Working from Home Please complete the form below. About You Date you wish to claim from: What would you like to claim for? Professional Fees / Subscriptions Stationery / Office Furniture Hotel (this can include charged calls for business and meal expenses) Uniform cleaning, repair, or replacement of specialist clothing. Small Tools repair, or replacement Parking / Toll Fees / Public transport costs Business Mileage Do you have your own car/or company car? Company Car Personal Car Neither Both Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Number Date of Birth National Insurance number Employer Employers PAYE Ref Example 123/A246) Job Title Employers Name Employers Address Address 1 Address 2 City State/Province Zip/Postal Code Country Type of Industry Employee Number Bank Details required Name on account Account Number Sort Code Thank you for taking the time to complete this form. Thank you!