Rift_Group_Little Black_Log_Book

Little Black Log Book
APRIL 2016 - APRIL 2017
Keep a note of everything, it’s money in
your pocket.
MILEAGE RECORDING MADE EASY
RIFTrefunds.co.uk


Keep a note of everything, it’s money in your pocket.
my
Manage your claim myRIFT.co.uk
RIFTrefunds.co.uk


Welcome to the little book with big benefits.
Dreading the end of the tax year? Not any more!
Make it easy and make sure you hold on to as much of your earnings as you can - just keep this Little Black Log Book in your vehicle and make a habit of filling it in at least
once a week.
Don’t forget to fill in your contact details before you send it back to us:
Name:
Mobile:
Home telephone:
Email:
April 2017
April 2016


Keeping a record = keeping more of your money!
Get into the habit of filling in your Little Black Log Book and we can maximise your claim and make next April virtually stress-free.
RIFT TOP TIPS FOR EASY TAX REFUNDS:
Record your travel from 6th April 2016 to 5th April 2017 in this book.
Follow the ‘Here’s an example’ page which shows you the type of information we need to maximise your refund.
Make a note of all your work journeys, whether by car or public transport.
We don’t need every detail but workplace addresses are important.
Make it a habit to fill in your info regularly - once a week is good - say goodbye to the stress of trying to remember workplaces at the end of the tax year.
If you lodge away from home for work, make a note in the front of this log book.
Keep all your wage slips/income statements and receipts in your RIFT Money Wallet.
Keep your Little Black Log Book with you so it’s handy to fill in and you won’t forget.
If you have any questions, just give us a call or text. It’s all part of our service.
The Little Black Log Book is your new best friend and will help take care of next year’s tax refund.


Here’s an example
Here’s an example of how to fill in your Little Black Log Book
in a typical week.
01 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
Workplace address
Note down the address of the place you are working at that day – giving us as much of the address as you can. If you don’t know the postcode, don’t worry leave it blank.
WORKPLACE ADDRESS: BROADGATE,
LIVERPOOL ST, LONDON POSTCODE: EC2M 7QH
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
04 THURSDAY SICKNESS? HOLIDAY?
LODGING?
Clocked mileage (one way)
Enter the approximate miles you travelled from your home address to your workplace address. Note down the distance one way – we will double it up for your claim.
02 TUESDAY
MILEAGE (ONE WAY):45 SAME WORKPLACE
Same workplace
03 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
Travelling to the same workplace? No need to fill in the workplace address everyday, just tick this box.
Lodging
If you lodged away then tick this box.
LODGING?
LODGING?
On holiday or off sick
We need to know when you are off sick or on holiday, so tick here.
Cost for your meals at work
Meals
DAY
If you buy lunch and/or dinner while working away, note down how much you spent and we may be able to claim money back.
MON
TUE
WED
BREAKFAST
£1.85
LUNCH
£2.80
£2.40
£6.00
THU
FSRICIKNESS? HOLIDAY? SAT
Take home pay
Keeping a note of what you earn helps us get your claim spot on.
DINNER
Take home pay:
£320.95
SUN


Note down details about your vehicle and who you worked for.
Write the details of your vehicle(s) used to get to work between April 2016 and April 2017.
Vehicle 1:
Make & model
Date of purchase Registration number
Vehicle 2:
Make & model
Date of purchase Registration number
Who you worked for:
Employed (PAYE)
Your job title
Name of employer/contractor
Date from
Were you paid anything towards your expenses?
Self-employed
Date to
YES NO
Who you worked for:
Employed (PAYE)
Your job title
Name of employer/contractor
Date from
Were you paid anything towards your expenses?
Self-employed
Date to
YES NO
Who you worked for:
Employed (PAYE)
Your job title
Name of employer/contractor
Date from
Were you paid anything towards your expenses?
Self-employed
Date to
YES NO


Did you know you could claim for...?
The more receipts you keep in your
RIFT Money Wallet, the more cash
you’ll claim. It’s important that
you send them through to us at the end
of the year with your completed Little Black Log Book.
PAYE
Tools Clothing Meals
Parking Public transport Tolls
Self-employed
Meals
Accommodation
Tools
Travel
Phone bills
Clothing
Postage
Financial costs
Tolls
Parking
Cost of vehicle
Stationery
Visit RIFTrefunds.co.uk/claimingexpenses for examples of job-related expenses for your industry.


