CASH ADVANCE AGREEMENT
Please complete this form online and print for signing
TO BE COMPLETED BY BUSINESS UNIT - THIS FORM MUST BE AUTHORISED BY: See base of Form
DATE
BU NAME
BU NUMBER
PREPARED BY:
FINANCIAL SERVICES USE ONLY
N Form Number:
Business Unit Number:
Project/Grant:
Employee ID:
AP
I
From the Faculty/School/Area of:
Hereby request/acknowledge receipt of a cash advance for the amount of $
I undertake to expend the above advance for the purpose it was given and further
undertake to provide The University of Western Australia with satisfactory evidence of
expenditure within one month of the journey or project being completed. If a trip is
postponed, the advance should be refunded and a new payment request (N Form)
should be raised when necessary.
Should I fail to provide satisfactory evidence for all or part of the said advance within
the time permitted, I authorise The University of Western Australia to deduct such
amount from my salary but not exceeding the amount of the original advance.
For the purpose of this agreement “satisfactory evidence” shall mean documentary
proof of expenditure in the form of original accounts rendered, vouchers and receipts,
showing the nature of expenditure, amount and name of business or persons to whom
payment was made and will include a travel diary where required.
Signed by Recipient
Date
Expected completion date of journey/project:
Date: 27/10/2008