Host family claim form

Host Family

Full Name

Email

Address Line 1

Address Line 2

Address Line 3

City

Postcode

Telephone

Payment per Night

Student 1

Student details

Full Name

School

Date From

Date To

Number of Nights

Travelling expenses 1 (miles to and from school / trips)

From

To

Date

Miles

Travelling expenses 2 (miles to and from school / trips)

From

To

Date

Miles

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

Student 2

Student details

Full Name

School

Date From

Date To

Number of Nights

Travelling expenses 1 (miles to and from school / trips)

From

To

Date

Miles

Travelling expenses 2 (miles to and from school / trips)

From

To

Date

Miles

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

add student +

Student 3

Student details

Full Name

School

Date From

Date To

Number of Nights

Travelling expenses 1 (miles to and from school / trips)

From

To

Date

Miles

Travelling expenses 2 (miles to and from school / trips)

From

To

Date

Miles

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

add student +

Student 4

Student details

Full Name

School

Date From

Date To

Number of Nights

Travelling expenses 1 (miles to and from school / trips)

From

To

Date

Miles

Travelling expenses 2 (miles to and from school / trips)

From

To

Date

Miles

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Date

Details

Amount £

Summary of Totals Payable

Homestay

TOTAL NUMBER OF NIGHTS:

TOTAL AMOUNT PAYABLE:

£

Travel (calculated at £0.50 per mile)

TOTAL MILES:

TOTAL AMOUNT PAYABLE:

£

Additional Expenses

TOTAL AMOUNT PAYABLE:

£

GRAND TOTAL PAYABLE

£

Bank Payment Details

Details required only for first time payments or if your account details are different to those we already hold.

BACS Details

Bank Name

Account Name

Sort code (leave no spaces between numbers)

Account Number

Name if payment by cheque is preferred

Cheque Name

Please note: BACS payment is preferred as payments are transferred directly into your bank account and waiting time for postage, paying in the bank and waiting time to be cashed is avoided. We aim to complete payments within 24 - 48 hours after receipt of the completed claim form.

If you need any information about how we can help you, please contact us.

This form is to be filled in and submitted online only. To print please use our Print & Send version.

Host Family

Student 1

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Student 2

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Student 3

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Student 4

Student details

Travelling expenses 1 (miles to and from school / trips)

Travelling expenses 2 (miles to and from school / trips)

Additional Expenses 1 (eg. telephone, entertainment, pocket money, etc)

Additional Expenses 2 (eg. telephone, entertainment, pocket money, etc)

Summary of Totals Payable

Homestay

£

Travel (calculated at £0.50 per mile)

£

Additional Expenses

£

£

Bank Payment Details

Details required only for first time payments or if your account details are different to those we already hold.

BACS Details

Name if payment by cheque is preferred