ABC CORP.

FUND ACCOUNTABILITY FORM

I, _______________________________ acknowledge the receipt of the ____________________________

provided by ABC CORP. for ________________________________________.

D NAME OF FUND:
E
S Reference document:
C AMOUNT OF FUND:
R Check Voucher #
I
P ACCESSORIES/TOOLS:
T Check No#
I
O
FORM(S):
N

I understand that this fund has been entrusted to me by the company: ABC CORP. I am
expected to utilize the fund only for authorized purposes. Negligence in the use of the fund will be
subjected to infraction and payment of appropriate shortages (if any) and deposit the fund to the
company’s bank account.

I also understand that this fund accountability shall be updated anytime there are changes.

I further understand that the company fund must be returned to ABC CORP. at the time of
my separation from employment or when it is so requested by the management and that I will be
charged for any unauthorized utilization of the fund.

Received the above described fund intact.

___________________________________________ REMARKS:
FUND CUSTODIAN
Signature over printed name and date

Noted By:

____________________________________________
Immediate Superior
Signature over printed name and date

cc: Finance / Audit / Admin / 201 File.