Affidavit Generator

Generate a formal statement for missing receipts. Download the PDF, print it, and sign it manually.









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This matches the final PDF exactly.

MISSING RECEIPT AFFIDAVIT
TO:
[Employer] Accounting Dept.

FROM:
[Employee Name]

DATE:

I hereby certify that I incurred the following expense on behalf of the company business, and the original receipt is unavailable.

Vendor
Date of Purchase
Amount
Payment Method
Reason Missing
Business Purpose
Employee Signature