Referee Payment Claim

Submit your match fee claim to Horsford FC

Please complete this form before your fixture. The standard match fee is automatically selected for your team.

Fixture details

Horsford FC team *

Fixture date *

Opponent *

Your details

Referee name *

Email *

Phone

Claim amount

Standard referee fee

This is set by Norfolk FA and the relevant leagues.

£0.00

Mileage (number of miles)

35p per mile (£0.35), capped at £25.00 before any split-fee reduction. Enter miles in increments of 0.1.

Mileage claim: £0.00

This is a split fee match

Horsford FC will pay half of the total referee fee and mileage.

Total claim

£0.00

Match fee: £0.00

Mileage fee: £0.00 (£0.35 × 0.0 miles)

Payment details

These details are only visible to Horsford FC payment administrators. Team coaches will not receive or see your bank details.

Account name *

Sort code *

Account number *