Complete this form and attach a letter of explanation regarding the purpose of the fund, an analysis justifying the dollar amount requested, and the dates that the fund will be utilized/closed with a projected disbursement schedule.

Please include any UGA employees that will have access to use the fund in accordance with the Petty Cash and Change Fund Policy.

Other key policies and resources for this form:

• Research Participant Policy
• List of Chief Business Officers by unit
• List of Account Codes
• Edit existing Petty Cash or Change Fund
• View existing Petty Cash or Change Fund account(s)