BUE CYPRUS LIMITED EXPENSES CLAIM FORM
FULL NAME: __________________________________ PAYROLL REF: _____________
RANK: ______________________________
EXPENSES JOINING OR LEAVING A VESSEL
Date |
Description |
Vessel |
No. of Miles |
Total |
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Sub Total _____________
EXPENSES INCURRED AT TRAINING COURSES
Date |
Description |
No. of Miles |
Total |
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Sub Total _____________
MEDICAL EXPENSES
Date |
Description |
No. of Miles |
Total |
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Sub Total _____________
MISC EXPENSES
Date |
Description |
No. of Miles |
Total |
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Sub Total _____________
SIGNED BY APPLICANT __________________________________________ Total Due _______________
AUTHORISED BY MASTER ________________________________________ Date ___________________
AUTHORISED BY CREW MANAGER ________________________________ Date ___________________
Notes:
Payroll reference should be quoted on all expense claim forms to avoid errors in payment
Number of miles should only be filled in if you are claiming mileage
Do not use this form to request leave encashment. Ask Master for appropriate form
Any expenses not authorised will be returned to Master
Please attach expenses receipts to the back of the form. Petrol receipts are not required for mileage claims
Form DCS 01/04/01