Rift_Group_Little Black_Log_Book

WEEK 40
JANUARY 2017
02 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
05 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?
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 41
JANUARY 2017
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?
09 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
12 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
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 42
JANUARY 2017
16 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
19 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?
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 43
JANUARY 2017
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?
23 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
26 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
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 44
JANUARY/FEBRUARY 2017
30 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
02 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?
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 45
FEBRUARY 2017
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?
06 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
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 46
FEBRUARY 2017
13 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 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?
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 47
FEBRUARY 2017
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?
20 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
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 48
FEBRUARY / MARCH 2017
27 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
02 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?
28 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 49
MARCH 2017
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?
06 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
09 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
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 50
MARCH 2017
13 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
16 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?
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 51
MARCH 2017
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?
20 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
23 THURSDAY
MILEAGE (ONE WAY): SAME WORKPLACE
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 52
MARCH / APRIL 2017
27 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
30 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?
28 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
31 FRIDAY
MILEAGE (ONE WAY): SAME WORKPLACE
LODGING?
LODGING?
29 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 53
April 2017
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY?
LODGING?
WORKPLACE ADDRESS:
POSTCODE:
SICKNESS? HOLIDAY? LODGING? Cost for your meals at work
03 MONDAY
MILEAGE (ONE WAY): SAME WORKPLACE
05 WEDNESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
04 TUESDAY
MILEAGE (ONE WAY): SAME WORKPLACE
DAY
BREAKFAST
LUNCH
DINNER
MON
TUE
WED
LODGING?
Important! Other sources of income:
Since 6th April 2016, have you received any income from these sources? If so, please send us any supporting documents.
Pension
Other job Investments Dividends
Self employment
YES NO YES NO YES NO YES NO YES NO
Interest on savings YES NO
Rental income YES NO
PPI claim (the interest is taxable) YES NO
Other YES NO (Please specify below)
Did you receive any Jobseeker’s Allowance or other state benefits? YES NO Did you or your partner receive any Child Benefit? YES NO Are you/should you be paying back a student loan? YES NO Did you receive any taxable benefits from your employer? (e.g. medical benefits) YES NO Do you pay into a personal pension plan other than a workplace scheme? YES NO Do you owe HMRC any unpaid tax? YES NO
Have you been declared bankrupt, trustee appointed YES NO or entered into an individual voluntary arrangement (IVA)?


Congratulations!
You’ve completed your
Little Black Log Book.
All you need to do is send us your Little Black Log Book and the items on the Checklist below
and we’ll do the rest.
The items below can make it easier for you to claim, so tick what you have included.
But don’t worry if you’re missing any, just send us what you have, we can still make a claim.
Checklist
All income statements/wage slips for the year, including week 52
(or week 53 if you have one)
Receipts for expenses,
if you have them
P60s P45s
MOT certificate for each vehicle used this year
Contract of employment
Other supporting documents


Notes:


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


UK’s leading tax refund experts
We’re here when you need us. Visit RIFTrefunds.co.uk
for our opening hours.
RIFT House, 200 Eureka Park, Upper Pemberton, Kennington, Ashford, Kent TN25 4AZ
01233 628648 [email protected] RIFTrefunds.co.uk
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Manage your claim myRIFT.co.uk
Company Registered in England and Wales: Company No: 4088211.
Registered Office: RIFT House, 200 Eureka Park, Upper Pemberton, Kennington, Ashford, Kent TN25 4AZ.
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