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:___________________________