Pittsburgh Pennsylvania Lost/Missing Receipt Declaration

Category:
State:
Multi-State
City:
Pittsburgh
Control #:
US-S007ST
Format:
Word; 
Rich Text
Instant download

Description

This form is to be used on rare occasions when claimants have lost or misplaced their original receipts. Each claimant must certify that an expense receipt was lost accidentally, destroyed or unobtainable. This Declaration Form must be attached to the claim being submitted.

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Pittsburgh Pennsylvania Lost/Missing Receipt Declaration