Scribd Logo
Upload

Welcome to Scribd!

  • Manual Form Request Claim

    Uploaded by

    fachriaaaa
    5 views1 page
    This manual claim request form contains sections for request details, including payment information and project/department charges, a description of the claim, and a breakdown of amounts. It also includes an approval section requiring signatures from the requestor, first approver, optional second approver, verifier, and HR director, with dates. Once completed, this form is used to process a claim for payment.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    XLS, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This manual claim request form contains sections for request details, including payment information and project/department charges, a description of the claim, and a breakdown of amounts. It also includes an approval section requiring signatures from the requestor, first approver, optional second approver, verifier, and HR director, with dates. Once completed, this form is used to process a claim for payment.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views1 page

    Manual Form Request Claim

    Uploaded by

    fachriaaaa
    This manual claim request form contains sections for request details, including payment information and project/department charges, a description of the claim, and a breakdown of amounts. It also includes an approval section requiring signatures from the requestor, first approver, optional second approver, verifier, and HR director, with dates. Once completed, this form is used to process a claim for payment.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MANUAL CLAIM REQUEST FORM

    A: Request Detail

    Payment To
    Name :
    Bank Name : *As registered on Payroll Database
    Account No : *As registered on Payroll Database

    Charge To
    Project ID :
    Department :

    Description :
    :

    Detail Amount
    Transport/Mileage Claim
    Travel Claim
    Medical Claim
    Remote Claim
    Telephone Claim
    Others Claim
    Overtime
    Work Assignment
    SSS
    TOTAL

    B : Approval Section

    Requestor :
    Name Sign (mm/dd/yyyy)

    1st Approval :
    Name Sign (mm/dd/yyyy)

    2nd Approval :
    (if required) Name Sign (mm/dd/yyyy)

    Verified By :
    Name Sign (mm/dd/yyyy)

    HR Director :
    Name Sign (mm/dd/yyyy)

    Form#: AC/001/1115 JTI - IBM Confidential (if Filled In) Page 1

    You might also like