Petty Cash Claim Form
description
Transcript of Petty Cash Claim Form
Petty Cash Claim Form
Form No.: FIN-PC04
Petty Cash CLAIM Form
Sub-Voucher No: ___________________
Posting Date in Cash Journal in GEMS AP SAP: ___________________
A. To be filled-up by Claimant
Claimants Name
Cost Center
Division
Detail of claim (Please use additional sheet if needed)
No.DateDetail ExpenditureReceipt No. / DateCharging Account / CodeAmount (RM)
TOTAL
B. To be filled-up by Claimants Budget Holder
Acknowledgement for Petty Cash Claim Charging
I have verified that the above expenditure(s) incurred is (are) in accordance to the Petty Cash policy. I therefore approve the above charging of RM_______________ being the petty cash claim made by the aforesaid claimant who is under my supervision.
Signature
: _________________________
Name
: _________________________
Designation: _________________________
Date
: _________________________
C. To be filled-up by Petty Cash Holder
Acknowledgement for Petty Cash Claim Disbursement
I have verified that the above expenditure(s) is (are) fully-supported and in accordance to the Petty Cash policy. I therefore approve the disbursement of RM_______________ being the petty cash claim made by the aforesaid claimant who is covered under the petty cash fund allocated under my responsibility.
Signature
: _________________________
Name
: _________________________
Designation: _________________________
Date
: _________________________
D. To be filled-up by Petty Cash Keeper
Acknowledgement for Petty Cash Claim Payment
I have verified that this petty cash claim has been approved by both the Budget Holder and Petty Cash Holder. I therefore undertake that the approved claim of RM____________ is paid in full to the above Claimant.
Signature
: _________________________
Name
: _________________________
Designation: _________________________
Date
: _________________________
E. To be filled-up by Claimant
Acknowledgement for Receipt of Petty Cash Claim Payment
I hereby acknowledge that the approved claim payment of RM_______________ is received in full from the Petty Cash Keeper.
Signature
: _________________________
Name
: _________________________
Designation: _________________________
Date
: _________________________
FINANCE SSO Version : 1.1 Issued: 16 Nov 2007