Financial Affairs

Petty Cash Custodian Receipt

Description: Completed by Fiscal Services when a petty cash account request is approved.

Last Revised On: 05/20/2011

Owner/Host: Fiscal Services

Download File: PDF

Related Forms/Worksheets:

• Petty Cash Reimbursement
• Petty Cash Change Receipt

Related Financial Management Operational Guideline(s) (FMOG):

• Petty Cash Funds Policy

Revision History:

• 05/20/2011: Added FISCAL SERVICES AUTHORIZATION section.

• 05/06/2010: Added a certification section and additional signature lines for the account administrator and supervisor. Also, users must describe the location of their petty cash fund and how it will be secured.

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