Lodging receipt 2026

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The document is a statement used to certify the loss or destruction of a lodging receipt required for processing a claim. It includes sections for the traveler to provide details about their stay, including dates, costs, and hotel information. The document emphasizes that only the traveler's share of costs will be reimbursed and excludes expenses for food or other services.

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Click ‘Get Form’ to open the lodging receipt in the editor.
Begin by circling the reason for not having a proper receipt: 'Destroyed', 'Lost', or 'Only receipt given'.
Fill in the 'DATES OF LODGING' section by entering the start and end dates of your stay.
Indicate the number of nights stayed and enter the cost per night, along with any applicable taxes.
Calculate and input the total amount paid for room charges in the designated field.
Provide the hotel or landlord's name, address, and phone number in their respective fields.
Sign in the 'Traveler’s Signature' section and include your Social Security Number (SSAN) and date.

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