Mileage Form Template UK

The Mileage Form Template UK is offered in several formats, including PDF, Word, and Google Docs, featuring both editable and printable versions for your convenience.


Sample

Mileage Form Template UK

Editable – Printable



Mileage Form Template UK

1. Employee Information


2. Trip Details


3. Purpose of the Trip

4. Mileage Details


5. Payment Rate

6. Reimbursable Amount

7. Declaration

8. Approvals



9. Date of Submission

10. Additional Notes

11. Confirmation


Generate PDF


Generate WORD

Examples


Mileage Form Template UK (1)
Employee Details:
[Employee Name]
[Employee ID]
[Department]
[Position]
Date of Travel:
[Date]
Purpose of Travel:
[Description of the reason for travel]
Starting Point:
[Starting Address or Location]
Destination:
[Destination Address or Location]
Mileage Details:
Total Miles Driven: [Total Miles]
Miles for Business Use: [Business Miles]
Private Miles: [Private Miles]
Reimbursement Rate:
The reimbursement rate per mile is [Rate per Mile] as per [Company Policy or HMRC guidelines].
Total Reimbursement:
Total Amount to be reimbursed: [Total Business Miles] x [Rate per Mile] = [Total Amount].
Signature:
[Employee Signature] on [Date of Submission]
Mileage Form Template UK (2)
Employee Details:
[Employee Name]
[Employee ID]
[Department]
[Position]
Date of Travel:
[Date]
Purpose of Travel:
[Description of the reason for travel]
Starting Point:
[Starting Address or Location]
Destination:
[Destination Address or Location]
Mileage Details:
Total Miles Driven: [Total Miles]
Miles for Business Use: [Business Miles]
Private Miles: [Private Miles]
Reimbursement Rate:
The reimbursement rate per mile is [Rate per Mile] as per [Company Policy or HMRC guidelines].
Total Reimbursement:
Total Amount to be reimbursed: [Total Business Miles] x [Rate per Mile] = [Total Amount].
Declaration:
I declare that the information above is true and that I have incurred these travel expenses while performing my duties for [Company Name].
Signature:
[Employee Signature] on [Date of Submission]

Printable



Mileage Form Template UK