EXHIBIT VI
REQUEST FOR CASH
DATE SUBMITTED TO
DEPT HEAD_________
CASH REQUESTED BY (NAME): _________________________________________
AMOUNT OF CASH REQUESTED (MAXIMUM OF $50.00)____________________
PURPOSE OF CASH REQUESTED: ________________________________________
_______________________________________________________________________
COMMENTS:____________________________________________________________
ACCOUNT #: ___ ___- ___ ___ ___ ___ - ___ ___ ___ ___ ___ - ___
DATE NEEDED: ________________________________
DEPARTMENT/DIVISION HEAD: __________________________ DATE: ________
THE BUSINESS OFFICE PROCESSES CASH REQUESTS WITHIN TWO BUSINESS DAYS OF THE RECEIPT OF A PROPERLY COMPLETED REQUEST. FOR CASH FORM IT IS THE RESPONSIBILITY OF THE CASH REQUESTOR TO PICK UP THE CASH ON A TIMELY BASIS. THE BUSINESS OFFICE WILL NOT REMIND THE REQUESTOR TO PICK UP THEIR CASH. THANK YOU FOR YOUR COOPERATION.
REVISED: 9/00