Petty Cash Request

Petty Cash Request Form

This is to request Petty Cash from the BLab team. Once you submit this request you must email your CPHS approval letter to behavioral_lab@berkeley.edu if they do not have it on file already. Requests for Petty Cash must be sent 48 hours in advance. Whoever checks out the money is responsible for it but if they are unreachable the PI is accountable. Along with the petty cash you will be given a lock box to keep it in. You are responsible for printing and filling out receipts. PARTICIPANTS MUST SIGN THE RECEIPTS

"*" indicates required fields

Email Address*

Your Name*

Faculty Member's Name (if you are not a faculty member)

Your Study Name*

CPHS #*

Chartstring for reimbursement*

Amount of Petty Cash you need*

Please pick up petty cash for 2-3 weeks of sessions

Denominations you want and how much of each*

Ex: 30 $1s, 10 $5s, 20 $10s

Expected number of participants*

Amount paid per participant*

When you would like the Petty Cash to be ready by*

Picking up Petty Cash

THE PERSON PICKING UP THE PETTY CASH MUST BRING AN ID

Name of person picking up the Petty Cash*

If you do not know yet, you must email behavioral_lab@berkeley.edu with their name and email before they come to pick up the money.

Email of person picking up the Petty Cash*

To coordinate when they will come get it.

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Petty Cash Request Form

Picking up Petty Cash