Missing Receipt Affidavit

Missing Receipt Affidavit

Complete this form for actual missing receipts that include the “5 Ws” (Who, What, When, Where, and Why) in the purchasing card comments or on the reimbursement request (e.g., TRER, ESDPR). Note that the Travel or Purchasing Card staff may still request that the payee attempt to obtain a more detailed receipt or otherwise document that a more detailed receipt is unavailable. Open this form using Adobe Acrobat Pro DC to utilize the secure digital signature feature and other built-in functionality.

Last updated 1/08/2020