Forms - Host family claim form

This form is to be filled in and submitted online only. To print please use our Print & Send version.

Host Family:

£

Student 1

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

£

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

£
Student 2

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

£

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

£
Student 3

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

£

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

£
Student 4

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

£

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

£
Add Additional student +
Summary of Totals Payable

Homestay

0

£0.00

Travel (calculated at £0.50 per mile)

0

£0.00

Additional Expenses

£0.00

Grand Total

£0.00

Bank Payment Details

Details required only for first time payments or if your account details are different to those we already hold.

BACS Details

Name if payment by cheque is preferred

Please note: BACS payment is preferred as payments are transferred directly into your bank account and waiting time for postage, paying in the bank and waiting time to be cashed is avoided. We aim to complete payments within 24 - 48 hours after receipt of the completed claim form.

© 2015 Crown Guardians Bath Ltd.   |  Useful Links   |  Web Design Bath