To be completed by Skilled Worker and Global Talent visa holders applying for reimbursement of costs incurred when securing or extending their visa.

Please complete and submit, together with your visa fee and IHS receipts to HR Visa Fees.

Personal Details (complete all sections)
First Name(s)
Surname
Employee Number
Email Address

QMUL School/Institute & Centre/Department
Job Title:
Department / School
Employment Start Date

Bank Details (this must be the same bank details as per your MyHR)
Bank Name
Bank Address
Sort Code
Account Number

Visa Expense Details Please note only standard visa costs, for the employee, are eligible for reimbursement. Additional fees not eligible for reimbursement must not be included below. Where they are they will be deducted from the final total. *If the currency paid in is Non-UK sterling pounds, we will convert to UK sterling pounds using OANDA.com. Please note, we will only reimburse per Home Office/UKVI fee amounts upon conversion
Visa Fee	£
Immigration Health Surcharge	£
Total	£

UK Tax Assessment
The reimbursement of visa application fees and the Immigration Health Surcharge under this policy may be classed as a taxable benefit by the UK tax authority (HMRC). The tax treatment of the reimbursement depends on whether you were already in the UK at the time of the visa application being submitted. An assessment of your claim and circumstances will be undertaken at the end of the tax year in which you have received the reimbursement. If considered a taxable benefit, the amount received will be noted in the year end benefit (P11D) reporting to HMRC. For the reimbursement of visa costs to be exempt of tax and National Insurance contributions, and therefore not disclosable through the year end benefit (P11D) reporting you must: Incur the expense within 5 years of the date that you first arrived in the UK to work and Not have been: Present in the UK for any purpose in the 2-year period prior to this arrival date; or Resident in the UK for tax purposes (e.g., been in paid employment) in either of the two UK tax years prior to your arrival date. (Note the tax year runs from 6th April to 5th April) New Employees to QMUL from abroad If the visa applicant is a non-domiciled individual who resides outside the UK at the time of the visa application, no liability to income tax or NICs will arise for that individual in reference to reimbursement made via this scheme. Current Employees and New Employees to QMUL from UK If the visa applicant was already in the UK at the time of the application, amounts paid or reimbursed by the employer will be subject to income tax and NICs, through the year end benefit (P11D) reporting. The above is also applicable for those visa applicants who have started work at the University on a different visa, for example Student/Tier 4 visa, and have switched to a Global Talent or Skilled Worker visa following the commencement of their employment with QMUL The above is also applicable for those visa applicants who have joined QMUL after having previously employed in the UK with other organisation.
I applied for my visa and IHS whilst I was inside the UK (If ticked YES, please go to the section employee declaration)	YES ☐
I applied for my visa and IHS whilst I was outside of the UK (If ticked YES, please answer questions 1, 2 and 3 below)	YES ☐
1. Date you arrived in the UK to work (for QM): This is the date you passed through UK immigration control on your Skilled worker or Global Talent visa. In line with skilled worker sponsorship rules, this date will be no more than 14 days earlier than the date you commenced employment with the University.	Click or tap to enter a date.
2. Were you present in the UK for any purpose (for example vacation or conference, or on a student visa) in the 2 year period immediately before your arrival to the UK?
YES ☐	NO ☐
3. Were you a resident in the UK for tax purposes (eg. worked in the UK) in either of the 2 tax years prior to the date you first came to the UK to work*? You would be considered a tax-resident if you were in the UK for 183 days or more in the relevant tax year
YES ☐	NO ☐

Signed Declaration
I confirm that the information provided is accurate and if I resign or my employment is terminated within 3 years of the reimbursement, I will be required to repay the visa reimbursement as set out in the Visa Reimbursement policy. I understand that, as the reimbursement of visa fees is classed as earnings by the UK tax authority, the University must deduct tax and national insurance contributions (NICs), where appropriate. I may therefore receive less back from the University than I have paid to the UKVI. I understand that the University may need to disclose this information to the UK tax authorities.
Signature
Date
Please complete submit, along with your visa fee and IHS receipts, to HR Visa Fees

HR Office Use Certified for payment by authorised signature
Reason for reimbursement of claim	Choose an item.
Other (if necessary):
Cost Centre
Name
Signature
Date