Return to :
State Street Caledonian Challenge
The Scottish Community Foundation
126 Canongate
Edinburgh EH8 8DD
Name of marshal: (please print)
Position held during Challenge Check point / or Water Stop:
Period of claim from what date:
Travel from: to:
Rail, airfares, and other public transport:
Car Mileage: (miles @ 36 pence per mile)
Subsistence:
Telephone:
Other expenses: (Please specify)
Total amount claimed: £
Please attach all tickets/receipts
I declare that the total expenditure claimed above was incurred solely on State Street Caledonian Challenge (Scottish Community Foundation) business:
Signature of claimant:
Address of claimant:
Official use only
Payment authorised by:
Date: