* With effect from 1 September 2010, all tickets are to be purchased by the employee.
The funds to buy the season ticket will be included in your salary on the 15th of the month. Please ensure you submit this form no later than the last working day of the month prior to the month the ticket is to be effective from.
This is to ensure payment in the required months salary. For eg. Ticket required 6 August, submit form no later than last working day of June to allow you to buy with funds included in July salary.
Ticket required 19 August, submit form no later than last working day of July to allow you to buy with funds included in your August salary.
To:
Employee:
Location:
Loan Amount: email .box.hrbenefits.sharedservices or post to Reward & Benefits Team, c/o
ContactHR, National Grid, Lynch Wood, Peterborough, PE2 6FY
____________________________________ Tel No: ____________
______________________ Payroll No: __________________
£_____________________
Journey from: ___________________ To: ____________________Via: _________
Please circle each Travelcard zone you require (Corporate Centre Only): 0 1 2 3 4 5 6
If your journey is wholly within the travel card zones, do you require an Oyster Card? (Corporate Centre only)?
Yes No
Date of commencement of Season Ticket: _________________________
Is this a Renewal: Yes No
I hereby acknowledge that I am indebted to the National Grid in respect of the sum of £ ___________ being the amount of a loan for a Season Ticket.
I agree that:
 The sum shall be repaid by 11 equal instalments of £ ______________ ), the instalments are to be paid to
National Grid from my salary.

The loan shall be used to purchase a season ticket, is for my personal use and is not transferable.

If I cease to be employed by National Grid, or if for any reasons the season ticket is surrendered during the duration of the loan, the full amount outstanding in respect of the loan shall be repayable to me by National
Grid. I hereby authorise National Grid to deduct the same from any sums then due to me. I will pay any balance outstanding at the due date.

I shall send proof of purchase of the Season Ticket to .box.hrbenefits.sharedservices for audit purposes.
SIGNATURE PRINT DATE
Employee:
Line Manager:
Date received :
Date copied to payroll for input:
(For Shared Services Centre use)
Cost Code:
Date first repayment to commence: