SUBSTANTIATION FOR LOST OR UNOBTAINABLE RECEIPTS FORM INSTRUCTIONS
Last Revision: 04/07/2025

SUBSTANTIATION FOR LOST OR UNOBTAINABLE RECEIPTS FORM INSTRUCTIONS

Form Instructions

  1. Vendor - Enter the name of the vendor from whom the purchase was made
  2. Transaction - Enter the total dollar amount of the transaction
  3. Date - Select the date the transaction occurred from the drop-down calendar
  4. Explanation - Prove an explanation as to why the receipt or other documentation is not available, including attempts made to obtain the documentation from the vendor (a separate memo may be attached if necessary)
  5. Description - Provide a detailed description of what was purchased
  6. Purpose - Provide a detailed purpose of why it was purchased
  7. Account to be charged table - The account to be charged table contains three columns, one header row, and three data rows as follows:
    • Column 1 - Cost Object Number - Enter the Cost Object number
    • Column 2 - General Ledger Account Number - Enter the general ledger account number
    • Column 3 - Amount - Enter the amount to be charged to this Cost Object number and GL account
  8. Printed Name - Enter the name of the individual associated with the transaction
  9. Signature and Date - The individual associated with the transaction must provided either a hand-written signature or provide their digital ID. If a hand-written signature is provided, include the date the form was signed.
  10. PI - If the transaction is charged to a grant or contract, the Principal Investigator must provide either their hand-written signature and the date the form is signed or provide their digital ID. If not charged to a federal grant or contact, skip to the Budget Administrator or Budget Executive approval
  11. BA/BE - The Budget Administrator or Budget Executive approving the transaction must provide either a hand-written signature or provide their digital ID. If a hand-written signature is provided, include the date the form was signed.
  12. FO - The Financial Officer or authorized Financial Officer delegate must provide either their hand-written signature or their digital ID. If a hand-written signature is provided, include the date the form was signed.
Substantiation for Lost or Unobtainable Receipts Form