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LOST RECEIPT CERTIFICATION FORM
THIS COMPLETED FORM SHOULD BE SUBMITTED WITH AN EXPENSE ITEM AS AN ATTACHMENT
If an original receipt is lost, the traveler or requester must ask the billing agency
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How to fill out lost receipt certification form
How to fill out lost receipt certification form
01
Download the lost receipt certification form from the official website of the organization.
02
Fill out your personal information such as name, address, phone number, and email address.
03
Provide details about the lost receipt including the date of purchase, amount spent, and the name of the vendor.
04
Explain the circumstances surrounding the loss of the receipt.
05
Sign and date the form to certify the information provided is true and accurate.
06
Submit the completed form along with any supporting documents (if required) to the appropriate department or personnel as instructed.
Who needs lost receipt certification form?
01
Anyone who has lost their original receipt and requires certification as proof of purchase may need the lost receipt certification form.
02
This may be required for reimbursement, warranty claims, tax purposes, or other official requirements.
03
Individuals, businesses, organizations, or institutions that require proof of purchase without the original receipt can utilize this form to obtain certification.
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