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RER Form

This document contains a reimbursement expense receipt form to be filled out when reimbursing individuals for expenses. The form collects information such as the date, names of the payee and witness, amounts paid in words and figures, and details of what the payment is for such as travel dates and purpose. Identification information is also collected such as addresses, residence certificate numbers, and dates and places of issue. The form is duplicated in its entirety.

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christian
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8K views2 pages

RER Form

This document contains a reimbursement expense receipt form to be filled out when reimbursing individuals for expenses. The form collects information such as the date, names of the payee and witness, amounts paid in words and figures, and details of what the payment is for such as travel dates and purpose. Identification information is also collected such as addresses, residence certificate numbers, and dates and places of issue. The form is duplicated in its entirety.

Uploaded by

christian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

Revised January 1992 Appendix 18 Revised January 1992 Appendix 18

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Date: No. Date: No.


RECEIVED from RECEIVED from
(Name) (Name)
the amount of the amount of
(Official Designation) (Official Designation)
(P ) (P )
(In Words) (In Figure) (In Words) (In Figure)
in payment for in payment for
(Payment for subsistence, services (Payment for subsistence, services

rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)

PAYEE PAYEE
Name/Signature: Name/Signature:
Address: Address:
Residence Certificate No. Residence Certificate No.
Date of Issue: Date of Issue:
Place of Issue: Place of Issue:

WITNESS WITNESS
Name/Signature: Name/Signature:
Address: Address:
Residence Certificate No. Residence Certificate No.
Date of Issue: Date of Issue:
Place of Issue: Place of Issue:

Revised January 1992 Appendix 18 Revised January 1992 Appendix 18


REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Date: No. Date: No.


RECEIVED from RECEIVED from
(Name) (Name)
the amount of the amount of
(Official Designation) (Official Designation)
(P ) (P )
(In Words) (In Figure) (In Words) (In Figure)
in payment for in payment for
(Payment for subsistence, services (Payment for subsistence, services

rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)

PAYEE PAYEE
Name/Signature: Name/Signature:
Address: Address:
Residence Certificate No. Residence Certificate No.
Date of Issue: Date of Issue:
Place of Issue: Place of Issue:

WITNESS WITNESS
Name/Signature: Name/Signature:
Address: Address:
Residence Certificate No. Residence Certificate No.
Date of Issue: Date of Issue:
Place of Issue: Place of Issue:

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