Lost Receipt Declaration Form Template

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This usually is used when the original receipt would have come in handy for the person to get certain benefits.

Lost receipt declaration form template. GST credits cannot be claimed when using this form. Lost Credit Card Receipt. This form is to be completed when the original tax invoice receipt has been lost or is unobtainable.

If a duplicate receipt cannot be obtained the claimant must submit this signed form with their expense claim or credit card submission in order for reimbursement to be processed. I further declare that I have not and will not use this missing receipt to claim reimbursement from any. If lost or destroyed are inapplicable delete these words in both places and substitute the correct words.

By using the Affidavit you are stating that the related expense is in compliance with University Policy and qualifies as a legitimate business expense. 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. This form is to be used on the rare occasion when an expense in excess of 10 reimbursed by or charged to.

CERTIFICATION OF MISSING OR LOST RECEIPT NOTE. If the original receipt is located or received it should be. The College and related to the conduct of College business cannot be supported with the original itemized.

Description of Purchase itemized by item and cost if appropriate Employee Signature. 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. I certify that the amount shown is the amount.

You must fill out one form per lost receipt. For any expenditure that is not supported by a tax invoice or receipt attempts should be made to contact the issuing vendor to acquire such documents to substantiate claims. No coding skills needed.

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