Claims Form

Claim Submission

Submit claims with receipts, itemized amounts, and image attachments.

Employee Name

Claim Date

Department

Item Description

Amount

Total: RM 0.00

Receipt Images

About This Module

Submit expense claims with itemized amounts, receipt images, and a running total for quick reimbursement processing. This free, browser-based claim form requires no login and lets you copy the summary or download a formatted HTML file for submission to your finance or HR department.

What Is the Claim Submission Tool?

The Claim Submission tool is a free online form designed for employees who need to file expense reimbursement requests. It supports itemized entry of expenses such as transport, meals, supplies, and accommodation, each with a description and amount. Users can attach receipt images directly in the browser, and the tool automatically calculates a running total in Ringgit Malaysia. The completed claim summary can be copied to clipboard for email submission or downloaded as a self-contained HTML file that includes both the itemized list and receipt images, making it easy for finance teams to review and approve.

How It Works

Enter your employee name, the date expenses were incurred, and your department for cost-center tracking. Add each expense item by typing a description and amount, then click Add Item. The itemized list and running total update automatically. Upload receipt photos or scanned images as proof of payment. When all items are entered, use Copy Summary to paste the claim into an email, or click Download HTML to save a complete claim document with embedded receipt images. The Reset button clears all entries for a fresh submission.

Best Use Cases

Travel expense claims: Log transport, accommodation, and meal expenses from business trips with supporting receipt images.

Office supply reimbursement: Claim costs for printer supplies, stationery, or other office materials purchased out of pocket.

Client entertainment claims: Document client meeting expenses such as meals or parking with itemized amounts and receipt photos.

Petty cash reconciliation: Use the tool to produce an itemized summary when reconciling petty cash usage for the accounting team.

Fields and Input Explanations

Employee Name: The claimant’s full name as per HR records.

Claim Date: The date the expense was incurred (not the submission date).

Department: The claimant’s department for cost center and budget allocation.

Item Description: A brief description of the expense item (e.g., “Grab to client site”, “Printer ink cartridge”, “Team lunch”).

Amount: The exact amount spent as shown on the receipt, in the claim currency.

Receipt Images: Upload scanned receipts or photos of proof-of-payment for each claim item; required for reimbursement approval.