Parity / TPM UK - Timesheet & Expenses v1.3

• Weekly Timesheet for:

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Company

  Parity Medical

  TouchPoint Medical UK

• Week Commencing (Must be a Monday)

  Date

• Overnight Monday

  Yes

  No

• Overtime worked Monday?

  Yes

  No

Overtime

• SICON Case / SOP / Legacy

• Monday - Time and a half

• Monday - Double time

• Comments

• Expenses to claim on Monday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Overnight Tuesday

  Yes

  No

• Overtime worked Tuesday?

  Yes

  No

Overtime

• SICON Case / SOP / Legacy

• Time and a half

• Double time

• Comments

• Expenses to claim on Tuesday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Overnight Wednesday

  Yes

  No

• Overtime worked Wednesday?

  Yes

  No

Overtime

• SICON Case / SOP / Legacy

• Time and a half

• Double time

• Comments

• Expenses to claim on Wednesday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Overnight Thursday

  Yes

  No

• Overtime worked Thursday?

  Yes

  No

Overtime

• SICON Case / SOP / Legacy

• Time and a half

• Double time

• Comments

• Expenses to claim on Thursday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Overnight Friday

  Yes

  No

• Overtime worked Friday?

  Yes

  No

Overtime

• SICON Case / SOP / Legacy

• Time and a half

• Double time

• Comments

• Expenses to claim on Friday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SICON Case / SOP / Legacy

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Overnight Saturday

  Yes

  No

• Overtime worked Saturday?

  Yes

  No

• Overtime on Saturday's are calculated at time and a half

Overtime

• SOP

• Time and a half

• Double time

• Comments

• Expenses to claim on Saturday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SOP / Legacy / Salesforce Case

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SOP / Legacy / Salesforce Case

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Overtime on Sundays are calculated at double time.

• Overnight Sunday

  Yes

  No

• Overtime worked Sunday?

  Yes

  No

Overtime

• SOP

• Double time

• Comments

• Expenses to claim on Sunday?

  Yes

  No

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SOP / Legacy / Salesforce Case

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

Additional Expense Claim

• Please complete this document for every expense you would like to submit. For multiple claims, please add an additional section per SOP. Please only add your photo's & media in the final field.

• SOP / Legacy / Salesforce Case

• Customer Name

• Type Of Claim

  Select Breakfast (up to £7.50) Lunch (up to £5.00) Evening Meal (up to £17.50) Drink Travel / Parking / Toll Sundries / Hardware Other

  • Breakfast (up to £7.50)
  • Lunch (up to £5.00)
  • Evening Meal (up to £17.50)
  • Drink
  • Travel / Parking / Toll
  • Sundries / Hardware
  • Other

• Please advise & provide evidence

• Amount

• Please attach a photo of your receipt & any other evidence

  Media

• Details

• Claimant (Please select appropriate from dropdown list)

  Select Tony Godwin Chris Jackson Mark Royden Alan Parry Darren Thomas Ben Glews Jo Nicolson Other

  • Tony Godwin
  • Chris Jackson
  • Mark Royden
  • Alan Parry
  • Darren Thomas
  • Ben Glews
  • Jo Nicolson
  • Other

• Please advise

• Please email a copy of this document to chris.mellor@paritymedical.com on a Friday or by the latest 10:00 the following Monday.

• Has the Timesheet been completed accurately? Check box to indicate a positive response.

• I certify that the expenses detailed in this claim form were wholly exclusively and necessarily incurred for the purposes stated and the particulars entered herein are correct to the best of my knowledge and belief.

  Sign