Cash/payment Log Template
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CASH/PAYMENT LOG
Project Name: ___________________________________________________
Date: __________
Amount of
Signature
Item #
Participant Name
Payment
(Participant or Facilitator/Interviewer)
$
$
$
$
$
$
$
$
$
$
Principal Investigator
Printed/Typed Name: ______________________________
Signature: ___________________________________
Date: ___________
This log may be used to record payments of cash, gift cards, or non-monetary items valued at $100
or less made to a research participant in conjunction with procedures that follow the Research
Participant Incentive Payment Policy.
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Parent category: Business