Bishop
Archdeacon
Diocesan Secretary
Diocesan Youth Officer
Further Education and Training Officer
Media and IT Officer
Body from whom amount is being claimed
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Select One
Diocesan Council
Diocesan Board of Education
Charity - Kingston Charity Trust
Year
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Year of Claim
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Month in respect of which Claim is being made
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Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Travel Claim
Travel from 'where' to 'where'
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Name of event or purpose of travel:
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Date of event or travel
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dd/mm/yyyy
Kilometres travelled on this date only:
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Amount claimed for travel for this event or purpose (rate is 41 cent per kilometre)
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Is there a claim also for subsistence of overnight costs?
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Yes
No
If 'Yes' has the bishop or your
line manager approved this expense in advance of expenditure
Yes
No
Amount claimed for subsistence:
Amount claimed for overnight accommodation:
Your Email Contact for Queries
*
Your mobile number for form queries:
*
Date of Claim
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dd/mm/yyyy
I have read and agree that my data may be processed by the Diocesan Council in accordance with the
Data Privacy Policy:
*
*
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Input is required
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