html6 KB

Expense Reimbursement Form (HTML)

An employee expense claim for testing finance-form parsing, currency and decimal handling, receipt references, policy categories, and approval exports. This standalone HTML reference works offline, uses explicit labels and native validation, and submits nowhere.

Form testing Form parsing Autofill testing

Preview — first 40 lineshtml

<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Expense Reimbursement (SAMPLE)</title>
<meta name="description" content="An employee expense claim for testing finance-form parsing, currency and decimal handling, receipt references, policy categories, and approval exports. SAMPLE data only.">
<style>:root{--bg:#f6f7f9;--card:#fff;--fg:#1a1d23;--muted:#5b6472;--border:#d9dee6;--accent:#0f9d6b;--accent-d:#0c7f56;--err:#d33;--radius:10px}*{box-sizing:border-box}body{margin:0;font:16px/1.5 system-ui,-apple-system,'Segoe UI',Roboto,sans-serif;background:var(--bg);color:var(--fg);padding:2rem 1rem}.wrap{max-width:640px;margin:0 auto}.card{background:var(--card);border:1px solid var(--border);border-radius:16px;padding:1.75rem;box-shadow:0 1px 3px rgba(0,0,0,.05)}h1{margin:0 0 .25rem;font-size:1.55rem}.lead{margin:0 0 1.5rem;color:var(--muted)}form{display:grid;gap:1.1rem}.field{display:grid;gap:.35rem}label{font-weight:600;font-size:.92rem}.req{color:var(--err)}.hint{font-size:.8rem;color:var(--muted)}input,select,textarea{font:inherit;color:inherit;background:#fff;border:1px solid var(--border);border-radius:var(--radius);padding:.6rem .7rem;width:100%}input:focus,select:focus,textarea:focus{outline:2px solid var(--accent);outline-offset:1px;border-color:var(--accent)}textarea{resize:vertical;min-height:110px}input[type=range]{padding:0}input[type=color]{height:44px;padding:.25rem}input[type=file]{padding:.45rem}.group{display:grid;gap:.45rem}.opt{display:flex;align-items:center;gap:.55rem;font-weight:400}.opt input{width:auto}.inline{display:flex;flex-wrap:wrap;gap:1rem}fieldset{border:1px solid var(--border);border-radius:12px;padding:1rem;margin:0}legend{font-weight:600;padding:0 .4rem}.hp{position:absolute!important;left:-9999px;width:1px;height:1px;overflow:hidden}button{font:inherit;font-weight:700;cursor:pointer;border:0;border-radius:var(--radius);padding:.7rem 1.3rem}.btn{background:var(--accent);color:#fff}.btn:hover{background:var(--accent-d)}.btn-ghost{background:transparent;color:var(--muted);border:1px solid var(--border)}.actions{display:flex;gap:.6rem;flex-wrap:wrap;margin-top:.3rem}.ok{display:none;background:#e7f7ef;border:1px solid #b6e6cf;color:#0c7f56;border-radius:var(--radius);padding:.7rem .9rem;font-size:.9rem}.foot{margin-top:1.25rem;font-size:.78rem;color:var(--muted);text-align:center}@media(max-width:480px){body{padding:1rem .5rem}.card{padding:1.25rem}}</style>
</head>
<body>
<main class="wrap"><div class="card">
<h1>Expense Reimbursement (SAMPLE)</h1>
<p class="lead">An employee expense claim for testing finance-form parsing, currency and decimal handling, receipt references, policy categories, and approval exports. SAMPLE data only.</p>
<form method="post" action="#" novalidate>
<div class="hp" aria-hidden="true"><label>Leave this field empty<input type="text" name="website" tabindex="-1" autocomplete="off"></label></div>
<fieldset><legend>Employee</legend>
<div class="field"><label for="p6-employee_name">Employee name <span class="req">*</span></label><input id="p6-employee_name" name="employee_name" type="text" autocomplete="name" value="Jordan Rivera" required></div>
<div class="field"><label for="p6-employee_email">Employee email <span class="req">*</span></label><input id="p6-employee_email" name="employee_email" type="email" autocomplete="email" value="jordan.rivera@example.com" required></div>
</fieldset>
<fieldset><legend>Expense</legend>
<div class="field"><label for="p6-expense_date">Expense date <span class="req">*</span></label><input id="p6-expense_date" name="expense_date" type="date" value="2026-07-24" required></div>
<div class="field"><label for="p6-category">Expense category <span class="req">*</span></label><select id="p6-category" name="category" required><option value="Travel" selected>Travel</option><option value="Meals">Meals</option><option value="Supplies">Supplies</option><option value="Software">Software</option><option value="Training">Training</option><option value="Other">Other</option></select></div>
<div class="field"><label for="p6-currency">Currency <span class="req">*</span></label><select id="p6-currency" name="currency" required><option value="CAD" selected>CAD</option><option value="USD">USD</option><option value="EUR">EUR</option><option value="GBP">GBP</option></select></div>
<div class="field"><label for="p6-amount">Amount <span class="req">*</span></label><input id="p6-amount" name="amount" type="number" inputmode="decimal" min="0" step="0.01" value="184.75" required></div>
<div class="field"><label for="p6-receipt_reference">Receipt reference <span class="req">*</span></label><input id="p6-receipt_reference" name="receipt_reference" type="text" value="RECEIPT-SAMPLE-0084" required></div>
<div class="field"><label for="p6-business_purpose">Business purpose <span class="req">*</span></label><textarea id="p6-business_purpose" name="business_purpose" rows="4" required>Rail travel to the sample accessibility workshop.</textarea></div>
</fieldset>
<fieldset><legend>Approval</legend>
<label class="opt" for="p6-manager_approval"><input id="p6-manager_approval" type="checkbox" name="manager_approval" value="yes" checked> Manager approval recorded for this sample</label>
</fieldset>
<p class="hint" data-locked="notice">SAMPLE test data only. Nothing is submitted, uploaded, or stored.</p>
<div class="ok" role="status">Sample validated locally - nothing was sent.</div>
<div class="actions"><button type="submit" class="btn">Submit sample</button></div>
</form>
<p class="foot">Free example form from Novus Examples · works offline, no data leaves your browser.</p>
</div></main>
<script>document.querySelectorAll('form').forEach(function(f){f.addEventListener('submit',function(e){e.preventDefault();var hp=f.querySelector('.hp input');if(hp&&hp.value){return;}if(!f.checkValidity()){f.reportValidity();return;}var ok=f.querySelector('.ok');if(ok){ok.style.display='block';ok.scrollIntoView({block:'nearest'});}f.reset();});});</script>
</body>
</html>

