Missing receipt declaration
A lost receipt form for expense claims. Say what you bought, why there’s no receipt and what other proof you have, then download it ready to sign and attach to your expense report.
You
What’s missing
Why, and what proof you have
Company name
–
–
Company card
Nov 14, 2026
| Date | Merchant and purpose | Amount |
|---|---|---|
| Nov 14, 2026 | – | $0.00 |
The original receipt was lost.
Bank or card statement line
I confirm that the expense above was paid for business purposes, that I could not provide the original receipt, and that I have not claimed it before and will not claim it again.
Signed
Approved by, date
Opens your browser’s print dialog. Choose “Save as PDF”, then turn off “Headers and footers” in “More settings”.
A declaration is the last resort, not the first
Ask for a copy first
A reprinted receipt beats any declaration. Tick the box on the form if you tried and couldn’t get one, because approvers look for it.
Back it up
A card statement line or a booking confirmation shows the payment happened. Attach whatever you have and list it on the form.
Say why it was for work
“Taxi” is a guess for whoever approves it. “Taxi from the airport to the client office” is an answer.
Putting a full report together? The expense report generator flags every line without a receipt, so you know how many declarations you need.
Before you sign it
What is a missing receipt declaration?
A signed statement that stands in for a receipt you can't produce. It says what you bought, when, from whom, how much it cost, why it was for work and why the receipt is missing. Finance teams use it to approve a claim that would otherwise be rejected.
Will my employer accept it?
That's up to your company's expense policy. Many accept a declaration for small amounts, and some limit how many you can use in a year. If your company has its own form, use theirs. If it doesn't, this one covers what they usually ask for.
Can I use it to claim tax back?
Often not on its own. In many VAT and GST countries you need a proper tax invoice from the seller to reclaim the tax, at least above a set amount. A declaration still supports the expense in your records, but check with your accountant before reclaiming tax on it.
How can I get a copy of a lost receipt?
Try before you declare it lost. Many shops and restaurants can reprint a receipt from the date and the card used. Online orders usually keep one in your account or email. Hotels and airlines will resend a folio or a booking confirmation.
Is my data uploaded anywhere?
No. The declaration is built in your browser and saved as a PDF on your device. Nothing is sent to Clearline or kept once you close the tab.
Receipts go missing between the shop and the books