P11D-S198 Claim

This form is designed to record any benefits you have received from your Company, and any expenses you have reclaimed from the Company.

When you submit this form a copy will be sent to the relevant office chosen below and a copy will also be mailed to you as confirmation that the information has been sent.

1. Company Cars

(Do not complete if you are paid a mileage allowance)

2. Private Health Insurance

3. Mileage Allowance (FPCS)

4. Travelling and subsistence

5. Entertainment Total

6. Home Telephone

7. Others

Details and totals of any other expenses reimbursed by the Company (detail below)

By clicking submit I hereby formally claim relief on the expenses detailed in sections 4 to 8 above, under Section 198(1) TA 1988 on the grounds that these were incurred wholly, exclusively and necessarily in the performance of my duties as an employee of the above Company

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