SSCG MILEAGE AND EXPENSES CLAIM FORM

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1. Mileage and Expenses Sheet

The sheets are to be completed weekly and submitted before 12 noon on the Monday. you need to put the full weeks Mileage and expenses onto this sheet

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Name of Employee

First Name

Last Name

Date the week Started, Please make sure it is a Monday

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Please list the date the week ends (please make sure it is a Sunday)

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Please make sure the correct details are logged on this sheet, if you miss out any of the boxes your sheet will not be processed.

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I believe that the facts in this mileage + Expenses sheet have been checked and are true. I understand that any errors and fraudulent claims will not be paid and the information will be amended accordingly.

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Employee Signature

Date