Home Office Allowance Application Form

Home Office Allowance Application Form
Date of Application
MonthDayYear
Date
Employee Name
First NameLast Name
Employee ID
Position/Title
Email
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Supervisor
First NameLast Name
Payment Details
Method of Payment
Bank TransferWire TransferPayPal
Account Name
Account Number
Bank Name

Work-related Equipment

Total amount for work-related equipment
Others
Amount ($)
Rent
Homeowner's association fee
Repair
Security system
House cleaning
Utilities
Terms and Conditions
- The employee must provide accurate information in this form.
- If your application is approved, the allowance will be credited to your preferred bank account. You may choose to be credited via wire transfer or PayPal.
- The accounting department will ask you to upload or email the receipts of your purchase for reimbursement. Or you can select an online store and the appropriate team can order it and deliver it to you.
- Please take note that "Others" expenses might not be covered. Kindly get in touch with your HR department to see the coverage.
- If you leave the company for less than 6 months, you need to return the work-related equipment that was paid by the company.
- If you stayed in the company for 1 year or more, this equipment will be yours and we will send you a different agreement.
- If the equipment needs repair, the employee will be responsible for sending it to the store for repair.
- The employee must take extra care for the equipment and maintain it well.
By signing below, I acknowledge to the terms and conditions listed above. Also, I confirmed that all information I entered in this form is true and accurate.
Date Signed
MonthDayYear
Date
Employee Signature
Clear
Should be Empty:

Payment Details