FEDERATION OF WELSH ANGLERS Complete this form in its Original format by hand in ink only, and signed or it will be returned unpaid. FWA Treasurer
Name…………………………………………..Region…………...........................………………………………………………….. Address…………………………………………………………...........................…………………………………………………… ……………………………………………................……….Post Code…………………….Tel No….........……………………… Officer Status (State Title................................................................................................................................................................... Purpose of Claim: State as much information as possible to support your claim. Receipts must accompany all claims with the exception of mileage. No claim will be paid without the production of appropriate receipts. Mileage Rates:- 30p per mile single and 40p per mile with named passengers.
Venue...................................................................................................................Date………………...Mileage……………………. Venue...................................................................................................................Date………………...Mileage……………………. Venue...................................................................................................................Date………………...Mileage…………………….
Total Return Mileage….....………30p per mile………………….40p per mile Total Mileage Cost £……….....……p
All other types of claim for expenses. Give details and enclose receipts.................................................................................. ......................................................................................................................................................................................................... TOTAL OF CLAIMS BEING MADE Travel £…………………………p TOTAL OF ALL CLAIMS £…………………………p Claimants Signature…………………………………………………………………….Date……………………… ************************************************************************************************** Treasurers use only Cheque No...................................Date paid................................Treasurers Signature.......................................................................... Form No FWA 001
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