Scribd Logo
Upload

Welcome to Scribd!

  • 264 views

    Leave Travel Assistance Claim Form

    Uploaded by

    hredaan jain
    This document is a leave travel assistance form for an employee to claim reimbursement for travel expenses. It requests information such as the employee's name, designation, dates of travel, names and details of family members traveled with, travel origin and destination places, and expense details like amount and mode of travel. The form is to be filled out after travel and signed by the employee and authorized by HR. It also provides spaces to mention the LTA amount brought forward from the previous financial year and the entitled amount for the current year.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd

    Leave Travel Assistance Claim Form

    Uploaded by

    hredaan jain
    264 views3 pages
    This document is a leave travel assistance form for an employee to claim reimbursement for travel expenses. It requests information such as the employee's name, designation, dates of travel, names and details of family members traveled with, travel origin and destination places, and expense details like amount and mode of travel. The form is to be filled out after travel and signed by the employee and authorized by HR. It also provides spaces to mention the LTA amount brought forward from the previous financial year and the entitled amount for the current year.

    Copyright

    © © All Rights Reserved

    Available Formats

    RTF, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a leave travel assistance form for an employee to claim reimbursement for travel expenses. It requests information such as the employee's name, designation, dates of travel, names and details of family members traveled with, travel origin and destination places, and expense details like amount and mode of travel. The form is to be filled out after travel and signed by the employee and authorized by HR. It also provides spaces to mention the LTA amount brought forward from the previous financial year and the entitled amount for the current year.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    264 views3 pages

    Leave Travel Assistance Claim Form

    Uploaded by

    hredaan jain
    This document is a leave travel assistance form for an employee to claim reimbursement for travel expenses. It requests information such as the employee's name, designation, dates of travel, names and details of family members traveled with, travel origin and destination places, and expense details like amount and mode of travel. The form is to be filled out after travel and signed by the employee and authorized by HR. It also provides spaces to mention the LTA amount brought forward from the previous financial year and the entitled amount for the current year.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    of 3

    ( COMPANY NAME )

    LEAVE TRAVEL ASSISTANCE FOR THE YEAR ……………………..


    (To be filled after the travel)
    (Ensure that no column is left blank. Incomplete Form will not be entertained) (Expenses incurred
    on using own vehicle during travel will not be considered for reimbursement)

    NAME : DESIGNATION: BRANCH:

    EMPLOYEE CODE: FUNCTIONAL AREA: DEPARTMENT:

    ZONE: DATE OF THIS APPLICATION: BASE STATION:

    LEAVE PERIOD DETAILS

    PRIVILEDGE LEAVES AVAILED FROM _ _ _ _ _ _ _ / _ _ _ _ _ _ _ / _ _ _ _ _ _ _ TO _ _ _ _ _ _ _ /_ _ _ _ _ _ _ / _ _ _ _ _ _

    DETAILS OF PERSONS TRAVELLED


    NAME OF THE PERSON
    GENDER AGE
    S.NO (LTA claims can be made only for RELATIOSHIP WITH EMPLOYEE
    (Male / Female) (Years)
    Self, Spouse, Children, Dependent Parents only.)

    1 Self

    TRAVEL EXPENSE DETAILS


    BILL NO. / CASH MODE OF
    S.NO TRAVEL ORIGIN PLACE DATE TRAVEL DESTINATION PLACE AMOUNT
    MEMO NO. TRAVEL

    1 RESIDENCE
    AIRPORT / RAILWAY STATION / BUS
    STATION

    I HEREBY DECLARE THAT THE ABOVE GIVEN INFORMATION IS CORRECT


    SIGNATURE OF EMPLOYEE
    HR RECORDS & ACTION
    PAID WITH SALARY FOR THE MONTH _ _ _ _ _ _ _ _ _
    LTA AMOUNT BROUGHT FORWARD FROM THE FIN YEAR (_ _ _ _ _ _ _):

    PAID THROUGH CHEQUE DATED _ _ _ _ _ _ _ _.

    LTA AMOUNT ENTITLED FOR THE CURRENT FIN YEAR (_ _ _ _ _ _ _):

    LTA AMOUNT PASSED AS PER ENTITLEMENT FOR: Rs. ………………… /-


    SIGN: DATE:
    AUTHORIZED BY HR

    You might also like