Request for Petty Cash Advance (xls format)

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					                                                                           CASH ADVANCE FORM (CAF)
                                                                      for Travel and Research Advances
                                                            ATTACH THIS FORM TO THE INTERNAL BILLING e-DOC

SECTION A - APPLICANT INFORMATION


                     Name:
                                                                  (Last)                                            (First)
           MSU NET ID #:

              Department:                                                                                College:

   Department Address:

      Dept. Phone # Ext:                                                     Email:


               Faculty/Staff                                     Graduate                           Undergraduate                          Other

SECTION B: AMOUNT & TYPE OF ADVANCE (please check one box)
ADVANCE WILL BE PROCESSED BY ACCOUNTING, HANNH ADMINISTRATION BLDG, 426 AUDITORIUM RD ROOM 360:
 Research Participants   Travel            Other            Account Number                    Amount $
                                                                                                     $______________                                          -

If the advance request is for $25,000 or more, the Internal Billing eDoc (IB) must be ad hoc routed to AVP/Dean/Associate or Assistant Dean/College Budget Officer for
approval.

SECTION C: Travel Advances Only; ACCOUNT(s) TO BE CHARGED (This section is for planning purposes only.)
                                                     Account         Sub Account      Object Code            Sub Object Code     Project Code              Amount
             Lodging
       Meal Per Diem/M&IE
       Ground Transportation
        Program Expenses

                   Other
                                                                                                                               TOTAL ESTIMATE                            $0.00
SECTION D - PURPOSE
       Name of Project or
       Travel Destination:

   Start Date of Research Project or Date of Departure:

       End Date of Research Project or Date of Return:

     Purpose of Research Project or Purpose of Travel:




      Date amount will be repaid (Research Only):

Note: Advances for Research Participants and must show activity every 120 days. Travel Advances must be reconciled within 30 days of the Date of Return.
SECTION E - ACKNOWLEDGMENT
THE FISCAL OFFICER AND CUSTODIAN ACKNOWLEDGE THAT THEY HAVE READ AND ARE AWARE OF THE FOLLOWING RESPONSIBILITIES. ANY PENALTIES OR
INTEREST INCURRED AS A RESULT OF LACK OF ADHERENCE TO THE FOLLOWING WILL BE THE RESPONSIBILITY OF THE DEPARTMENT.


1) RESEARCH ADVANCES ONLY: PAYMENTS TOTALING $600 OR MORE (EITHER INDIVIDUALLY OR CUMULATIVELY) DURING A CALENDAR YEAR MAY BE
  REPORTABLE TO THE IRS. IN THESE SITUATIONS, PLEASE CALL ACCOUNTING FOR REPORTING REQUIREMENTS.


2) WE HAVE READ AND UNDERSTAND SECTIONS 61 (CASH ADVANCES) AND 70 (TRAVEL ADVANCES) OF THE MSU MANUAL OF BUSINESS PROCEDURES
    AND THE RELATED RULES AND PROCEDURES.


MSU is an affirmative-action, equal-opportunity employer.                                                                                                           Rev 3/2011

				
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