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Sorry! Our online forms use javascript to enable advanced features such as saving and continuing later, and to improve security. Please either enable javascript for this site or contact your IT department for further help. 1Your details2The committee or meeting you attended3Mileage4Subsistence5Additional claims6The final step7 Name(Required) First Last Membership Number(Required)Address(Required) Street Address Address Line 2 Town/City County Postcode Email(Required)This is required so you can receive a confirmation upon submitting this form. Enter Email Confirm Email Which committee / meeting did you attend?(Required)Choose from the dropdownOTHERRegional CoursesRegional Council & SW Committee (RC&SWC)RC&SWC Get ActiveBlack MembersDisabled MembersLGBT+ MembersRetired MembersWomen MembersCreche/childcareYoung MembersCommunity SGHealthcare SGPolice & Justice SGLocal Government SGHigher Education SGHealth & SafetyWelfareCCPD HardshipCCPD National ConferenceCCPD Funds (GPF/CF/RP/SP)CCPD SW TUCCCPD TolpuddleCCPD Social MediaCCPD InternationalLocation of the meeting(Required) How many miles are you claiming for?UNISON pays 45p per mile.This field is hidden when viewing the formMileage rateTotal mileage claimDid you take any passengers? Add passenger miles Name of passengerPassenger milesUNISON pays 5p per mile.This field is hidden when viewing the formPassenger rateTotal passenger claim Date that you left home(Required) DD slash MM slash YYYY Time that you left home(Required)24-hour format Hours : Minutes Date that you returned home(Required) DD slash MM slash YYYY Time that you returned home(Required)24-hour format Hours : Minutes Total Subsistence Additional claimPlease use this to claim back money spent on parking / public transport / childcare etcPlease select from the dropdownTrain ticketParkingBusTaxiUndergroundAir travelSubsistence (receipted)ChildcareLoss of earningsOtherPlease give detailsAdditional Claim 1FilePlease upload photo/copy/scan of your ticket(s) or receipt(s)Max. file size: 20 MB. Add another claim? Yes No Additional claimPlease use this to claim back money spent on parking / public transport / childcare etcPlease select from the dropdownTrain ticketParkingBusTaxiUndergroundAir travelSubsistence (receipted)ChildcareLoss of earningsOtherPlease give detailsAdditional Claim 2FilePlease upload photo/copy/scan of your ticket(s) or receipt(s)Max. file size: 20 MB. Add another claim? Yes No Additional claimPlease use this to claim back money spent on parking / public transport / childcare etcPlease select from the dropdownTrain ticketParkingBusTaxiUndergroundAir travelSubsistence (receipted)ChildcareLoss of earningsOtherPlease give detailsAdditional Claim 3FilePlease upload photo/copy/scan of your ticket(s) or receipt(s)Max. file size: 20 MB. Total Expense ClaimComments Account Number(Required)Sort Code(Required)Name on Account(Required) Δ
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