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LTA Claim Form

An employee submitted a claim form to their employer requesting reimbursement for travel expenses incurred during a period of leave. The form collects information such as the names and relationships of people who traveled with the employee, places traveled to and from, dates of travel, and modes of transportation. The employee declares that the information provided is true and correct and agrees to indemnify the company if any details are later found to be false.

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Srajen singh
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105 views2 pages

LTA Claim Form

An employee submitted a claim form to their employer requesting reimbursement for travel expenses incurred during a period of leave. The form collects information such as the names and relationships of people who traveled with the employee, places traveled to and from, dates of travel, and modes of transportation. The employee declares that the information provided is true and correct and agrees to indemnify the company if any details are later found to be false.

Uploaded by

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

LTA Claim Form

Emp Name
Emp No

I had taken Days of leave during the period To & I have incurred the
following expenses towards travel.

Relationship Place of Journey Date of Mode of


Name of persons travelled
with employee From To Travel Travel

Total

I, hereby declare that the aforesaid information and enclosed documents are true and correct, and I shall
indemnify the company against all costs and consequences if any information or document is later proved to be
false.

Date :
Place :
Signature of Employee
Amount

ect, and I shall


t is later proved to be

gnature of Employee

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