Panel member expenses claim

For volunteer Panel members

Session

Project

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Site address

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Session date

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Session type

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Attending as

Volunteer Panel Member

Your details

First name

Surname

Telephone

Date of birth

National Insurance no.

Home address

Job title / profession

Normal place of work

BACS details (where payment is to be made)

Bank

Branch

Sort code

Account number

Account name

Your claim

Amount claimed

Start destination

End destination

Notes (optional)

Receipts (optional)

Add receipts or drag them here

PDF or images. Optional — the claim is a pre-agreed flat rate.

Declarations

I confirm that I have read and agree to the declarations above, and that the amount claimed does not exceed my actual out-of-pocket expenses.

Securely store my personal and bank details so my next claim is pre-filled. You can ask the Panel to remove them at any time.

✓

Claim received

The Panel confirms safe receipt of your expenses claim. A copy has been emailed to you for your records.

Reference

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Amount claimed

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The Design Review Panel
Design Review Ltd, 5 Barnfield Crescent, Exeter, Devon, EX1 1QT, United Kingdom
01395 265768 · contact@designreviewpanel.co.uk

The Design Review Panel is the data controller for information submitted through this page. Personal and bank details are processed solely to reimburse your expenses; your IP address and browser are recorded with each submission for audit purposes.