CERTIFICATION OF MISSING OR LOST RECEIPT Form
This file is a Certification of Missing or Lost Receipt form that must be completed when the original receipts for expenses are not available. It outlines the necessary expenses which can be claimed, and describes the process for certifying those expenses. Complete this form to ensure compliance with travel regulations.
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How do I fill this out?
The Certification of Missing or Lost Receipt form needs to be filled out accurately to ensure compliance with travel regulations. This guide provides a step-by-step approach to filling out each section. Follow these instructions carefully to certification your expenses.

How to fill out the CERTIFICATION OF MISSING OR LOST RECEIPT Form?
1
Complete Section I by listing all claimed expenses and avoid including optional or personal costs.
2
Provide a full explanation in Section II about why the receipt is not available.
3
Certify that you attempted to retrieve original receipts and could not obtain them.
4
Sign and date the form in Section III.
5
Attach all supporting documentation including original orders or copies.
Who needs the CERTIFICATION OF MISSING OR LOST RECEIPT Form?
1
Military personnel who lost their lodging receipts while on duty.
2
Government employees claiming expenses without original receipts.
3
Travelers unable to provide receipts for claimed reimbursable expenses over $75.
4
Individuals needing to replace lost or missing vehicle rental receipts.
5
Employees needing to certify missing or lost receipts for travel reimbursement claims.
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What are the instructions for submitting this form?
To submit this form, ensure all sections are completed and signed. Attach all supporting documentation and send to the appropriate travel office via the method they prefer. Common submission methods include: Email: traveloffice@example.com, Fax: 123-456-7890, Online Submission Form: traveloffice.com/submissions, or Physical Address: Travel Office, 123 Main St, City, State, ZIP. My advice: Always keep a copy of submitted forms for your records and follow up with the travel office to confirm receipt.
What are the important dates for this form in 2024 and 2025?
This form must be completed and submitted for any relevant expenses incurred in the years 2024 and 2025 in compliance with the designated travel regulations.

What is the purpose of this form?
The purpose of the Certification of Missing or Lost Receipt form is to provide a standardized method for documenting expenses when original receipts are not available. By completing this form, individuals can ensure their claimed expenses are properly certified for reimbursement. This form helps maintain compliance with travel regulations and provides necessary documentation for audit purposes.

Tell me about this form and its components and fields line-by-line.

- 1. Section I - Expenses: List all claimed expenses and exclude optional or personal costs.
- 2. Section II - Explanation: Provide a detailed explanation for why the original receipts are not available.
- 3. Section III - Certification: Certify that original receipts were attempted to be obtained and sign the form.
- 4. Traveler's Name: Provide the traveler's full name (Last, First, M.I.).
- 5. Signature: Sign the form to certify the information provided.
- 6. Date Signed: Include the date when the form is signed.
What happens if I fail to submit this form?
Failure to submit this form may result in denial of claimed expenses and potential penalties.
- Denied Claims: Unsubmitted forms can lead to denied reimbursement claims.
- Penalties: There are criminal and civil penalties for knowingly submitting false claims.
How do I know when to use this form?

- 1. Lost Receipts: When receipts are lost and proof of expense is required.
- 2. Missing Documentation: When documentation for expenses over $75 is missing.
- 3. Travel Claims: When filing travel reimbursement claims without original receipts.
Frequently Asked Questions
What is the purpose of the Certification of Missing or Lost Receipt form?
This form is used to certify expenses for which the original receipts are missing or lost, ensuring proper documentation for reimbursement.
Can I fill out the form online?
Yes, you can fill out and edit the form online using PrintFriendly's PDF editor.
How do I certify my expenses?
Complete the required fields, provide a detailed explanation for missing receipts, and sign the form to certify your expenses.
What should I do if I can't obtain copies of the original receipts?
Fill out the form, provide an explanation in Section II, and certify in Section III that you attempted to retrieve the receipts but were unsuccessful.
Can I attach supporting documents?
Yes, attach all supporting documents including copies of orders and any available receipts for claimed expenses over $75.
Is my digital signature valid on this form?
Yes, you can use PrintFriendly's digital signature feature to sign the form, and it will be valid for submission.
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