Note down where
you lodged
If you lodged away from home through
the year, then note down the details below. Any additional lodging entries you have, please write on a separate sheet and attach. Remember the more information you can give us, the more money in your pocket.
Workplace: BROADGATE
MILEAGE (FROM LODGING TO WORKPLACE): 31⁄2 miles
HOW DID YOU TRAVEL FROM LODGING TO WORKPLACE? OWN VEHICLE PUBLIC TRANSPORT
OTHER
Car Share
LODGING ADDRESS: TRAVELODGE, VAUXHALL, LONDON
(PLEASE SPECIFY)
POSTCODE: SW8 1SJ
HOW OFTEN DID YOU TRAVEL HOME? WEEKLY
HOW DID YOU TRAVEL FROM LODGING TO WORKPLACE?
(PLEASE SPECIFY)
LODGING ADDRESS:
POSTCODE:
HOW OFTEN DID YOU TRAVEL HOME? WEEKLY
FORTNIGHTLY
OWN VEHICLE
MONTHLY
PUBLIC TRANSPORT
OTHER
Workplace:
MILEAGE (FROM LODGING TO WORKPLACE):
FORTNIGHTLY
MONTHLY


Workplace:
MILEAGE (FROM LODGING TO WORKPLACE):
HOW DID YOU TRAVEL FROM LODGING TO WORKPLACE?
(PLEASE SPECIFY)
LODGING ADDRESS:
POSTCODE:
HOW OFTEN DID YOU TRAVEL HOME? WEEKLY
HOW DID YOU TRAVEL FROM LODGING TO WORKPLACE?
(PLEASE SPECIFY)
LODGING ADDRESS:
POSTCODE:
HOW OFTEN DID YOU TRAVEL HOME? WEEKLY
HOW DID YOU TRAVEL FROM LODGING TO WORKPLACE?
(PLEASE SPECIFY)
LODGING ADDRESS:
POSTCODE:
HOW OFTEN DID YOU TRAVEL HOME? WEEKLY
OWN VEHICLE
PUBLIC TRANSPORT
OTHER
FORTNIGHTLY
OWN VEHICLE
MONTHLY
PUBLIC TRANSPORT
OTHER
Workplace:
MILEAGE (FROM LODGING TO WORKPLACE):
FORTNIGHTLY
OWN VEHICLE
MONTHLY
PUBLIC TRANSPORT
OTHER
Workplace:
MILEAGE (FROM LODGING TO WORKPLACE):
FORTNIGHTLY
MONTHLY


About your expenses
If you’ve paid for any job-related expenses, fill in the total amount below and keep the receipts in your RIFT Money Wallet.
Job-related expenses
Date
Amount
Travel costs e.g. parking, train, bus, tolls, taxis
Accommodation
Protective clothing
Tool hire or purchase


Date
Amount
Training e.g. to enhance the skill you have
Office costs e.g. stationery, phone bills
Financial costs e.g. insurance, bank charges
Other (please specify)
Visit RIFTrefunds.co.uk/claimingexpenses for examples of job-related expenses for your industry.


