Stanford Petty Cash Request Form

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RECEIVED OF PETTY CASH         
LINE#_________  RECEIPT#_________
PETTY CASH REQUEST FORM 
• Petty cash reimbursements are authorized up to $100 per transaction
• Expenses over 120 days old (anything older than 120 days must be reimbursed through an expense report)
• Lost original receipts require a Lost/Missing Receipt Form 
• Please complete the form below and return form with receipt to Rebecca Tran (Y2E2 Rm140)
(to be completed by Rebecca) 
No._____________
Date Form is completed: ____________________
Requested by (person who incurred expense(s): 
Description of item purchased/service rendered: 
AMOUNT
Business Purpose: 
For meals, list attendees: 
PTA to be charged:  ______________________________________
Total: 
______________________________________
______________________________________
Cash Received by: (Please print)
Cash Received by (Please sign)
______________________________________
______________________________________
Authorized Approver (Professor or Dept. Mgr) 
Authorized Approver (Professor or Dept. Mgr) 
Please print
Please sign 
last updated: 11/13/15

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