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What is a Reimbursement Form?

Whether you are a business owner or an individual incurring expenses on behalf of another party, you may need a Reimbursement Form. If you have been authorized to make purchases on behalf of a company or another individual, and you want to be paid back for those expenses, you can use our Reimbursement Form as a formal record of expenses. If you have employees who incur expenses on your behalf, you can use our Reimbursement Form to simplify the reimbursement process and make sure you are not paying back more than necessary. 
When you use personal funds to make purchases on behalf of another individual or company, it is important to keep an account of your spendings so that you can be reimbursed. A Reimbursement Form acts as a report of expenses incurred. The Reimbursement Form will include a description of each expense, the amount of the transaction, and the date the expense was incurred. If you have been given authorization to make purchases on behalf of someone else, this form helps to simplify the reimbursement process and provides evidence of all transactions in the event of a dispute. Completing a Reimbursement Form can save employers and employees time, and help make sure individuals receive reimbursement as quickly as possible.

When to use a Reimbursement Form:

  • You want to request payment for expenses incurred.
  • You want to streamline the reimbursement process for your business.

Sample Reimbursement Form

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Preferred Reimbursement Method:




Description Amount Date


Total Expenses:


I certify that the information submitted is true and correct to the best of my knowledge.



By: Date:


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