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NHS Big Tea
East and North Hertfordshire Hospitals' Charity
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Staff reclaim expenses form
Which fund will you be spending from?
(required)
This field is required
If you are unsure please copy and paste this into your browser to see a list of our fund codes https://www.enhhcharity.org.uk/charity-fund-codes
What is the fund number?
(required)
This field is required
What is your DRP number (funds should not have been spent unless a DRP has been provided)
(required)
This field is required
Who will the funds be paid to (your name), this must be the person who incurred the costs
(required)
This field is required
What is your payroll number?
(required)
This field is required
How much would you like to claim?
(required)
This field is required
What expense are you reclaiming for? (what did you buy?)
(required)
This field is required
Receipts need to be emailed to
[email protected]
after completing this form. Do you have receipts?
(required)
Please tick a checkbox
Yes
No
Please tell us the name of your manager
(required)
This field is required
Your manager’s email
(required)
This field is required
Your manager’s telephone number
(required)
This field is required
Have they authorised this payment?
(required)
Please tick a checkbox
Yes
No
Please submit this form and then email your receipts to
[email protected]
Send
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