The Design Review Panel™

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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

Pre-agreed expenses amount

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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

By ticking this box I am electronically signing this declaration. 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.

Signature — type your full name (optional)

Typed as your electronic signature on this declaration.

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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Panel member expenses claim

For volunteer Panel members

Your submitted claim

Project

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Session date

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Session type

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Amount claimed

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Start destination

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End destination

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Reference

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Submitted on

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Last updated

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Paid on

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If anything needs correcting, please contact the Panel administrator at contact@designreviewpanel.co.uk.

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.