Get Lost Receipt Declaration Form Template

Filling out the Lost Receipt Declaration Form Template is essential for individuals needing to declare a lost receipt as part of their expense claims. This guide will provide clear instructions on completing the form accurately to ensure your claim is processed smoothly.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to obtain the Lost Receipt Declaration Form Template and open it in your preferred document editor.
2. In the Declaration section, enter your full name in the space provided. This certifies that you are the claimant making the declaration about a lost or misplaced receipt.
3. Clearly describe the lost or misplaced receipt in the designated area. Include details such as the purpose of the receipt, the date of the expense, and any relevant amounts if applicable.
4. Acknowledge the statement regarding the receipt not being used for reimbursement from any other source. Ensure that you understand and agree with this declaration.
5. In the Claimant section, print your name as it should appear on the claim. Following this, sign your name in the designated space to certify the form.
6. Leave space for the WDD Deputy Director’s approval signature, as this form requires confirmation from a designated authority.
7. Once all sections are completed, save your changes to the form. You can then download, print, or share the form as needed to accompany your claim submission.

Begin completing your Lost Receipt Declaration Form Template online today to ensure your claims are properly submitted.