Montego — S&T Claim Form

General Information

Employee Number Required: Please enter your employee number

Employee Name & Surname

Email Address

Employee Position

Department

Date of Departure

Do you receive a Travel Allowance

Yes No

Request payment before Salary Payrun

Yes No

Employee Bank Details

Name of Bank Required: Please select a bank

Specify Bank Name Required: Please specify the bank name

Account Number Required: Enter a valid account number (6–15 digits)

Reason for Submitting Claim Required: Please provide a reason for the claim

Claim Details

Type of Travel	Rate	# of Days	Final Amount
One Day Travel	R178		R 0.00
Overnight Travel (with breakfast)	R495		R 0.00
Overnight Travel (without breakfast)	R575		R 0.00
Accommodation with Friends / Family (gift)	R250 (max)		R 0.00
Personal Vehicle Used	R4.64/km	Km Travelled	R 0.00
Additional Costs
OTHER			R
Cost of Parking / Toll Fees			R
Cost of Public Transport (bus, taxi, train, shuttle, Uber)			R
TOTAL CLAIM AMOUNT:			R 0.00

Supporting Documents

📎 Click to upload proof of Additional Costs

PDF, JPG, PNG — max 10 MB per file

Required: Please upload documents as proof of Additional Costs claimed above

Declaration

I confirm that all information provided in this claim is accurate and complete. I understand that any false or misleading claims may result in disciplinary action and/or recovery of funds.

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