NAPB Involvement Fee Claim Form

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Involvement Claim Form

Name

Activity Claiming for:

Name of Meeting/Activity

If Other, please provide details

Date of Meeting/Activity

Location

Involvement Fees/Expenses

Reading Time (If agreed in advance)

Amount

Length of Meeting/Activity

Involvement Fee

NAPB Co-Chair Activities

Amount

NAPB Co-Chair Activity Breakdown

Mileage (incl return Journey)

Milage Claim

Travel Cost - Bus/Taxi/Train

Travel costs

Email journey details + attach receipt(s) to contact@norfolkautismpartnership.org.uk

Total Claim

[b]Tax and Benefits:[/b]

Receiving an involvement fee may affect your tax and/or benefits. Please remember it is your responsibility to tell the Inland Revenue and/or the Department of Work and Pensions about any involvement fee you receive.

[b]General Data Protection Regulation (GDPR):[/b]

We will process personal data according to The General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679), the Data Protection Act 2018 and The Norfolk Autism Partnerships data protection policy and guidelines. Please read our privacy notice for further information as to how your data is used and your rights:[url=https://usercontent.one/wp/www.norfolkautismpartnership.org.uk/wp-content/uploads/2021/01/8_NAPB-Privacy-Notice-Final.pdf?media=1652090737]https://usercontent.one/wp/www.norfolkautismpartnership.org.uk/wp-content/uploads/2021/01/8_NAPB-Privacy-Notice-Final.pdf?media=1652090737[/url]

I confirm I have incurred these expenses.

Date

Converted