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For the attention of: ________

Dear ________

RE: REQUEST FOR REIMBURSEMENT OF EXPENSES INCURRED WHILE WORKING FROM HOME (TELEWORKING)

Reference: ________

I am writing in my capacity as an employee of ________ (the "Company"), employed in the role of ________, to formally request reimbursement of certain costs and expenses I have necessarily incurred in the course of, and wholly, exclusively and necessarily for the purposes of, performing my duties whilst working remotely from my home ("teleworking").

1. Background

1.1 With effect from ________, I have carried out my duties on a teleworking basis, whether pursuant to a homeworking arrangement, a flexible working arrangement under sections 80F to 80I of the Employment Rights Act 1996, or otherwise as agreed with the Company.

1.2 During the period from ________ to ________ (the "Relevant Period"), I incurred the costs set out in this letter, principally for the following reasons:

________

2. Contractual and statutory entitlement

2.1 Under ________ of my contract of employment dated ________, I am entitled to be reimbursed for expenses of this nature. In particular, ________ provides that:

________

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3. Primary expenses claimed

3.1 During the Relevant Period I incurred the following costs which were directly and necessarily related to my work for ________. The total amount of these costs is £________ (________), details of which are broken down below:

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4. Additional incidental expenses

4.1 I have also incurred the following additional costs which, although incidental, remain directly related to my teleworking for the Company. These expenses are as follows:

________

4.2 The total amount of these additional costs is £________ (________), the details of which are set out below:

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5. Total reimbursement claimed

5.1 Accordingly, the total amount of reimbursement I am claiming is £________ (________).

5.2 I have attached copies of all relevant receipts, invoices and supporting documentation evidencing the expenses set out above for your reference and records.

5.3 I should be grateful if any reimbursement could be made by the following method: ________.

6. Request and timescale

6.1 I kindly request that this reimbursement is processed at your earliest convenience. I understand that processing of the reimbursement may take up to ________.

6.2 If you require any additional information, evidence or clarification in respect of the expenses claimed, please do not hesitate to contact me using the details set out above.

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Thank you for your prompt attention to this matter.

Yours sincerely,

______________________

________

Enclosures: ________