Claim for Candidate - University of Southampton

External Examiner’s Fee & Expenses examinations
other than Higher Doctorate examinations
The fee for this examination will be taxable under HMRC Regulations; all expenses will be
reimbursed.
Payment will be made by direct credit to your bank or building society account.
This claim should be completed in BLOCK CAPITALS and forwarded to the Faculty as soon as possible
after the examinations are completed.
Claimant/Examiner
Title:(please tick one):
Mr
Mrs
Ms
Surname
Miss
Dr
Forenames
Pay Reference Number:
Date of Birth:
Professor
(see previous pay advice)
(dd/MM/yyyy)
IMPORTANT: Your Date of Birth is a Statutory Requirement and will result in delay in payment if not
completed.
National Insurance number:
e.g. XY123456Z
Signature of Claimant
Date
If you have made a previous claim, and there are no changes to your personal details as set out in
this section, please just complete the section above.
The following details only need to be completed if this is the first claim you have submitted or if
there are any changes to your personal details
Home address:
Postcode:
Bank/Building Society
Branch:
Sort code:
Account number
For non-UK account, Currency:
IBAN number:
SWIFT number:
X
X
Email address:
Claim for Candidate:
Faculty:
Division
Details of travel and route
Public transport* fares or mileage for private car
Examiner’s fee
Travelling expenses 1
Subsistence2
Incidental Expenses e.g. telephone, postage etc 3,
£
p
£
p
4
Total amount
For use in the Finance Department claimed
*If travelling by public transport, only standard fares will be reimbursed
Payment authorised on behalf of
Head of Faculty
Faculty
Cost centre
Faculty Authorised signature
Date
Total
Updated May 2012 by eat
Notes on completing the claim form
External Examiners may claim reasonable travelling costs within the University rate, which
in general require standard class period return rail tickets to be used, unless day returns or
“savers” are available at a lower cost. Payment for air travel may be approved providing the
total cost does not exceed that of rail travel plus subsistence costs. The dates of travel,
departure point and route of journey must be shown. All original receipts must be provided.
Payment of travel by car, motorcycles or bicycles will be paid at the following rates, per round
trip.
1
40
23
24
20
p
p
p
p
per
per
per
per
mile
mile
mile
mile
for the first 50 miles
thereafter
for Motorcycles
for Bicycles
If necessary, please provide additional information on a separate sheet.
Subsistence expenses will be reimbursed providing details are shown and original receipts
provided. Expenditure of personal nature (alcohol from “mini-bars”, newspapers, laundry,
videos) should not be included in claims for reimbursement.
2
3
Incidental expenses – please give details if necessary on a separate sheet.
Please note: the University has been instructed by the Inland Revenue that all claims for travel,
subsistence and related costs must be supported by original receipts, till rolls or equivalent,
except for the few cases where receipts are retained (for example, certain parking barriers).
Receipts are given on trains, in take-away restaurants etc. on request, or till rolls are given.
4
Updated May 2012 by eat