MAKE YOUR FREE Reimbursement Form
![Reimbursement Form document preview](/binaries/content/gallery/responsive/thumbnails/us/drafts/sample-reimbursement-form-template.png)
What is a Reimbursement Form?
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
The terms in your document will update based on the information you provide
![](/binaries/content/gallery/responsive/doc_preview_documents.png)
To: |
, |
Date: |
Requestor:
Name: |
Address: |
E-mail: |
Phone: |
Preferred Reimbursement Method:
Expenses
Description | Amount | Date |
Total Expenses: |
I certify that the information submitted is true and correct to the best of my knowledge.
By: | Date: |