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Subsistence Allowance Claim Form

The document is a form for claiming subsistence allowance and reimbursement for transport charges and other incidental expenses related to government business travel. It includes sections for the claimant's details, journey particulars, and certifications from the claimant, supervising officer, and permanent secretary or head of department. Receipts for hotel bills and proof of accommodation costs are required to support the claims made.

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Daudi Ngosa
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175 views2 pages

Subsistence Allowance Claim Form

The document is a form for claiming subsistence allowance and reimbursement for transport charges and other incidental expenses related to government business travel. It includes sections for the claimant's details, journey particulars, and certifications from the claimant, supervising officer, and permanent secretary or head of department. Receipts for hotel bills and proof of accommodation costs are required to support the claims made.

Uploaded by

Daudi Ngosa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ACCTS FORM 44

CLAIM FOR SUBSISTANCE ALLOWANCE AND REIMBURSEMENT OF

TRANSPORT CHARGES AND OTHER INCIDENTAL EXPENSES

Part I Particulars of Claimant

Name: …………………………………………………… Voucher No: ……………..……………

Man No: ………………………………………………. Date: ……………………………………..

Designation: ………………………………………… Allocation Code: …………………….

Department: ………………………………………… K …………………………….………………

Ministry / Province: ……………………………… Dr: …………………………..………………


Postal Address: …………………………………….. Checked By: ……………………………..

(Name and Signature)

Details: Date: Departed Date: Arrived Purpose of No of Rate Amount


from: At: Journey: Nights: per (ZMK)
Night
(ZMK)

(A)Subsistence
Allowance

(B)Transport
charges and
other
incidental
charges

(C)Fuel costs

(D)Meal
Allowance

Others

Note: Where a claim is in respect of hotel bills receipted accounts must be attached together with
proof that cheaper accommodation was not available.

(P.T.O.)
Part II

I certify that the journeys were undertaken on Government business.

…………………………………………………………….. (Signature of Claimant)

Part III

Certificate by Supervising Officer

I certify that the journeys were authorised and that the claim is correct in every detail.

…………………………………………………………….. Signature of Supervising Officer

(Name and Designation)

Part IV

Certificate by Permanent Secretary or Head of Department

Payment of the claim is authorised.

Station: ………………………………………..... …………………………………………. Signature of Permanent Secretary

or Head of Department

* (Ministry / Province / Division / Department)

Date: ……………………………………………………

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