Voucher claim form

Upon receipt of the voucher, check its authenticity by ensuring that the security strip is not black. No cash or vouchers will be given in return.

• Keep the invoice or receipt together with the voucher;
• Invalidate the voucher by drawing a large cross on it;
• You collect as many vouchers as possible, including invoices/receipts;
• If you have a stack of bundled vouchers, fill in the claim form;
• Please send the bundled vouchers, along with the corresponding invoices/receipts and the completed claim form, to:

Municipality of West Maas en Waal
Attn: Financial Administration
PO Box 1
6658 ZG Beneden-Leeuwen

You will be reimbursed for the value of the invoices/receipts up to a maximum of the value of the vouchers attached. If the invoices/receipts are missing, the claim form with the vouchers will be returned to the submitter because it cannot be verified whether the voucher has been used in full.