- Amount - Enter the dollar amount of cash, checks or other items beings transferred.
- Description - Enter a complete description of the items being transferred
- Transferred from - Enter the area initiating the transfer (transferred from)
- Person - Enter the name of the individual initiating the transfer
- Transferred to - Enter the area receiving the transferred item
- Signature - The individual receiving the transferred item needs to sign the form
The form is to be retained by the "Transferred From" area as signed evidence of the transfer.