Digital Inclusion Workshop voucher and expenses

Please fill out the form below to claim your voucher and any expenses for the Digital Inclusion Workshops. If you have any questions or require assistance with the form, please contact Jean via getconnected@surreycoalition.org.uk. Alternatively, you can phone the Coalition office on 01483 456 558 to register your interest or text: 07908671402

Name(Required)

First Last

Phone(Required)

What store would you like the £15 voucher for?(Required)

This is payment for attending the focus group.

Travel expenses

If you attended an in-person workshop please add your travel expenses. If you attended on Zoom please skip this section.

Your travel expenses can either be added to your voucher or paid into your bank account, please pick from an option below:

Add my travel expenses to my voucher

Pay my travel expenses into my bank account

Please select from the list below

Details of journey – From

Details of journey – To

Amount

Mileage will be paid at 55p per mile as per the government guidelines.

Please submit your receipts for Taxi/Bus/Rail and car parking expenses.

Drop files here or

Max. file size: 30 MB.

If you have selected the option for your travel expenses to be paid into your bank account, please provide your bank details below

Please note, we aim to get your payment to you within 2 weeks of the event. Payments are made on the second and last Friday/Saturday of the month.

Account Name

Bank

Account Number

Bank Sort Code

hCaptcha(Required)

Simple acts of kindness that can transform somebody's day to day life

- Tech to Community Connect member

I've not been out for ages; it was really lovely to get out.

- Get More Active Get Together attendee

Contact Information

Address

Surrey Coalition of Disabled People
Astolat, Coniers Way
Burpham, GU4 7HL

Digital Inclusion Workshop voucher and expenses

Travel expenses

If you have selected the option for your travel expenses to be paid into your bank account, please provide your bank details below

Contact Information

Address

Email

Call or text

Important Links