Please note claims can only be made up to 28 days from the date of the course. Please note: valid receipts with VAT number easily visible will need to be attached to complete this form. Your details Full name If the claim is for more than one person, please include both FULL names here. Your email address Phone Number We will use this number to contact you for the security bank check. Name of the organisation you are representing Travel Expenses Are you claiming travel expenses? - Select -NoYes - CarYes - Public transport Amount claimed for car use Total amount claimed (£) Postcode travelled from Postcode travelled to Amount claimed for public transport Total amount claimed (£) Please upload a copy of your travel receipt One file only.32 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Lunch Are you claiming lunch expenses on the day of training Yes No (Capped at £7.00 per person) Total amount (£) Please upload a copy of your lunch receipt One file only.32 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Account Details Account Name Ensure this is the same as what is shown on your payment card. For example, Mr J Bloggs Account Number 8 to 12 digits long Sort Code 6 digits without dashes or spaces I declare that this claim is accurate and that the above expenses have been incurred by me in the performance of my attendance at training courses organised by Cycling UK. By submitting this claim I am confirming the statement above and this submission will be accepted as signed by you. After submission, a member of the Community Cycle Club team will be in touch with you via phone call to complete our required security bank check. Please note: claims will not be processed without this step. Once your claim has been processed you will receive an email from our Accounts team confirming the date you will receive the payment. I agree