Cash Receipts Forms FAQ
Change Funds (from Imprest Fund)
Job Aid
Policy Manual Filing Number 9,100: Change Funds (from Imprest Fund)
Forms
TO SUBMIT YOUR REPORT Click on the link below to open the form in the electronic signature collection system DocuSign managed by the Department of Administration. Follow the instructions provided in DocuSign to submit your reports.
DA-74 Change Fund Application/Maintenance
DA-75 Reconciliation of Change Fund
DA-76 Change Fund Record of Cash "Long" or "Short"
DA-154 Imprest Fund Application/Maintenance
Job Aid
Policy Manual Filing Number 9,101: Check Cashing Change Funds (from Benefit Fund)
Forms
TO SUBMIT YOUR REPORT Click on the link below to open the form in the electronic signature collection system DocuSign managed by the Department of Administration. Follow the instructions provided in DocuSign to submit your reports.
DA-74A Check Cashing Change Fund Application/Maintenance
DA-75A Reconciliation of Check Cashing Change Fund
Job Aids
DA-68B Exhibit of Income Statement
DA-68C Sample Statement of Revenues, Expenses and Changes in Fund Net Positions
DA-68D Sample Revenue Expenses and Fund Balance Statements
Form
TO SUBMIT YOUR REPORT Click on the link below to open the form in the electronic signature collection system DocuSign managed by the Department of Administration. Follow the instructions provided in DocuSign to submit your reports.
DA-68 Application/Report on Canteens, Work Therapy Funds, Canteen Funds and Benefit Funds
Job Aid
Policy Manual Filing Number 9,103: Employee Use Funds
Form
TO SUBMIT YOUR REPORT Click on the link below to open the form in the electronic signature collection system DocuSign managed by the Department of Administration. Follow the instructions provided in DocuSign to submit your reports.
DA-164 Application for Employee Use Fund