Specifications

Use Case: finance-operations
Fields: 9
Family: expense-reimbursement
Artifacts: 5
Validation: HTML5 native
Honeypot: website
Offline: true
Live Demo: false

Testing contract

Reference control

Scenario: Expense Reimbursement: html interoperability
Expected result: A parser discovers 9 named fields, preserves section order and required flags, and submits only the documented field names.

What is a .html file?

HTML (HyperText Markup Language) is the structural markup language of the web, using nested tags to define document content, semantics, and links. It is typically paired with CSS for presentation and JavaScript for behavior. It is the foundational format rendered by browsers.

How to use this file

Use an example HTML file to test parsers, DOM construction, sanitization of untrusted markup, and rendering or scraping pipelines.

How to use this file for testing

“Expense Reimbursement Form (HTML)” is a deterministic Novus Examples fixture for Form testing, Form parsing, Autofill testing. HTML and PDF form files for testing scrapers, autofill, validators, and PDF form fillers across real-life use cases.

Documented properties for this file: 9 fields. Compare results against paired or grouped companions on this page when present (clean↔damaged, searchable↔scanned, or format twins) so scores stay reproducible across runs.

Download the file once, keep the path stable in CI or local scripts, and treat the spec table as the contract: dimensions, seeds, field lists, and roles are intentional. Corrupt or invalid samples are labelled as such — expect parsers to fail loudly rather than silently accept them.

This form is fictional SAMPLE content for tooling tests (autofill, scrapers, PDF fillers). It is not an official government, bank, or clinic form. Open the HTML offline or fill the PDF in any viewer; the demo submit path never stores data.

Embed this form

It's a single self-contained HTML file (inlined CSS, native validation, no external requests). Download it, host it on your own site, and drop it into any page with an iframe.

iframe embed

<!-- Download expense-reimbursement.html, host it on your site, then embed the form anywhere: -->
<iframe
  src="/path/to/expense-reimbursement.html"
  title="Expense Reimbursement Form (HTML)"
  width="100%"
  height="640"
  loading="lazy"
  style="border:0">
</iframe>