"Reimbursement Voucher for Expenses Other Than Travel" - Florida

The Florida Department of Juvenile Justice has released this version of the "Reimbursement Voucher for Expenses Other Than Travel" on January 1, 2007.

This form may be used by all Florida residents: download the printable PDF by clicking the link below and use it according to the applicable legal guidelines.

ADVERTISEMENT

Download "Reimbursement Voucher for Expenses Other Than Travel" - Florida

598 times
Rate
4.8(4.8 / 5) 36 votes
DEPARTMENT OF JUVENILE JUSTICE
REIMBURSEMENT VOUCHER
For Expenses Other Than Travel
Pay To:
Org. Code/E.O.
HQ Address:
People First ID#
Date:
Circuit:
Receipts for all items $1.00 and over must accompany this Voucher
DATE
ITEM
PURPOSE
AMOUNT
$0.00
TOTAL
I do solemnly swear (or affirm) that the amounts, scheduled above are just and true in all respects and were expended by the
Individual named for state purposes and the reimbursement has not been received.
Requestor's Signature:
Supervisor's Signature:
Title:
Title:
Telephone:
Date:
Telephone:
Revised 1/07
Save As
Reset/Clear Form
DEPARTMENT OF JUVENILE JUSTICE
REIMBURSEMENT VOUCHER
For Expenses Other Than Travel
Pay To:
Org. Code/E.O.
HQ Address:
People First ID#
Date:
Circuit:
Receipts for all items $1.00 and over must accompany this Voucher
DATE
ITEM
PURPOSE
AMOUNT
$0.00
TOTAL
I do solemnly swear (or affirm) that the amounts, scheduled above are just and true in all respects and were expended by the
Individual named for state purposes and the reimbursement has not been received.
Requestor's Signature:
Supervisor's Signature:
Title:
Title:
Telephone:
Date:
Telephone:
Revised 1/07
Save As
Reset/Clear Form
ADVERTISEMENT
Fill PDF online