The Highland Council
Claim for Travelling Expenses

1.	Prior to Taking up Appointment (e.g. search for new home)

Dates of Return Journey:  From …………………………………….    To …………………………………….

Travel Claim: (i) Either return 2nd class rail fare (including partner)
               (ii) Or return mileage at 21.2p per mile (if travel by car) ……………….miles @ 21.2p = £ ……………….
	
2.	From Old Home to New Home

Date of Journey:

From …………………………………………  To ………………………………………….

Travel Claim: (i) Either 2nd class rail fare (including dependants) = £……………………
                      (ii) Or mileage at 21.2p per mile (if travel by car) ……………….miles @ 21.2p = £ …………………

Subsistence Claim (As per Highland Council Travel & Subsistence Scheme) £ ……………………... (receipts enclosed) 

Note   Claim for Assistance as per 1 and 2 above must be submitted within 3 months of travel.

3.     I request reimbursement of the sum of £ ………………...                                           

4.	I confirm that should I leave the service of the Highland Council within the period of two years from the date of commencement of my employment with the Council, I shall refund to the Council;
	
	Within one year			- 		Full refund
	
	One year - 18 months		-		50% refund
	
	18 months – 2 years		-		25% refund

I herby agree and consent to the making of one or more deductions from any salary or wages, as defined in Section 27 of the Employment Rights Act, 1996, due by the Council to me in respect of any refund due by me to the Council hereunder

Post ………………………………………..  	Service ……………………………………. 

Name (Print)............................................	Starting Date in Post………………………

Signature………………...........................                                  Date…………………………………………

THIS FORM SHOULD BE SUBMITTED TO :  recruitment.enquiries@highland.gov.uk

FOR OFFICE USE

Amount of Claim Authorised:  £

Authorisation by Head of Service          ……………………………………………..  				

					             Date	……………………………				
Date passed for coding ………………………………. …………. 

Passed to (name) ……………………………………………………………..