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Visit Expense & Reimbursement

Use this form to claim all expenses incurred during your mystery shopper visit. Attach every receipt — reimbursement is only possible with proof of purchase.

Section 1 — Mission & Shopper Reference

Mission ID:

Shopper full name:

Visit date:

Section 2 — Required Purchase

Required purchase amount:

Notes on the purchase (item, quantity, returned or kept):

Section 3 — Additional Expenses

Tick the categories that apply and enter the amount for each:

Parking — amount:

Public transit — amount:

Meals during visit — amount:

Phone call charges — amount:

Other expense — amount:

Describe any "other" expenses claimed above:

Section 4 — Receipts

Upload a clear photo or scan of every receipt — purchases, parking, transit, meals:

Upload File

Section 5 — Reimbursement Details

Bank or e-wallet name:

Account holder name:

Account number:

Total to reimburse:

Section 6 — Shopper Declaration

I confirm every expense above was incurred solely for this mission.

I confirm all attached receipts are originals and have not been claimed elsewhere.

Shopper signature:

×Tap to sign

Submission date:

Section 7 — Approval (office use)

Reviewed by:

Approved amount:

Approval date:

Reviewer notes:

[Reviewer writes notes here after assessment]

Thanks for keeping records tidy — reimbursement is processed within 7 business days of approval.

Use this template

About this template

The Visit Expense & Reimbursement template is a ready-to-use form from Pocper's Mystery Shopper pack. Customize the fields to match your workflow, then share a link so clients can complete it and upload documents in real time.

What's in this template

Visit Expense & Reimbursement
Section 1 — Mission & Shopper Reference
Section 2 — Required Purchase
Section 3 — Additional Expenses
Section 4 — Receipts
Section 5 — Reimbursement Details
Section 6 — Shopper Declaration
Section 7 — Approval (office use)

Frequently asked questions

What is the Visit Expense & Reimbursement template for?

It's a structured form you send to clients to collect the information, documents, and signatures a Mystery Shopper workflow needs — without the back-and-forth of email.

Can I edit this template?

Yes. Import it into your Pocper workspace, then add, remove, or reword any field before sharing it. Every template is fully editable.

How do clients fill it out?

About this template

What's in this template

Visit Expense & Reimbursement
Section 1 — Mission & Shopper Reference
Section 2 — Required Purchase
Section 3 — Additional Expenses
Section 4 — Receipts
Section 5 — Reimbursement Details
Section 6 — Shopper Declaration
Section 7 — Approval (office use)

Frequently asked questions

What is the Visit Expense & Reimbursement template for?

It's a structured form you send to clients to collect the information, documents, and signatures a Mystery Shopper workflow needs — without the back-and-forth of email.

Can I edit this template?

Yes. Import it into your Pocper workspace, then add, remove, or reword any field before sharing it. Every template is fully editable.

How do clients fill it out?

Visit Expense & Reimbursement

Section 1 — Mission & Shopper Reference

Section 2 — Required Purchase

Section 3 — Additional Expenses

Section 4 — Receipts

Section 5 — Reimbursement Details

Section 6 — Shopper Declaration

Section 7 — Approval (office use)

About this template

What's in this template

Frequently asked questions

Visit Expense & Reimbursement

Section 1 — Mission & Shopper Reference

Section 2 — Required Purchase

Section 3 — Additional Expenses

Section 4 — Receipts

Section 5 — Reimbursement Details

Section 6 — Shopper Declaration

Section 7 — Approval (office use)

About this template

What's in this template

Frequently asked questions

More templates in Mystery Shopper