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Online Expense Form

First Name

Last Name

Address

Address Line 1

Address Line 2

City

County

Postcode

Phone/Mobile

Discipline

Event / Committee Name

Location of Event

Date of Event

What was your role at the event

Official

Event Maker / volunteer

Both

None of these

If you answered ‘None of these’ please use this space to tell us what your role was at the event

Private Transport Expenses

Travel from (Postcode)	Travel to (Postcode)	Mileage per journey	Parking fee (if applicable)	Notes

Public Transport Expenses

Travel from (Place or Postcode)	Travel to (Place or Postcode)	Transportation Type	Cost	Notes

Travel - Calculated Costs

Travel Expense Receipts - Upload

Choose File

Accommodation Expenses

Name of accommodation	Cost	Notes

Accommodation - Calculated Costs

Accommodation Expense Receipts - Upload

Choose File

Meal Expenses

Cost	Notes

Meals - Calculated Costs

Meal Receipts - Upload

Choose File

Miscellaneous Expenses

Cost	Notes

Miscellaneous - Calculated Costs

Miscellaneous Receipts - Upload

Choose File

Total Expense Claim

Has the Region provided reimbursement of expenses to you by BACs previously?

Yes

Unsure

Bank Details

Bank Name

Account Holder Name

Account Number

Sort Code

Declaration – I can confirm that this claim is submitted in line with Swim England South East’s Expenses Policy and is being made for essential journeys and costs incurred for performing duties exclusively undertaken on behalf of Swim England South East Region. The claim is being made within 28 days of the last day of the competition or event and receipts are attached for all items in excess of £5 (except mileage).

Data Protection declaration - Data Protection – we take your privacy seriously and will only use your personal information in accordance with our Privacy Policy. Please take some time to read the policy to understand how your personal data will be used.

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