Explore

My Favourites -

My Recently Viewed -

  • No other pages viewed

accessibility -

Set Text Size

Small
Standard
Large
Extra Large

Set Contrast

AAAA

Just for Schools

Facilities Agreement and Other Teacher Absence Claim Form

Facilities Agreement and Other Teacher Absence Claim Form

Please be aware that a notification will be sent to the school via SecureNet within the 'Finance Information Community' within 5 working days. If you do not receive this confirmation email please contact Business Services Team or phone 01392 382401.

To be completed within the financial year of the claim.

Need Help? Read the online claim form instructions.

SECTION 1 - SCHOOL DETAILS
1. School Number (4 digit DFE)
2. Financial Year
SECTION 2 - STAFF DETAILS
3. Title
4. Surname
5. Firstname
6. F.T.E.
7a. Claim Type (if traveling expenses is selected, go straight to section 3)
7b. If Trade Union is selected from question 7a, please indicate which Trade Union on the dropdown box
7c. If other is selected from quetion 7a, please enter type of absence
8. Month of claim
9. Start date of claim (dd/mm/yyyy)
10. End date of claim (dd/mm/yyyy)
11. Pupil days claimed
SECTION 3 - TRAVELLING EXPENSES ONLY
12. Date of journey (dd/mm/yyyy)
13. Journey starting from
14. Journey ending point
15. Reason for journey
16. Authority for journey
17. Total mileage claimed
18. Subsistence claimed
SECTION 4 - AUTHORISATION
19. I certify that the above is an accurate record of teacher absence/reimbursable teacher travel for the period shown
20. Certified by (please provide your name)
21. Date certified (dd/mm/yyyy)
Should you require any assistance on completing this form please call 01392 383712. To complete the form, please click on the Send Form button below.