Reimbursement Form in Word (Striped)

This reimbursement form in Word allows you to record details regarding business expenses you have personally paid and request a refund from your company.

Reimbursement Form in Word (Striped)
Word Template
Free for personal or commercial use. © General Blue

Getting reimbursement from your employer for an expense you have personally paid can be made easy with the help of this Striped reimbursement form. It allows you to record the date when the expense was incurred, its description, as well as category type (e.g., meal, lodging, etc.), and most importantly, the amount paid for each expense.

The template also features sections for the company name, employee name, department, purpose, expense period, date, description, category, amount paid, subtotal, advance payment, total reimbursement, employee signature, and approval signature.

This employee expense claim form in Word is free to print, download, or modify. You can also use it as reference if you want to create your own reimbursement template.

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