TRAVEL_CASH ADVANCE FORM

							                                       BEREA COLLEGE
                                    TRAVEL/CASH ADVANCE

Cash______ Check ______                        Cash Withdrawal Date:___/___/____
Direct Deposit ___________                     Date Check Needed: ___/____/____

Advance made to:
Name:
ID#:         B
Address:

Amount:        $

Purpose:

Requestor's Signature:
Your signature grants Berea College the right to withhold the amount of this advance from your regular
pay if the advance is not returned by the due date or within thirty days from the date the advance was distributed.

Department Head Signature:

Cashier's Signature:
                               (when acquiring cash)
Accounting Office Approval:
                               (when acquiring a check)
Due Date:            /    /

NOTE: A properly completed Expense Report must be submitted to the Office of Financial Affairs
within seven (7) working days after the purpose listed above has been fulfilled in order
to clear your advance.

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                              Instructions for Travel/Cash Advance
Please circle if you are requesting cash or check. Cash withdrawals are limited to $500.00.
Checks will be issued for amounts over $500.00. A minimum of three (3) working days notice
is required for processing a check.
Always include the Banner identification number of the payee.
The due date is required. See above note.
Completed form should be brought to the Student Service Center if cash is requested.
If a check is requested, the completed form should be sent to Alane Poff at CPO 2206.
* Note: Cash advances should be reserved for cases when other methods of funding
are not available.
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                     Delegation of Cash Withdrawal at Student Service Center
If an individual other than the requestor of the travel advance is processing the advance and being
disbursed cash on behalf of the requestor, the following information must be completed. A picture ID
must be presented to the associate at the Student Service Center in order for the funds to be
disbursed.
Printed Name:
ID#:         B

Signature:
I give the above named individual authority to process the travel advance and receive cash on my
behalf. I am requesting this advance on my behalf and will be held personally responsible for the
amount of the advance.

Signature of requestor: