SEMET Fuel Reimbursement Request Fuel Reimbursement Request Please complete this form to request reimbursement for fuel purchased whilst operating on behalf of SEMET. SEMET will reimburse the lower of the amount actually paid or the equivalent cost at the applicable Blackbushe fuel price. You are responsible for any amount charged above the Blackbushe rate. Your Details First name * Last name * Email address * Telephone number Flight Details Date of flight * Aircraft registration * Airfield where fuel was purchased * Fuel Details Fuel type * AVGAS 100LL Jet A1 Blackbushe price per litre (£) * The current default AVGAS rate is £2.25 per litre. Total fuel uplifted in litres * Total amount paid (£) * Calculate Reimbursement Clear Supporting Information Reason for purchasing fuel away from Blackbushe * Fuel receipt * Please upload a clear PDF, JPG or PNG copy of the complete receipt. Other relevant information Payment Details Account name * Sort code * Account number * I confirm that the information provided is accurate, the fuel was purchased for the aircraft and flight stated above, and the attached receipt is genuine. I understand that the calculated amount is an estimate and that all reimbursements remain subject to verification and approval by SEMET. * Submit Fuel Reimbursement Request Claims may take up to 28 days from submission, although they are normally processed much sooner. Bank details and supporting documents will be sent to the SEMET accounts email address for the purpose of processing your reimbursement.