If you have any difficulty completing this form, you may email your details and receipts (as attachments) to [email protected] instead. Email address Your name Your Agency Upload your receipts here Upload your receipts here Upload your receipts here Upload your receipts here Upload your receipts here Upload your receipts here Upload your receipts here Upload your receipts here Total requested Bank sort code (6 digits) Bank account number (8 digits) Name of person on the bank account Notes Send Payments will take up to 30 days from the date you submit a correctly-completed form.