SUBSTANTIATION FOR LOST OR UNOBTAINABLE RECEIPTS FORM INSTRUCTIONS
Systems and Procedures
A Division of The Corporate Controller's Office
IN

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 dollar amount of the total transaction
  3. Date - Enter the date the transaction occurred
  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 desired)
  5. Description - Provide a detailed description of what was purchased
  6. Purpose - Provide a detailed purpose of why it was purchased
  7. Budget - Enter the budget code to be charged
  8. Fund - Enter the fund number to be charged
  9. Obj code - Enter the object code to be charged
  10. Amount 1 - Enter the amount to be charged to this budget code
  11. Budget 2 - Enter the second budget code to be charged
  12. Fund 2 - Enter the second fund number to be charged
  13. Obj 2 - Enter the second object code to be charged
  14. Amount 2 - Enter the amount to be charged to the second budget code
  15. Budget 3 - Enter the third budget code to be charged
  16. Fund 3 - Enter the third fund number to be charged
  17. Obj 3 Enter the third object code to be charged
  18. Amount 3 - Enter the amount to be charged to the third budget code
  19. Free - Please see your Financial Officer on what information should be included in this space
  20. Cost Center - Enter any associated Cost Center
  21. Sub-Object - Enter any Sub-Object Codes (if applicable)
  22. Cardholder - Enter the Cardholder Name
  23. Cardholder Signature - The Cardholder must sign and date the completed form

Substantiation for Lost or Unobtainable Receipts Form