Receipt Reimbursement Forms

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					                                Missing Receipt Form

Payee Name:                                                           Date:

According to Policy APPL 09 in the Controller's Office Manual, original receipts are required for
the reimbursement to employees for all business and travel expenditures greater than $75, or
for the reimbursement of all lodging expenditures. The attached Request for Employee
Reimbursement was received on                                       in the Controller's Office
without the appropriate receipt documentation for the following expense(s):


        Amount           Business Purpose                    Explanation for missing receipts

1.




2.




3.




                           To employee requesting reimbursement:

If you are able to locate the appropriate original receipt(s) for the above expenditures, please
attach the receipt to this memo and return this entire package to the Controller's Office for
reimbursement. If all missing receipts are attached, no VP approval is required.

If you are unable to locate the appropriate receipt(s) for the above expenditures, please submit
this package to your area Vice President for signature approval and then return the entire
package to the Controller's Office to request your reimbursement.


                                  To the area Vice President:

Please review the above noted expenditure(s) with the employee and sign below to indicate
your approval to reimburse the employee for the above expenses.

_______________________________________                      ________________
Vice President                                               Date



Rev 10/21/04                                          64757c2f-973f-4409-8a57-4d6c4898672e.doc

				
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