PRIVATE MOTOR VEHICLE USAGE CLAIM FOR JCU BUSINESS TRAVEL - PART 1
PRIVATE VEHICLE DETAILS
Make Model Year Bod
T
e Re
istration Number State Re
istered
Queensland
Is the vehicle salar
sacrificed under a Universit
FRP
If Yes,
a
ment CANNOT be claimed
?
Wh
is it neccessar
to use a
rivate vehicle?
DRIVER DETAILS
Do you have a valid Australian driver's license?
Do you have a valid vehicle registration?
Do you have a valid full vehicle comprehensive insurance policy?
If any of the above three questions are answered "No", then the private vehicle can NOT be used for any JCU related business travel.
DISCLAIMER:
The University is not liable for any loss, damage or expense suffered or incurred by any person arising out of or in connection with the
use of the private vehicle for business travel.
Travellers must ensure that their vehicle is covered for business travel.
In the event of an accident involving a private vehicle whilst on University business, any insurance claim which may arise must be
made through the vehicle owner’s insurers. It is NOT possible for any insurance claims to be made under the University’s insurance
policies.
ESTIMATION OF PRIVATE MOTOR VEHICLE EXPENSES
Option 1
Mileage Allowance
(Use Code 7619)
Lower of A and B
A. Cents Per Kilometre
Origin Destination Distance (km) Cents/Kilometre Estimate
$0.00
Useful estimation tool - RACQ Trip Planner website
http://www.racq.com.au/travel/Maps_and_Directions/trip_planner_2
http://www.jcu.edu.au/policy/finance/expenses/JCUPRD_037508.html
For current cents per km rates refer to Mileage Allowance on Travel Webpage
B. Cheapest Air-Fare of the day (where one exists)
Origin Destination Airline Estimate
Attach proof (e.g. quote from on-line booking tool - WTP)
Lower of A and B:
$0.00
Option 2
Fuel Reimbursement
(Use Code 8015)
Estimate:
NOTE:
A Vehicle log must be completed for the actual claim in Part 2
DECLARATION
I declare that the information provided on this form is true, correct and complete and will notify JCU of any changes:
Full Name
JCU ID Number
Signature
Date
Authorisation
I Authorise the use of the private motor vehicle for JCU travel based on the information provided above:
Full Name
Position
Signature
