Instructions for Imprest Cash Fund and Change Fund Request Form
This form is completed whenever a department wants to establish a cash fund or increase an existing
cash fund.
Department needs to determine if they are requesting/increasing an imprest cash fund or a change
fund. Indicate on form the requested action.
Complete the following fields:
Department Name
Amount Requested
Fund Code
Organization Code
Provide a business purpose as to the business need of the cash. Include in the explanation why a
Procard cannot be used.
Complete the following fields:
Change/Imprest Fund Effective Date
Physical Location (Bldg/Room #)- where is the money
Department Head Approval
Date
Send form via campus mail to Financial Services-Compliance Management, Mailstop 203.