
%% hacked by matt June 2002- based on the nasty looking excel version
%% from the website - I didn't design it - this is a copy warts and all
%%
%%
%% Version 0.1 27 June 2002
%%
%% the design belongs to NU
%% This latex code is (c) matt clark and GPL'd
%% you can copy modfiy distribute etc but it remains GPL
%% and you cannot charge for it.
%%
%% Suggestions etc matt dot clark at nottingham dot ac dot uk
%%
%%
%% The original form is a mess- trying to emulate without too
%% much fuss


 
\documentclass[a4paper,10pt,landscape]{report}
\topmargin -2.8cm
\oddsidemargin -1.5cm 
\pagestyle{empty}
\setlength{\parindent}{0pt}
\textwidth 26cm
\textheight 19cm
\newcommand{\bd}[1]{{\bf #1}}
\newcommand{\vs}{
\vspace*{3mm}

}
\newcommand{\tickbox}{\framebox[12pt][c]{\raisebox{0pt}[5pt][0pt]{ }} }
\newcommand{\tickedbox}{\framebox[12pt][c]{\raisebox{0pt}[6pt][0pt]{$\times$}} }
\begin{document}
{\small

%% Banner box
\begin{tabular}{p{1.5cm}p{12cm}p{8cm}p{4cm}}
UoN CREST&{\raggedright {\Large The University of Nottingham} \\{\large Staff Expenses Claim Form}}&
Signatures must {\em NOT} be written in {\em BLACK} ink.&
{\raggedleft Finance.EXP1.\LaTeXe}\\
\end{tabular}

\begin{tabular}{|p{6.3cm}|p{6.3cm}|p{6.3cm}|p{6.3cm}|}\hline
Mandatory Information & School / Department or Division & Location (e.g. S/Bon, QMC., etc.) & Payroll Number\\
	& % YOUR SCHOOL HERE 
	& % YOUR LOCATION HERE 
	& % YOUR PAYROLL 
		\\\hline

Claimants Name (Block Capitals) & Signature: & Job Title: & Date: \\
% YOUR NAME HERE 
	& % YOUR SIGNATURE HERE 
	& % YOUR JOB TITLE HERE 
	& % DATE HERE 
		\\\hline

Contact Details for Claimant & Email Address: &	Telephone Number (Extension)&\\
	& % YOUR EMAIL @nottingham.ac.uk 
	& % YOUR PHONE NUMBER 
	&	\\\hline

Car Details (if claiming mileage) & Registration number: & Engine size: & *Lease Car \/ *Casual User \\
	& % YOUR REGISTRATION HERE 
	& % YOUR ENGINE SIZE HERE 
	& % PLEASE INDICATE HERE 
		\\\hline

Authorised by (Block Capitals) & Signature: & Job Title: & Date: \\
% NAME HERE 
	& % SIGNATURE HERE 
	& % JOB TITLE HERE 
	& % DATE HERE 
		\\\hline
\end{tabular}

Mileage

\begin{tabular}{|p{2.1cm}|p{16.7cm}|p{2cm}|p{2cm}|p{2cm}|}\hline
Date&Reason for and Details of Journey (Including Start and Finish Points) & Miles & Project & Activity \\\hline
%% spare line at the top

	&	&	&	&		\\

% start here 
% DATE	
	& % REASON 
	& % MILES	
	& % PROJECT 
	& % ACTIVITY	
		\\
%% additional lines below fill in / add as required & moves btwn cols, \\ ends line
	&	&	&	&		\\
	&	&	&	&		\\
	&	&	&	&		\\ \hline

%% TOTALs in the follow boxes MILES and POUNDS

&{\raggedleft \hspace*{\fill} Total Miles Claimed = }	&	% MILES	
									&&\\
&{\raggedleft \hspace*{\fill} @ %YOUR PPM 
				ppm = }	&	\pounds % POUNDS 
									&&\\\hline
\end{tabular}

Other Items - (Additional Information is Required for Meetings and Entertainment- See form Finance.EXP1a)

\begin{tabular}{|p{2.1cm}|p{11.4cm}|p{1.5cm}|p{1.5cm}|p{1.5cm}|p{1.5cm}|p{2cm}|p{2cm}|}\hline
Date&Details of and reason for Claim (for Subsistence Claims include Location) & Time Left & Time Returned & Amount in Foreign Currency & Amount in \pounds (inc VAT) & Project & Activity \\\hline

%% spare line at the top
	&&&&	&	&	&		\\

%% start here
% DATE	
	& % REASON 
	& % OUT 	
	& % IN	
	& % FOREIGN	
	& % POUNDS		
	& % PROJECT	
	& % ACTIVITY	
		\\

%% extra lines here fill in or add as require & moves btwn cols, \\ ends line
	&&&&&&&\\
	&&&&&&&\\
	&&&&&&&\\
	&&&&&&&\\
	&&&&&&&\\
	&&&&&&&\\ 
							\hline

%% fill in total pounds here
&{\raggedleft \hspace*{\fill} Total \pounds Claimed = }	&&&& \pounds % POUNDS
									&&\\\hline
\end{tabular}

\vspace*{3mm}

\begin{tabular}{@{}p{10.5cm}p{8.3cm}p{6.3cm}}
{
\raggedright 

\begin{tabular}{|p{6.5cm}|p{3.5cm}|}\hline
Finance Department Use Only &\\\hline
Date Received: & Checked By: \\
&\\
&\\
&\\
&\\
&\\
&\\
&\\
&\\\hline
\end{tabular}\\
}

& 
\begin{tabular}{p{8.1cm}}
{\raggedright Declaration by claimant\\
1. By signing this claim form, I certify that the expenses have been wholly, exclusively and necessarily incurred in the performance of my duties at the University of Nottingham. \\
2. I confirm that prior to undertaking a journey  on University business: (a) I have valid business motor insurance, (b) the vehicle is road worthy and is either less than 3 years
old or has a valid MOT certificate, (c) I have a valid UK driving license and know of no medical reason why I should not drive.
}
\end{tabular}
&
\begin{tabular}{p{6cm}}
{\raggedright
Summary\\
(complete this section on Sterling only.)\\
{
\begin{tabular}{|p{2cm}|p{3cm}|}\hline
\pounds &  \\\hline
& Mileage  \\\hline
& Other Items  \\\hline
& Less Advance  \\\hline
& No. A \\\hline
&\\\hline
\end{tabular}
}
}\\

\end{tabular}
\end{tabular}

\hspace*{\fill}A falsely completed claim form will amount to gross misconduct.\hspace*{\fill}\\
\vspace*{\fill}

}





\end{document}
