Georgia Regents University Petty Cash Handling Form

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Petty Cash Handling Form
 
Please complete the form below according to the type of Petty Cash transaction you are initiating.  This form must 
be on file with the Business Office with proper approval signatures, as well as a copy with Internal Audits. 
Business Office email: business_office@gru.edu       Telephone: 706‐737‐1767      Fax: 706‐434‐6872 
Please mark all that apply: 
 
New Petty Cash Fund 
 
 
 
Change of Custodian 
Established Fund Decrease 
 
 
Change of Fiduciary 
Established Fund Increase  
 
 
New Fiscal Year Re‐Issue 
Updated Location Information 
 
 
Athletics Re‐Issue 
Close Petty Cash Fund 
 
 
 
 
 
Department: ______________________________________________________ 
 
Current Total of Petty Cash Fund: _____________________________________ 
 
If applicable, new total of Petty Cash Fund: ______________________________ 
 
Purpose of Petty Cash Fund:__________________________________________ 
_________________________________________________________________ 
_________________________________________________________________ 
 
Reason for change:__________________________________________________ 
__________________________________________________________________ 
 
Physical location of office:____________________________________________ 
_________________________________________________________________ 
 
Physical location of fund:_____________________________________________ 
_________________________________________________________________ 
 
The signatures below indicate we have read and understand the Petty Cash Policy of Georgia Regents University 
 
Fiduciary of Fund  
 
 
 
 
Custodian of Fund 
Name:________________________________ 
 
Name:_____________________________ 
Signature:_____________________________ 
 
Signature:__________________________ 
 
Approvals:  
 
 
 
 
 
Processed/Counted by: 
Name: _________________________________ 
 
Name:_____________________________ 
Title:___________________________________ 
 
Title:______________________________ 
Signature:_______________________________ 
 
Signature:___________________________ 

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