Get the free Lost Receipts Affidavit Form - Region 9 Education Cooperative
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APPENDIX B:
DEPARTMENT OF FINANCE AND ADMINISTRATION
FINANCIAL CONTROL DIVISION
AFFIDAVIT FOR LOST RECEIPTS
Travel and Per Diem
I, ___certify that actual receipts for expenses in the amount of
(print
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How to fill out lost receipts affidavit form
How to fill out lost receipts affidavit form
01
Step 1: Obtain a copy of the lost receipts affidavit form from the appropriate department or organization.
02
Step 2: Fill in your personal information such as name, address, contact information, and any other required details.
03
Step 3: Provide details about the lost receipts including the date of purchase, name of the store, items purchased, and the total amount spent.
04
Step 4: Sign and date the affidavit form to certify that the information provided is true and accurate.
05
Step 5: Submit the completed form to the relevant department for processing.
Who needs lost receipts affidavit form?
01
Individuals who have lost their receipts and need to provide proof of purchase for reimbursement or documentation purposes.
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What is lost receipts affidavit form?
Lost receipts affidavit form is a document used to report missing or lost receipts for expenses incurred.
Who is required to file lost receipts affidavit form?
Any individual who has misplaced or lost receipts for expenses they need to report.
How to fill out lost receipts affidavit form?
The form typically requires information such as the date of the expense, the amount, the reason for the expense, and a statement explaining the loss of the receipt.
What is the purpose of lost receipts affidavit form?
The purpose of the form is to provide a written explanation of the missing receipt and to account for expenses without the original documentation.
What information must be reported on lost receipts affidavit form?
The form usually requires details of the expense, including date, amount, reason, and an explanation for the missing receipt.
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