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Company Name: Expense Claim/ Advance Adjustment Form For Employees

The document is an expense claim form for an employee to request reimbursement or adjustment for expenses incurred during work-related travel, listing expense categories like airfare, lodging, meals, transportation, and including fields for approval signatures. It collects information about the employee, purpose, dates and locations of travel, expenses and amounts, expense limits, and any advances taken to determine the balance due to the employee or company.

Uploaded by

Sandeep K Tiwari
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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46 views1 page

Company Name: Expense Claim/ Advance Adjustment Form For Employees

The document is an expense claim form for an employee to request reimbursement or adjustment for expenses incurred during work-related travel, listing expense categories like airfare, lodging, meals, transportation, and including fields for approval signatures. It collects information about the employee, purpose, dates and locations of travel, expenses and amounts, expense limits, and any advances taken to determine the balance due to the employee or company.

Uploaded by

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

Expense Claim/ Advance Adjustment Form for Employees


NAME:

SIGNATURE:

DATE:____________________

Designation:___________________

PURPOSE OF EXPENSE:

Grade:____________________

APPROVAL:

Destination :From:____________

To: _________________

Amount

Period Of traval: From__________ to _____________


Department :

Expense Description

Amount

Limit as per HR Policy

Actual claim amount

Difference / Varience

Airfare/ Train Fare/ Bus Fare


Lodging Expenses (Hotel)
Boarding Expenses (Lunch/ Dinner/ Breakfast etc)
Tips/Laundary
Telephone / Mobile Communication Expense
Business Meals
Petrol Expenses (if Co. owned Vehicle)
Printing & Stationery Expenses
Postage/ Courier Expenses
Repair & Maintenance Expenses
Business Promotiion Expenses
Other (Pls Specify)
Total
Accounting Use Only
Head

Amount

Description
Advance Taken if any :
Date

Total
Prepared By:

________________
Employee

Approved By:

________________
H.O.D.

Checked By:

Authorised by:

_____________________

_____________________

Accounts

Accounts

Amount

Less cash advance (d)

_____________________

Balance due employee

_____________________

Balance due company

_____________________

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