CAO Form 006-006-005-3

AUTHORIZATION FORM FOR PAYROLL DEDUCTION OF UNACCOUNTED CASH ADVANCE

DATE:

TO: CENTRAL ACCOUNTING OFFICE

SUBJECT: CASH ADVANCE

amount in words
This is to request for a cash advance in the amount of ___________________________________
(PHP/USD ____________) for the:

Activity/ Purpose From To

pls. consider the

preparation period for
activity
I understand that the policy of cash advances requires that I liquidate this cash advance
within seven (7) working days after the completion of the project or activity. If I fail to do so, I hereby
authorize the Central Accounting Office to deduct the amount in full from my salary. Should my
salary not be sufficient, it is understood that the Central Accounting Office will deduct the cash
advance within the shortest time possible.

Signature over Printed Name

Endorsed by:

Unit Head

For CAO Use Only

Ref: CV No. CV Date:

Due Date of Liquidation Report :

Liquidation Report Submitted:

First Follow Up:

Second Follow Up: