PRIVATE MOTOR VEHICLE USAGE CLAIM FOR JCU BUSINESS TRAVEL - PART 1
PRIVATE VEHICLE DETAILS
Make Model Year Bod
istration Number State Re
Is the vehicle salar
sacrificed under a Universit
ment CANNOT be claimed
is it neccessar
to use a
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.
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
ESTIMATION OF PRIVATE MOTOR VEHICLE EXPENSES
(Use Code 7619)
Lower of A and B
A. Cents Per Kilometre
Origin Destination Distance (km) Cents/Kilometre Estimate
Useful estimation tool - RACQ Trip Planner website
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:
(Use Code 8015)
A Vehicle log must be completed for the actual claim in Part 2
I declare that the information provided on this form is true, correct and complete and will notify JCU of any changes:
JCU ID Number
I Authorise the use of the private motor vehicle for JCU travel based on the information provided above: