Reimbursement of Relocation Expenses
EMPLOYEE DETAILS
Name of Employee : Employee Code Number :
Department : Designation :
Relocation Date of Joining :
From ______________________
To ________________________
SUMMARY OF BILLS SUBMITTED FOR REIMBURSMENT, AS PER ENTITLEMENT
S. No Expense Item Amount (In Rs)
GRAND TOTAL :
Please enclose Original Bills of the items and a copy of the Relocation Offer Letter with this form.
I hereby certify that all the above expenses have been actually incurred towards relocating from ___________
_________________to ________________________________.
Date : Signature of the Employee
Recommended and approved that the above noted employee be reimbursed for the above expenses incurred
by him/her.
Signature of Reporting Manager Signature of Department Head
Date: Date:
Recorded by (HR OPERATIONS) Administration Department
BILLS VERIFIED,
Name: FOUND IN ORDER &
RECOMMENDED FOR PAYMENT
Designation:
Signature:_________________________________ Dy. Manager Approved
(Admin, Liaison & PR) (VP – Admin)
Date :