CoROM Expense Claim Portal

College of Remote and Offshore Medicine

CoROM-FIN-FORM-001

Policy: CoROM-FIN-EXP-001

Claimant

Activity

Expenses

Bank & Docs

Submit

Submission Route

1 CLAIMANT DETAILS

Full Name *

Role / Status *

Company / Institution

Email Address *

Phone Number

Submission Date

2 ACTIVITY / BUDGET DETAILS

Activity / Project *

Expense Period

Department

Budget Holder *

3 EXPENSE DETAILS

Enter each expense on a separate line. When you select a non-EUR currency, the exchange rate is fetched automatically from the European Central Bank (ECB) — the official reference rate used across the EU for financial reporting. The rate is locked at the time of completing the form. EUR equivalent calculates automatically.

Date	Description	Category	Ref	Currency	Amount	FX (ECB)	EUR Claimed

ℹ Exchange rates sourced automatically from the European Central Bank (ECB) via ecb.europa.eu at the time of completing the form. Rates are locked and cannot be edited by the claimant.

4 BANK DETAILS FOR REIMBURSEMENT

Account Holder Name

Bank Name

IBAN

BIC / SWIFT

5 SUPPORTING DOCUMENTS

Itemised original invoices / receipts attached for all claimed items Proof of prior approval / approved budget reference included Boarding pass / travel confirmation attached (if travel claimed) Accommodation invoice attached (if accommodation claimed)

Other:

Attach Invoice PDFs

📄

Click to upload or drag & drop PDF files

PDF format only · Multiple files supported

6 CLAIMANT DECLARATION & FINAL REVIEW

⚠ Admin setup required The Apps Script Web App URL has not been configured yet. Please scroll to the top of this page and paste the URL into the admin setup bar, then click Save. Users will not be able to submit claims until this is done.

• I confirm that the expenses listed in this claim were genuinely, necessarily, and wholly incurred for authorised CoROM business.

• I confirm that the claim relates to an approved CoROM activity and approved budget.

• I confirm that all supporting receipts/invoices are genuine, itemised, and have not been submitted elsewhere for reimbursement.

• I understand that non-compliant, late, duplicate, false, or inflated claims may be declined and may result in disciplinary or contractual action.