University of Maine Petty Cash Request
Presentation of Form
This form is presented in a large table with spaces to fill in the following information:
Payee Information:
- Name
- Campus Address
- Phone
- Employee ID
Items:
- Amount of Item
- Description and Purpose for items purchased:
Financial Information:
- Account #
- Amount to be charged
- Unit (required)
- Dept. ID (required)
- Account (required)
- Class
- Fund (required)
- Program
- Project
- Total Amount of Request:
- Money Received by:
- Date:
Department Approval:
- Name:
- Campus Address:
- Phone:
- Auth. Signature:
- Date:
Additional Information Presented Page
The following text is also included on this form after Payee Information:
Reimbursement Guidelines
- Receipts must be originals
- Receipts must be no more than 90 days old
- Receipts can total no more than $125
- The University of Maine System is exempt from Maine sales tax. Employees will not be reimbursed for payment of sales tax.
- The payee MUST sign this form.
The following text is found at the bottom of the page:
- rev. 8/31/2006
For assistance with this form, please contact 207-581-5491 or emily.bragg@maine.edu.