The Tokyo Center for Language and Culture
TCLC – Miscellaneous Expenses Claim Form
Name: Approved by:
Date Item Company Reason # Amount Total
1. Claims to be submitted on the last day of the month, unless otherwise specified.
2. Please fax your working record and expense claims forms to 052 - 229 - 1971 and mail in the originals
with receipts attached, to “KOSHIBU MNGR” the same day - Thank you.
3. You may also email your records to email@example.com in which case, if there are any receipts, you still
need to mail it the expense claim form with attached receipts in the upper left corner.