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[]
[null,"Safeguarders Panel Exceptional Travel Time Fee Claim Form"]
[]
[]
[]
[null,"Safeguarder name \nBy completing this box you are certifying that all claims included on this form are a true record in line with the Policy on Safeguarders Fees, Expenses & Allowances"]
[null,"SCRA ref number/s  if applicable"]
[null,"Date form completed"]
[]
[null,"Important Notes:"]
[null,"Prior authorisation from Children 1st should be sought in advance of travel of more than \n8 hours (round trip)."]
[null,"Only the travel time fee amount should be claimed on this form. Standard Safeguarder fees should be claimed through the usual claim form."]
[null,"The completed claim form should be emailed to safeguarderspanel@children1st.org.uk"]
[]
[]
[null,"Exceptional Travel Time Fee Claim Details"]
[null,"Date","Travel from","Travel to","Purpose of travel","No. of hours travelled \n(round trip)",null,null,null,"Amount"]
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[4752,"Total Amount Due",null,null,null,null,null,null,null,{"$f":"SUM(J18:J25)","v":0}]

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["Fee Type","Rate"]
["Select from drop down list",0]
["4-6 hours ",71.75]
["6-8 hours",143.25]
["Over 8 hours (payable per day)",143.25]