PETTY CASH HANDOVER / TAKEOVER

FORM

FACULTY/SCHOOL/UNIT

CURRENT CUSTODIAN

NEW CUSTODIAN*
(Name in Full)

COUNT OF CASH
Type $100 $50 $20 $10 $5 $2 $1 Coins A
Qty TOTAL
Value

UNRECOUPED REIMBURSEMENTS/
UNACQUITTED ADVANCES $ B

RECOUPS IN TRANSIT
C $

ACCOUNTABLE AMOUNT of FLOAT

$ D

Note: For float to be balanced A + B + C – D must equal zero

I certify that I have taken over custody of the Petty Cash Advance as listed
above and that there are no deficiencies/I have reported the deficiencies to
my Dean/Director and FSU (Delete the statement which is not applicable)

Signature Name in Capitals Date

Signature of staff member handing over cash advance

Signature Name in Capitals Date

*Where the float is being transferred to a new custodian on a long term or
permanent basis, a copy of this form must be forwarded to FSU.