Missing Receipt Documentation - The University Of West Georgia

Download a blank fillable Missing Receipt Documentation - The University Of West Georgia in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Missing Receipt Documentation - The University Of West Georgia with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.


Office of the Controller
Carrollton, Georgia 30118-4220
Division of Business and Finance
Check One:
Procurement Card
Vendor Name: ________________________________________________________________________________________
Amount: _____________________________________________________________________________________________
Date Purchased: _______________________________________________________________________________________
Items Purchased:
Purpose of Purchase:
Please explain the circumstances resulting in the missing receipt:
Please explain the action taken to obtain a duplicate receipt from the vendor:
Please attach official documentation which certifies the transaction occurred (for example: credit card/debit card statement,
cancelled check, etc).
I certify and attest that the above statements are true and I have incurred the described expenses. I further certify that these
expenses were for official University purposes. I also have read and understand the University’s policy requiring original
receipts for reimbursement requests. This policy can be found at
Print Name
Signature of Purchaser
Print Name
Supervisor/Department Head Signature
Business & Finance Approval


00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Page of 2