WEEK 1
APRIL 2016
Let’s get started!
Note down your travel, meals and pay each week to maximise your tax refund.
WORKPLACE ADDRESS:
07 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
POSTCODE:
SICKNESS?
HOLIDAY?
LODGING?
08 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
06 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
LODGING?
LODGING?
10 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 2
APRIL 2016
11 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
14 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
12 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
15 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
13 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
17 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 3
APRIL 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
18 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
21 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
19 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
22 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
20 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
24 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 4
APRIL / MAY 2016
25 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
28 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
26 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
28 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
27 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
30 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
01 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 5
MAY 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
02 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
05 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
03 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
06 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
04 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
07 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
08 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 6
MAY 2016
09 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
12 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
10 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
13 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
11 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
14 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
15 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 7
MAY 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
16 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
19 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
17 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
20 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
18 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
21 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
22 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 8
MAY 2016
23 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
26 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
24 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
27 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
25 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
28 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
29 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 9
MAY / JUNE 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
30 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
02 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
31 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
03 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
01 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
04 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
05 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 10
JUNE 2016
06 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
07 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
10 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
08 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
11 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
12 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 11
JUNE 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
13 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
14 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
17 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
15 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
18 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
19 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 12
JUNE 2016
20 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
21 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
24 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
22 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
25 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
26 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 13
JUNE / JULY 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
27 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
30 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
28 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
01 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
29 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
02 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
03 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 14
JULY 2016
04 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
07 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
05 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
08 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
06 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
10 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 15
JULY 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
11 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
14 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
12 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
15 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
13 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
17 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 16
JULY 2016
18 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
21 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
19 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
22 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
20 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
24 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 17
JULY 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
25 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
28 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
26 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
29 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
27 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
30 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
31 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 18
AUGUST 2016
01 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
04 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
02 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
05 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
03 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
06 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
07 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 19
AUGUST 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
08 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
11 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
09 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
12 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
10 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
13 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
14 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 20
AUGUST 2016
15 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
18 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
16 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
19 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
17 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
20 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
21 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 21
AUGUST 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
22 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
25 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
23 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
26 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
24 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
27 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
28 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 22
AUGUST / SEPTEMBER 2016
29 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
01 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
30 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
02 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
31 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
03 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
04 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 23
SEPTEMBER 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
05 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
08 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
06 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
07 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
10 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
11 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 24
SEPTEMBER 2016
12 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
15 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
13 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
14 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
17 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
18 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 25
SEPTEMBER 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
19 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
22 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
20 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
21 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
24 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
25 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 26
SEPTEMBER / OCTOBER 2016
26 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
29 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
27 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
30 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
28 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
01 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
02 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 27
OCTOBER 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
03 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
06 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
04 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
07 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
05 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
08 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
09 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 28
OCTOBER 2016
10 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
13 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
11 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
14 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
12 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
15 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
16 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 29
OCTOBER 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
17 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
20 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
18 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
21 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
19 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
22 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
23 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 30
OCTOBER 2016
24 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
27 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
25 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
28 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
26 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
29 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
30 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 31
OCTOBER / NOVEMBER 2016
31 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
03 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
01 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
04 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
02 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
05 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
06 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 32
NOVEMBER 2016
07 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
10 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
08 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
11 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
09 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
12 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
13 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 33
NOVEMBER 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
14 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
17 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
15 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
18 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
16 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
19 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
20 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 34
NOVEMBER 2016
21 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
24 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
22 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
25 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
23 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
26 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
27 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 35
NOVEMBER / DECEMBER 2016
28 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
01 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
29 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
02 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
30 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
03 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
04 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 36
DECEMBER 2016
05 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
08 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
06 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
07 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
10 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
11 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 37
DECEMBER 2016
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
12 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
15 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
13 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
14 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
17 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
18 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 38
DECEMBER 2016
19 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
22 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
20 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
21 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
24 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
25 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay:


WEEK 39
DECEMBER 2016 / JANUARY 2017
26 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
29 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
Cost for your meals at work
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
LODGING?
27 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
30 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
28 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
31 SATURDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
01 SUNDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
THU
FRI
SAT
SUN
LODGING?
Take home pay: