Enter the evidence requirement and exemption basis separately from the real relocation reserve. Use original records to audit the continuous period.
Prepared by: ____________________ Date: __________
| Item / event | Amount / date | Evidence / account | Action |
|---|---|---|---|
| Maintenance amount or exemption basis | ____________ | ____________ | ____________ |
| Full qualifying funds available | ____________ | ____________ | ____________ |
| Continuous period start / end | ____________ | ____________ | ____________ |
| Statement issued / online application | ____________ | ____________ | ____________ |
| Visa, assessment and IHS payments | ____________ | ____________ | ____________ |
| Separate relocation cash reserve | ____________ | ____________ | ____________ |
Decisions and next actions
Which withdrawals could affect the evidence?
________________________________________________________________
________________________________________________________________
Who checked the period and end-date calculation?
________________________________________________________________
________________________________________________________________
Does every family member have a separate evidence plan?
________________________________________________________________
________________________________________________________________
Keep this completed sheet privately. Do not enter passport numbers, bank details or medical records in a public form. Planning resource; it does not decide eligibility.
High Potential Mag · Information checked 15 October 2026 · https://highpotentialvisamag.com/resources/hpi-maintenance-28-day-planner-pack/
Planning resource, not an official application form or eligibility decision.