Form preview

Get the free Certificate of Missing Receipt

Get Form
This form must be completed for each missing receipt required as part of any reimbursement transaction. Acceptance of this form in lieu of the original receipt is at the discretion of the funding
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign certificate of missing receipt

Edit
Edit your certificate of missing receipt form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your certificate of missing receipt form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing certificate of missing receipt online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit certificate of missing receipt. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to work with documents. Check it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out certificate of missing receipt

Illustration

How to fill out Certificate of Missing Receipt

01
Obtain the Certificate of Missing Receipt form from your organization's finance department or website.
02
Fill in your personal and contact information in the designated fields.
03
Provide a detailed description of the missing receipt, including the date of the transaction, amount, and vendor name.
04
Explain the reason for the missing receipt, ensuring to highlight any efforts made to retrieve it.
05
Sign and date the form to attest to the accuracy of the provided information.
06
Submit the completed form to the appropriate department for review.

Who needs Certificate of Missing Receipt?

01
Employees who have lost a receipt for an expense they need to claim.
02
Individuals who require reimbursement for business-related purchases but lack supporting documentation.
03
Anyone needing to address discrepancies in their financial records due to missing receipts.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.3
Satisfied
50 Votes

People Also Ask about

I confirm that every attempt to obtain a duplicate receipt by contacting the vendor has been made, but have been unable to do so and also hereby certify the following: All items purchased on this Travel Card transaction were for (agency name) use. No personal purchases were made.
Request Letter for Official Receipt of Payment. Dear [Recipient's Name or "Accounts Department"], Subject: Request for Official Receipt of Payment. I am writing to request an official receipt for a payment I recently made to your company.
If you can't find your receipt, visit the place where you made your purchase and request a reprint. Many places of business are hesitant to do this for people because it tends to be a lot of trouble on their end, particularly for big companies that have lots of daily transactions that would need to be sorted through.
How Do I Get Proof of Purchase If I Lost My Receipt? Bank Statements: Your bank statement can serve as proof of purchase, showing the date, amount, and the business's name where the transaction occurred. Emails: If you made an online purchase, the confirmation email can be used as proof of purchase.
Contact Your Bank: Reach out to your bank's customer service. They can often provide a duplicate receipt or confirm the transaction details.
I, __ hereby declare that I have lost or accidently destroyed the orginal receipt. I further declare that I have not and will not use this receipt (if found) to claim reimbursement from any other source, or to support any claim for income tax deductions in the future.
The Missing Receipt Declaration (which some users may remember as the “Missing Receipt Affidavit”) allows a user to provide a declaration for lost or misplaced required receipt images. They can digitally sign a declaration that can be submitted instead of the actual imaged receipts.
Date: To: From: I lost or misplaced the receipt for the purchase of , from , on _, in the amount of $_ .

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

A Certificate of Missing Receipt is a document used to officially declare that a certain receipt is lost or unavailable, often required for reimbursement or accounting purposes.
Individuals or entities who need to declare a lost or missing receipt for expense reimbursements or financial records typically file a Certificate of Missing Receipt.
To fill out a Certificate of Missing Receipt, provide details such as the date of the transaction, description of the expense, the amount, and a statement explaining the reason for the missing receipt.
The purpose of the Certificate of Missing Receipt is to maintain accountability and transparency in financial reporting by providing a formal acknowledgment of missing documentation.
The information that must be reported includes the date of the expense, the nature of the expense, the amount, the reason for the missing receipt, and signatures if required.
Fill out your certificate of missing receipt online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.