<p> HERODOT Network 230402-CP-1-2006-1-UK-ERASMUS-TN</p><p>Partner Expenses Claim Form</p><p>Delegate’s Name: </p><p>Name of Institution: </p><p>Country of Institution: </p><p>Purpose of Journey: </p><p>Dates (including travel): From (d/m/y) To (d/m/y) Durati on in days</p><p>Town and Country of Origin: Town and Country of Destination:</p><p>FINANCIAL INFORMATION ACCOUNT HOLDER NAME ADDRESS TOWN/CITY POSTCODE COUNTRY E - MAIL</p><p>BANK BANK NAME BRANCH ADDRESS TOWN/CITY POSTCODE COUNTRY ACCOUNT NUMBER IBAN SWIFT</p><p>BENEFICIARY (to be filled if the account holder differs from the beneficiary) NAME ADDRESS TOWN/CITY POSTCODE COUNTRY</p><p>Official Use Only: Partner Number:</p><p>Approved by: …………………..……………………. Date: ………….………..…….….……… This project has been funded with support from the European Commission. 1 Method of Payment: ……………………………..….. Date sent to finance: …………..……….</p><p>Details of Expenses Claimed (insert extra lines if necessary*) * In Microsoft Word at top tool bar click ‘Table’>’Insert’> Receipt Travel Costs (list details inc method of Original Exchange Total Euro No. transport i.e. train, airplane see rules) Currency Rate</p><p>Total travel Costs Subsistence costs (list details see rules for daily subsistence rate)</p><p>Total subsistence costs Other eligible expenses (list details)</p><p>Total other costs TOTAL CLAIMED The following proof of expenditure MUST be attached to this form: 1. Air/Rail travel: original ticket and boarding passes 2. Hired vehicle: invoice 3. Other travel: receipt/tickets</p><p>This project has been funded with support from the European Commission. 2 4. Subsistence: receipts ALL RECEIPTS WILL NEED TO BE PROVIDED IN ORIGINAL FORM</p><p>Signature: …………………………………………... . Date: ……………………….. INSTRUCTIONS FOR COMPLETION</p><p>Due to changes in our University’s accounting system all expenses must now be submitted in the same format. </p><p>Please ensure that you have done the following:</p><p> Listed every receipt individually</p><p> Numbered every receipt</p><p> Given a full description of the item, i.e. ‘Taxi from Schiphol Airport to Holiday Inn, Amsterdam’ </p><p> Provided exchange rates (where applicable)</p><p> Attached ALL original loose receipts to A4 paper, numbered and in the order they appear on the claim form</p><p> Only send original receipts, photocopies of receipts will not be accepted</p><p> Boarding passes should be supplied attached to A4 paper (if necessary)</p><p> Included the SWIFT number as we need this to refund to your bank (if you do not have this number ask your bank for it).</p><p>THERE IS AN EXAMPLE OF A CORRECT EXPENSES CLAIM ON THE WEB SITE</p><p>If you have any problems please do not hesitate to contact our Finance Officer, Mrs Christine Chadwick, [email protected]</p><p>IMPORTANT PLEASE NOTE: Claims not conforming to this system will be returned to you for resubmission, alternatively you can pay an administration fee of 10 Euro, which will be deducted from your total claim.</p><p>This project has been funded with support from the European Commission. 3</p>