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Homecare Voices

Connecting domiciliary care workers

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Fuel expense form

If you have driven to participate in Homecare Voices, complete this form so we can reimburse your fuel

First name*

Last name*

Email*

Date of travel*

Day

Month

Year

Postcode of your starting location*

Postcode of your destination*

This was a return trip (i.e. you drove there and back)

Fuel type*

Petrol

Diesel

To establish how much you are owed, we will:

Enter the postcodes above into Google Maps to identify the total distanced travelled
Identify the latest UK-wide price for the fuel type used
Enter this information along with an average MPG of 40 into this fuel calculator

Your bank details

Account name*

Account number*

Sort code*

We will process your claim as soon as possible. If you have not received payment within 7 days of submitting this form, please contact hello@homecarewg.org

Homecare Workers' Group C.I.C t/a Homecare Voices

Ingenuity Centre, University Of Nottingham

Innovation Park

Triumph Road

Nottingham

England

NG7 2TU

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