Lost Receipt Form

State:
Multi-State
Control #:
US-190EM
Format:
Word; 
Rich Text
Instant download

Overview of this form

The Lost Receipt Form is a document used to request reimbursement for business-related expenses when the original receipt is unavailable. This form allows employees to formally declare their incurred expenses and confirm that they have not been reimbursed through other means. It is essential for maintaining proper financial records and ensuring compliance with company policies regarding expense claims.

Key parts of this document

  • Section for detailing state-specific expenses and their amounts
  • Space for the signer's signature, ensuring accountability
  • Date field to record when the form is signed
  • A declaration regarding reimbursement from other sources

When to use this document

You should use the Lost Receipt Form when you have incurred expenses while conducting company business but cannot provide the original receipt for reimbursement. This can happen in situations such as losing a receipt for a business meal, travel expenses, or incidentals during work-related trips.

Who should use this form

  • Employees who have lost receipts for business expenses
  • Anyone seeking reimbursement for company-related costs
  • Contractors who need to document expenses for payment

How to complete this form

  • Identify the specific expenses incurred and their amounts.
  • Complete the form by indicating the state where the expenses were made.
  • Sign and date the form to confirm the accuracy of the information provided.
  • Confirm that you have not received reimbursement from any other source.
  • Submit the completed form to your payroll department for processing.

Is notarization required?

In most cases, this form does not require notarization. However, some jurisdictions or signing circumstances might. US Legal Forms offers online notarization powered by Notarize, accessible 24/7 for a quick, remote process.

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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

Form selector

We protect your documents and personal data by following strict security and privacy standards.

Common mistakes

  • Failing to specify amounts for each expense
  • Not signing or dating the form
  • Submitting the form without confirming reimbursement from other sources

Benefits of using this form online

  • Convenient access to fill out and download anytime
  • Easy to edit entries as needed before submission
  • Reliable templates drafted by licensed attorneys

Summary of main points

  • The Lost Receipt Form helps document expenses without original receipts.
  • It is crucial to provide accurate expense information and ensure proper claims processing.
  • This form maintains compliance with company reimbursement policies.

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FAQ

Check back through your credit card and bank statements to see whether your purchase shows up there, and if it does, you can print copies of your statements and use those as proof of purchase. Most companies will accept this as a replacement for a lost receipt.

- Upload your receipts on the Expenses screen of your DTS voucher. You can convert your paper receipts to electronic images by scanning them, taking a picture of them, or if you prefer the old school approach faxing them into DTS (using the Print Fax Cover Sheet link in DTS).

A Microsoft receipt template is just the ticket. A receipts template is free, customizable, and works well in a variety of situations.Browse the collection to find a template for receipt that fits your needs.

On the File tab, click New. Under Available Templates, do one of the following: To use one of the built-in templates, click Sample Templates, click the template that you want, and then click Create.

Name and details of the person who is sending the letter. Name and details of the person/company to whom the letter is been sent (recipient) Date of sending the acknowledgement letter. The subject of the letter stating the reason for writing it. Statement of confirmation of receipt of the item.

It acknowledges that the customer has paid for the goods or services sold. A receipt is a simple document issued by a vendor and given to the customer immediately after a sale.

You can create professional looking invoices with a template that you can customize for your business. Fill it out in Word or Excel and send it electronically as a PDF or print it. Find Word and Excel templates for: Invoices.

Add in your company details (name, address) in From section. Fill out client details (name, email, address) in For section. Write out line items with description, rate and quantity. Finish with the date, invoice number and your personalized brand.

Add in your company details (name, address) in From section. Fill out client details (name, email, address) in For section. Write out line items with description, rate and quantity. Finish with the date, invoice number and your personalized brand.

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Lost Receipt Form