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Form LE/EX1 St Helens and Knowsley Hospitals NHS Trust PROVIDING LEAD EMPLOYER PAYROLL SERVICES TO MERSEY DEANERY EXCESS TRAVELLING EXPENSES CLAIM FORM NAME Grade. HOST TRUST. Assignment No HOME ADDRESS. DESIGNATED BASE HOSPITAL. This must be a base hospital that forms part of your training rotation Distance to Base Trust Distance to Host Trust Excess Daily Mileage As calculated by AA Route Finder Dates and mileage for which excess travel is claimed enter mileage under date...

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