Systems and Procedures
A Division of The Corporate Controller's Office
IN

REQUEST FOR CASH ADVANCE
FORM INSTRUCTIONS

Form Instructions

  1. Employee – Enter the name of the employee requesting the cash advance
  2. Request Date – Enter the date of the request
  3. Department – Enter the employee’s department name
  4. Amount - Enter the amount of the advance requested. Enter numbers only. The leading dollar sign has been provided.
  5. Location – Enter the employee’s work location
  6. Purpose – Enter the purpose for the cash advance and the inclusive dates of the request
  7. Close Date – Enter the date the advance will be closed
  8. Type check boxes – Select one of three options; Change Fund (first box), Petty Cash Fund (second box), or Other (complete next section)
  9. Other Department – If other checked above, enter the department name
  10. Other Account – If other checked above, enter the Account/Fund number
  11. Other Fund Name – If other checked above, enter the Fund name
  12. Other Cost Center – If other checked above, enter the cost center number (if applicable)
  13. Advance – Enter the amount of the advance received.
  14. Print, sign, and date this form
  15. Approval – The Budget Administrator signs and dates the form
  16. Approval – The Financial Officer signs and dates the form
  17. When the advance is returned, the Financial Officer signs and dates the form
  18. When the advance is returned, the employee signs and dates the form
Image of Request for Cash Advance Form