Deposit Slip for Repayment of Change Funds

Repayment of Change Funds

If you have:

Unused cash-use this form: fill in the Date, Fund Custodian, Amount, and Description and submit cash and deposit slip to Bursar.

Receipts for expenses or cash disbursed: Submit original receipts or a list of those that received cash (with signatures verifying that cash was received) to Payment Services, 041 East, Main with account number to be charged and signature of account Budget Director. Please reference the check number listed on the deposit slip.

*The amount of unused cash and receipts submitted should equal the total amount of the change fund being repaid.

For assistance: E-mail Payment Services or call ext. 2052 or ext. 3721

Print and complete form. Keep one copy for department records and submit two copies to the Bursar's Office (the Bursar will forward one copy to Payment Services)