Mileage Expense Claim Form - United Kingdom

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Mileage Expense Claim Form
Date:
Engine Size
Name:
Vehicle Reg:
1400cc or less
Petrol
1401cc to 2000cc
Diesel
Over 2000cc
No. of
Tolls £
From / To
Purpose of Journey
Miles
Date
Passengers
Parking £
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Total Miles
Continue overleaf if necessary
Total Passenger Miles
< 10,000
> 10,000
Mileage this Year b/f
Miles
x
x
Mileage this Month
x
Passenger Rate
5p
Mileage Rate
Mileage this Year c/f
=
=
=
Amount Due
+
+
Signature:
=
Passengers
Tolls/Parking
Miles
I confirm the hours claimed are true and accurate
£
Amount Reimbursed
Please remember to attach your fuel / car park receipts
Mileage Expense Claim Form
Date:
Engine Size
Name:
Vehicle Reg:
1400cc or less
Petrol
1401cc to 2000cc
Diesel
Over 2000cc
No. of
Tolls £
From / To
Purpose of Journey
Miles
Date
Passengers
Parking £
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
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/
Total Miles
Continue overleaf if necessary
Total Passenger Miles
< 10,000
> 10,000
Mileage this Year b/f
Miles
x
x
Mileage this Month
x
Passenger Rate
5p
Mileage Rate
Mileage this Year c/f
=
=
=
Amount Due
+
+
Signature:
=
Passengers
Tolls/Parking
Miles
I confirm the hours claimed are true and accurate
£
Amount Reimbursed
Please remember to attach your fuel / car park receipts
No. of
Tolls £
From / To
Purpose of Journey
Miles
Date
Passengers
Parking £
/
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Total c/f
Approved Mileage Rates - how much you can claim per mile
First 10,000 Business Miles
Each Business Mile over 10,000
Additional Allowance
in the tax year
in the Tax Year
per Passenger
2013-14
per Business Mile
45p
25p
5p
Cars & Vans
24p
24p
-
Motorcycles
20p
20p
-
Bicycles

Download Mileage Expense Claim Form - United Kingdom

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