Petty Cash V2

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Petty Cash Report Form V2

Step 1 of 4

Petty Cash Report — Site & Quarter

Program Location

Fiscal Quarter

Choose a site and quarter to see the reporting period.

Revision details

This report has already been filed, so we record who is changing it and why. Both are required.

Revised by

Reason for the revision

Staff Contacts

Staff at your site who handle its petty cash, including whoever is filling this out. When you submit, the main office is emailed automatically and will coordinate the cash pickup with these contacts. At least one is required; add as many as you need.

Name	Email	Phone (optional)

Petty Cash Reconciliation

Complete all sections below to continue. Each expense line requires a Program Code, Date, Item, Amount, and receipt. Use No expenses for this report if there are no expenses to report.

Section 1: Balances

Starting Balance

Looking up your last report…

Actual Ending Balance

Count the cash on hand and enter the total here.

Section 1b: Cash Added During the Period

Record each time cash was added to the account as its own dated entry. Cash you signed for at the main office is filled in automatically and marked Pickup; it cannot be edited here. A request that finance has approved but nobody has signed for yet is filled in as Approved - correct or remove that row if you were handed a different amount. Add a row for any other cash added.

Date	Amount	Reason	Recipient	Source

No cash was added this period? Leave this table empty.

Total Cash Added

Section 2: Expense Details

No expenses for this report

Program Code	Date of Purchase	Vendor	Item Name/Description	Amount	Receipt	Remove expense line

Section 3: Totals & Difference

Total Available

Total Spent

Expected Ending Balance

Actual Ending Balance

Difference (Over / Short)

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Petty Cash Baseline

Replenishment Requested

Receipt Upload

Max. file size: 256 MB.