Lost Receipt Declaration Form Template

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I understand that a Missing Receipt Declaration may not be completed on a routine basis and that overuse may revoke the privilege of providing a Declaration in lieu of a receipt.

Lost receipt declaration form template. I am missing a receipt for. I certify that the amount shown is the amount. _____ Form 3300012 712.

SupervisorBudget Head Print Name. This usually is used when the original receipt would have come in handy for the person to get certain benefits. Supervisor Budget Head Signature.

And if it had not been so accidentally lost or destroyed should now have been in my possession. The official taking the Declaration must initial the alteration. Description of Purchase itemized by item and cost if appropriate Employee Signature.

Such information includes the companys name office and store address and contact details. Approval is required for amounts which collectively total over 20 AUD. Out of Pocket Expense Claim Purchase Card transaction.

This form is to be completed when the original receipt has been lost or destroyed and only where a replacement con not be obtained. Customize this travel declaration form template in any way you need and share it with your employees. Description of item The receipt was check one.

LOST RECEIPT DECLARATION FORM LOST RECEIPT If a duplicate cannot be obtained for reasonable expenses the employeeclaimant must submit the following signed form with their Travel Claim andor Expense Claim for reimbursement to the Accounting Office. The form of payment I used check one. I further declare that I have not and will not use this missing receipt to claim reimbursement from any.

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