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TEMPLATE · Orders and money

Expense reimbursement

Claim back expenses: each item, date, amount and purpose, with receipts attached, approved by a manager. No bank details are collected.

Claim expenses you paid for on the organization's behalf. Attach a receipt for each item. Approved claims are paid the way you are normally paid; do not enter bank details here.

About you

  • Full nametext
  • Emailemail
  • Team or budgettext, optional

Items

  • Item 1text
  • Item 1 datetext
  • Item 1 amounttextIn your normal currency, for example 42.50.
  • Item 2text, optional
  • Item 2 datetext, optional
  • Item 2 amounttext, optional
  • Item 3text, optional
  • Item 3 datetext, optional
  • Item 3 amounttext, optional
  • Totaltext
  • Receiptsfile (PDF or picture)One PDF or picture with all receipts, or the receipt for the largest item.
  • More receiptsfile (PDF or picture), optionalA PDF or a picture (PNG or JPEG). It is kept exactly as you upload it.
  • These expenses were paid by me for the organization's purposes, have not been claimed before and are not being paid backtick box

Signature

  • Claimant signaturesignature
  • Claimant date signeddate signed

For approver use

  • Decisionchoice · ApproverApproved · Approved in part · Not approved
  • Notetext, optional · ApproverOptional. Shown on the signed copy.
  • Approver signaturesignature · Approver
  • Approver date signeddate signed · Approver

What people see

The template, the way the person you send it to fills it in.

  1. Page 1 of 2 of the Expense reimbursement template
  2. Page 2 of 2 of the Expense reimbursement template

Page 1 of 2

Page 1 of 2
Page 1 of 2 of the Expense reimbursement template

In this template

What is on the page.

  • About you: 3 fields
  • Items: 13 fields
  • Signature: 2 fields
  • For approver use: 4 fields

It is your own copy in your workspace. Change any of it before you send.

Send it from code

Send the expense reimbursement template from your own code.

Make your own copy once, then send it to the person you name. A test key sends only to you.

send-expense-reimbursement
npx docustay templates customize expense-reimbursement --name "Expense reimbursement"
# prints the new template's id; then send it as a test:
npx docustay send --test $DOCUSTAY_TEMPLATE_ID --party 'signer=Name <email>'

What you keep

A sealed copy and its record.

Each person who signs gets the sealed PDF with a certificate of completion, and so do you. Search them in your workspace and read each one by its own record.

Questions

Quick answers.

Who fills it in?

The person you send it to. They are the claimant in this template: they type their own name and email, fill in each box and sign. Then the approver you choose on your team adds a decision and counter-signs.

Can I send it to many people at once?

Yes. Send to a list sends your own copy to each person on it, and each person signs their own copy.

Can I change the questions?

Yes. In your workspace it is your own copy: add, remove or reword any field, then send it. The original is never changed.

Can people attach files?

18 fields make up the expense reimbursement template. Where it has a file box, people may attach a PDF or a picture, and it is stored exactly as they upload it and never converted.

Is this legal advice?

No. The expense reimbursement template is a starting point in plain words. Change what does not fit before you send it.

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Send your expense reimbursement today.

Use this template, free