Stanford Petty Cash Request Form printable pdf download

Stanford Petty Cash Request Form

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)

Please print

Please sign

last updated: 11/13/15

Stanford Petty Cash Request Form