I, , have _____not received _____ misplaced (Check one)
a receipt for travel expense.
This form is submitted in lieu of the original receipt:
(If MU travel card) Cardholder Name:
(If MU travel card) Card Number (Last 4 digits):
Department:
Da
te Vendor
Description
Amount
Total
$
I certify that the amounts shown above were expended for Monmouth University business
purposes and that I have made every possible effort to obtain a duplicate receipt from the
vendor:
Employee signature: _________________________________ Date:
P
rint name: _________________________________
Approving Signature: _________________________________ Date:
P
rint name: _________________________________
S
ubmit this form with your other receipts, attached to either the Employee Travel Card Documentation Form
or the Employee Travel Expense Voucher.
Travel Expense Missing
Receipt Form
To be used for documentation of missing receipts which are required under the travel policy.
Updated November 2015
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