Loading
Form preview picture

Get St Helens And Knowsley Lead Employer Travel Expenses

Form LE/EX1 St Helens and Knowsley Hospitals NHS Trust PROVIDING LEAD EMPLOYER PAYROLL SERVICES TO MERSEY DEANERY EXCESS TRAVELLING EXPENSES CLAIM FORM NAME Grade. HOST TRUST. Assignment No HOME ADDRESS. DESIGNATED BASE HOSPITAL. This must be a base hospital that forms part of your training rotation Distance to Base Trust Distance to Host Trust Excess Daily Mileage As calculated by AA Route Finder Dates and mileage for which excess travel is claimed enter mileage under date incurred or tick. Form LE/EX1 St Helens and Knowsley Hospitals NHS Trust PROVIDING LEAD EMPLOYER PAYROLL SERVICES TO MERSEY DEANERY EXCESS TRAVELLING EXPENSES CLAIM FORM NAME Grade. HOST TRUST. Assignment No HOME ADDRESS. DESIGNATED BASE HOSPITAL. This must be a base hospital that forms part of your training rotation Distance to Base Trust Distance to Host Trust Excess Daily Mileage As calculated by AA Route Finder Dates and mileage for which excess travel is claimed enter mileage under date incurred or tick. MONTH. ----- Authorised daily excess mileage Total number of days travel claimed Tunnel Fees Pre August 2009 Contracts Only Public Transport PT e*g* Bus Train Number of Journeys Fee Total Claimed Dates of PT Journeys as per table above PT Fee I declare that the above claim is in respect of excess travelling expenses actually incurred in the period of this claim* Signature of Claimant. Date. I certify that to the best of my knowledge and belief the claimant incurred excess travelling expenses as shown on this claim* Signature of Authorising Officer Designation Date LEAD EMPLOYER DEPT Signed MILEAGE RATE Excess Reimbursed M Initial AMOUNT p Please return completed form on a monthly basis to Lead Employer Dept Nightingale House Lower First Floor Whiston Hospital Warrington Road Prescot Merseyside L35 5DR NB Claims submitted older than 3 months will NOT be reimbursed*. HOST TRUST. Assignment No HOME ADDRESS. DESIGNATED BASE HOSPITAL. This must be a base hospital that forms part of your training rotation Distance to Base Trust Distance to Host Trust Excess Daily Mileage As calculated by AA Route Finder Dates and mileage for which excess travel is claimed enter mileage under date incurred or tick. MONTH. ----- Authorised daily excess mileage Total number of days travel claimed Tunnel Fees Pre August 2009 Contracts Only Public Transport PT e*g* Bus Train Number of Journeys Fee Total Claimed Dates of PT Journeys as per table above PT Fee I declare that the above claim is in respect of excess travelling expenses actually incurred in the period of this claim* Signature of Claimant. MONTH. ----- Authorised daily excess mileage Total number of days travel claimed Tunnel Fees Pre August 2009 Contracts Only Public Transport PT e*g* Bus Train Number of Journeys Fee Total Claimed Dates of PT Journeys as per table above PT Fee I declare that the above claim is in respect of excess travelling expenses actually incurred in the period of this claim* Signature of Claimant. Date. I certify that to the best of my knowledge and belief the claimant incurred excess travelling expenses as shown on this claim* Signature of Authorising Officer Designation Date LEAD EMPLOYER DEPT Signed MILEAGE RATE Excess Reimbursed M Initial AMOUNT p Please return completed form on a monthly basis to Lead Employer Dept Nightingale House Lower First Floor Whiston Hospital Warrington Road Prescot Merseyside L35 5DR NB Claims submitted older than 3 months will NOT be reimbursed*.

How It Works

EX1 rating
4.8Satisfied
29 votes

Tips on how to fill out, edit and sign Nb online

How to fill out and sign Designation online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Feel all the benefits of completing and submitting documents on the internet. Using our solution completing St Helens And Knowsley Lead Employer Travel Expenses requires just a couple of minutes. We make that achievable by offering you access to our full-fledged editor effective at altering/fixing a document?s initial textual content, inserting unique boxes, and putting your signature on.

Complete St Helens And Knowsley Lead Employer Travel Expenses in just a couple of moments by simply following the instructions below:

  1. Choose the template you require from the library of legal forms.
  2. Select the Get form button to open it and begin editing.
  3. Fill out all the requested fields (these are marked in yellow).
  4. The Signature Wizard will enable you to insert your e-signature after you have finished imputing details.
  5. Add the date.
  6. Double-check the entire document to ensure you?ve filled out all the information and no changes are required.
  7. Press Done and download the ecompleted form to your gadget.

Send your new St Helens And Knowsley Lead Employer Travel Expenses in an electronic form when you finish completing it. Your information is well-protected, since we adhere to the latest security requirements. Join millions of happy clients that are already filling out legal forms from their houses.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Knowsley FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to St Helens And Knowsley Lead Employer Travel Expenses

  • Deanery
  • Prescot
  • EX1
  • Merseyside
  • Helens
  • L35
  • Knowsley
  • 5DR
  • nb
  • authorising
  • reimbursed
  • designation
  • pre
  • DEPT
  • certify
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.