CASH/CHANGE FUND/IMPREST ACCOUNT ACKNOWLEDGEMENT FORM I, (Name) hereby acknowledge receipt of the sum of x x x dollars to be used for the purpose of Cash/Change Fund/Imprest Account (circle the applicable Fund) and understand that I may be held personally and financially responsible for this amount. Funds will be repaid upon termination/ending of employment. I also acknowledge that I have been briefed on how the funds may be used and have been provided with a copy of the summary of regulations governing the use of these funds. ______ _________________________ Date Signature of Authorized Holder Authorized by minute of meeting/ memorandum dated: ______________ This acknowledgement supported by the "Request for Cheque” (if required) be held on file by the NPPAM and secured as a cash voucher. A new acknowledgement shall be obtained on each change of responsibility for the funds. The entity shall not use Form CF 602 as a receipt for petty cash/change fund/Imprest account issues.
CASH/CHANGE FUND/IMPREST ACCOUNT ACKNOWLEDGEMENT FORM I, (Name) hereby acknowledge receipt of the sum of x x x dollars to be used for the purpose of Cash/Change Fund/Imprest Account (circle the applicable Fund) and understand that I may be held personally and financially responsible for this amount. Funds will be repaid upon termination/ending of employment. I also acknowledge that I have been briefed on how the funds may be used and have been provided with a copy of the summary of regulations governing the use of these funds. ______ _________________________ Date Signature of Authorized Holder Authorized by minute of meeting/ memorandum dated: ______________ This acknowledgement supported by the "Request for Cheque” (if required) be held on file by the NPPAM and secured as a cash voucher. A new acknowledgement shall be obtained on each change of responsibility for the funds. The entity shall not use Form CF 602 as a receipt for petty cash/change fund/Imprest account issues.
Chap31E_e.docx