Replacement Receipt Form

  • 1. Cardholder: Complete the first three sections ONLY.
    2. Approver: Scroll down the page to complete the Approval Section.
  • 1. Cardholder and Transaction Information
    This form is used only if the actual receipt, invoice, packing list or internet order form is not available. Completion of this form will only be allowed in extenuating circumstances. A field marked with a red asterisk is required.
  • MM slash DD slash YYYY

  • Description of Purchase
    Select (+) to add a new row for each product purchased.
  • DescriptionQuantityPrice/itemTaxCost 

  • Cardholder Agreement
  • MM slash DD slash YYYY
  • A confirmation e-mail will be sent to you after this has been approved.
  • Cardholder: Proceed to the Save and Send for Approval link at the bottom of this form

  • 2. Approval Section ONLY
    Step 1: Review all fields completed by the Cardholder.
    Step 2: Complete the approval process below and Submit.
  • MM slash DD slash YYYY

  • 1. Cardholder: Select the Save and Send for Approval link.
    2. Approver: Select the Submit button.

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Ref: Replacement Receipt Form