OFFICIAL'S MATCH & TRAVEL EXPENSE CLAIM FORM
OFFICIAL'S MATCH & TRAVEL EXPENSE CLAIM FORM
Name:
Name:
Address:
Address:
GAME DETAILS
GAME DETAILS
v
v
v
v
v
v
v
v
MATCH FEES
MATCH FEES
Referee: Premier League & 1st Division - £35.00, Second Division - £25.00, Third Division £20.00
Referee: Premier League & 1st Division - £35.00, Second Division - £25.00, Third Division £20.00
Table Official: Level 3 - £12, Level 2 - £8, Level 1 - £6, Young Official - £4
Table Official: Level 3 - £12, Level 2 - £8, Level 1 - £6, Young Official - £4
Fee £
Game 1
Fee £
Fee £
Game 2
Fee £
Game 3
Fee £
Game 3
Fee £
Game 4
Fee £
Game 4
Fee £
Game 1
Game 2
Total Match Fees £
Total Match Fees £
TRAVEL
TRAVEL
(Private car: 30p mile-1 for first 100 miles, 25p mile-1 for all additional miles. Motorcycle: 24p mile-1 for all mileage)
(Private car: 30p mile-1 for first 100 miles, 25p mile-1 for all additional miles. Motorcycle: 24p mile-1 for all mileage)
From:
From:
To:
Miles
To:
Miles
@ 30p = £
@ 30p = £
@ 25p = £
@ 25p = £
@ 24p = £
@ 24p = £
Total mileage claimed from club (maximum of 200 miles): £
Total mileage claimed from club (maximum of 200 miles): £
Other travel costs (trains, flights, bridge tolls, etc. (receipts must be provided)):
Other travel costs (trains, flights, bridge tolls, etc. (receipts must be provided)):
£
£
TOTAL CLAIM FROM CLUB (fees plus expenses): £
TOTAL CLAIM FROM CLUB (fees plus expenses): £
Balance of travel to be claimed from BWB (if applicable): £
Balance of travel to be claimed from BWB (if applicable): £
Signed:
Signed:
Date:
Date:
Bank Details (if payment to be made by bank transfer)
Name:
Account Number:
Sort Code
Bank Details (if payment to be made by bank transfer)
Name:
Account Number:
Sort Code
Notes:
Notes:
This income is not taxed at source. It is your responsibility to make your own arrangements with your tax office
regarding any payments received from British Wheelchair Basketball or Wheelchair Basketball clubs.
This income is not taxed at source. It is your responsibility to make your own arrangements with your tax office
regarding any payments received from British Wheelchair Basketball or Wheelchair Basketball clubs.

If traveling to more than one venue a day: travel should be split equally between clubs.

Mileage claims over 200 miles: email ([email protected]) and the home club
secretary.

All mileage claims are subject to checking during the season. False or misrepresented claims may result
in action being taken against you.

Table official mileage should be agreed when accepting the appointment.

If traveling to more than one venue a day: travel should be split equally between clubs.

Mileage claims over 200 miles: email ([email protected]) and the home club
secretary.

All mileage claims are subject to checking during the season. False or misrepresented claims may result
in action being taken against you.

Table official mileage should be agreed when accepting the appointment.