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Get the free Lost/Missing Receipt Declaration template

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This form is to be used on rare occasions when claimants have lost or misplaced their original receipts. Each claimant must certify that an expense receipt was lost accidentally, destroyed or unobtainable.
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What is lostmissing receipt declaration

A lost/missing receipt declaration is a formal statement confirming that a receipt has been misplaced or is unavailable.

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Lostmissing receipt declaration template is needed by:
  • Individuals filing expense reports
  • Employees needing reimbursement
  • Customers requesting refunds
  • Anyone claiming warranties or guarantees
  • Businesses auditing financial records

How to fill out the lostmissing receipt declaration template

  1. 1.
    Begin by downloading the lost/missing receipt declaration template from pdfFiller.
  2. 2.
    Open the template in pdfFiller and review the required fields.
  3. 3.
    Enter your personal information at the top of the form, including your name, address, and contact details.
  4. 4.
    Locate the section for details of the lost receipt and provide information, such as the date of the transaction, vendor name, and amount spent.
  5. 5.
    Add a brief explanation of the circumstances surrounding the loss of the receipt.
  6. 6.
    If applicable, include any relevant account information or reference numbers.
  7. 7.
    Sign the declaration in the designated area to attest to the truthfulness of the information provided.
  8. 8.
    Review all entered information for accuracy before finalizing the declaration.
  9. 9.
    Submit the completed declaration through pdfFiller’s submission options or download it for your records.
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