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Lost Receipt Form Template

Effortlessly document your missing receipts for reimbursement

Have you ever faced delays in reimbursements due to lost receipts? This lost receipt form template is designed for employees seeking a simple way to document missing receipts for expense reimbursements. You can reduce the time spent on paperwork, improve your chances of reimbursement, and satisfy organizational compliance with a clear declaration. Whether you're in finance, HR, or any department needing to manage expenses, this form will help you quickly capture essential details without the hassle. Explore the functionality of this template to simplify your reporting needs.

Full name
Work email
Phone number
Department or cost center
Employee or ID number
Manager or supervisor name
Vendor or payee name
Expense category
Please Specify:
Business purpose
Purchase date
Amount paid (include currency, e.g., USD 48.20)
Location of purchase (city, state/province, country)
Payment method
Corporate card
Personal card
Cash
Direct debit
Not sure
Other
Please Specify:
Reason the receipt is unavailable
Vendor did not provide a receipt
Receipt lost or misplaced
Receipt damaged or illegible
Electronic receipt inaccessible
Paid via kiosk or unmanned device
Not sure
Other
Please Specify:
Explain the circumstances and any steps taken to obtain a copy
Did you attempt to obtain a duplicate receipt from the vendor?
Yes
No
If applicable, summarize the outcome of your attempt to obtain a duplicate receipt
Does this expense include only business-related items (no personal items)?
Yes
No
To the best of your knowledge, is the amount reported accurate?
Yes
No
I certify that the information provided is true and accurate and that I understand this submission is subject to company policy.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Claimant signature
Date signed
Manager or approver name
Manager or approver email
Manager approval decision
Yes
No
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Paper art illustration featuring a lost receipt form design for FormCreatorAI article

When to use this form

Use this form when you paid a valid business expense but no longer have the original receipt. Common cases include a taxi that did not print, a cafe slip lost in transit, or an online purchase without a confirmation email. You record what happened so finance can document the charge, keep an audit trail, and decide on reimbursement. It helps employees, contractors, and managers move claims forward without delays. If the spend ties to daily spending, support it with the Daily expense report form. After approval, attach this declaration to your Project expense reimbursement form or your standard claim. For mileage-only trips where no receipt is issued, use the Mileage reimbursement form instead.

Must Ask Lost Receipt Questions

  1. What was the purchase date, vendor name, and business purpose?

    This anchors your claim to a specific event and shows why it was necessary for work. Finance can verify the details against calendars, card logs, or traveler schedules.

  2. What total amount did you pay, in what currency, and does it include tax or tip?

    Accurate totals prevent overpayment and speed approvals. If you need help splitting or calculating amounts, the Expense reimbursement form with calculations form can guide you.

  3. Which payment method did you use, and can you attach secondary proof (bank statement, card screenshot, or email)?

    Your answer reduces risk and helps reconcile corporate card activity. Backup evidence supports the claim when the original slip is missing.

  4. Which cost center, account, or project should this expense be charged to?

    Correct coding saves rework and keeps budgets accurate. It also lets managers approve the charge faster because the allocation is clear.

  5. What steps did you take to obtain a duplicate receipt, and what was the outcome?

    This shows due diligence and may produce a copy from the vendor. Your note creates a clean audit trail for reviewers and future audits.

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