"Cash Advance Agreement Form CASH"
CASH ADVANCE AGREEMENT AP TO BE COMPLETED BY BUSINESS UNIT - THIS FORM MUST BE AUTHORISED BY: See base of Form DATE BU NAME BU NUMBER PREPARED BY: Please complete this form online and print for signing FINANCIAL SERVICES USE ONLY N Form Number: Business Unit Number: Project/Grant: Employee ID: I From the Faculty/School/Area of: Hereby request/acknowledge receipt of a cash advance for the amount of $ I undertake to expend the above advance for the purpose it was given and further undertake to provide The University of Western Australia with satisfactory evidence of expenditure within one month of the journey or project being completed. If a trip is postponed, the advance should be refunded and a new payment request (N Form) should be raised when necessary. Should I fail to provide satisfactory evidence for all or part of the said advance within the time permitted, I authorise The University of Western Australia to deduct such amount from my salary but not exceeding the amount of the original advance. For the purpose of this agreement “satisfactory evidence” shall mean documentary proof of expenditure in the form of original accounts rendered, vouchers and receipts, showing the nature of expenditure, amount and name of business or persons to whom payment was made and will include a travel diary where required. Signed by Recipient Date Expected completion date of journey/project: Date: 27/10/2008