Employee Expense Claim Form
Employee Expense Claim Form
Employee Expense Claim Form
DEPT/DIV/POSITION
Recruitment
EXPENSE CATEGORY MARK WITH AN 'X' (ONE X PER ROW ONLY)
DATE
Business
mileage
Per diem
Airport
Taxi
Taxi
Tax
Singapore Indonesia
Hotel
(lodging)
Meals
(self)
Personal
incidental
expenses
Business
Phone
entertaini
calls
ng
Month of claim
Y/N boxes
Other
sundry
exp
Mar-15
Claimed cost
Sales tax
VAT/GST/
Cost from Rechar
sales tax
advance?
ge
(in local
(Y/N)
(Y/N)
currency)
Cost in local
currency
Exchange rate
Total
Advances:
Currency 1
Cost in home
currency
Rp0.00
In home
currency
Advanced
Spent as above
TICKET #
AMOUN
T
Returned
Less advance outstanding (A)
Outstanding
I claim the above expenses in line with the company's travel & expenses policy:
Total payable
Claimant's signature:
Date
Date