Company Name

CASH ADVANCE FORM

Date: Request No.:

Division and Department:
Purpose:

Amount (In Words):

(Php )

Requested by: Endorsed by: Checked by: Approved by:

Employee Name / Date Department Head / Date Finance Personnel / Date Division Head and/or CFO

Note: This form shall also serve as Check Request Form and shall be the basis for the preparation of check payment.

Notes on approval: (1) If amount is up to Php10,000, Division Head only;

(2) Amounts above Php10,000, Division Head and CFO.
--------------------------------------------------------------------------------------------------------------------------------------------------
RELEASE & PAYMENT DETAILS

Check Voucher No.: Date Due (per applicable policy):

Deposited to Bank & Acct. No.: 7 Days:
10 Days:
__ Days:

Released by: Received by: Approved by:

0
signature over printed name & date signature over printed name & date CFO and COO / CEO

Notes on due dates: (1) 7 business days if spent in Cebu, Davao, and Head Office (Cavite);
(2) 10 business days if spent in areas outside of Cebu, Davao, and Head Office (Cavite).
(3) Over 10 days requires endrosement/approval of CFO and COO or CEO.
--------------------------------------------------------------------------------------------------------------------------------------------------
AUTHORIZATION TO DEDUCT FROM PAYROLL

In the event of failure on my part to liquidate in full the cash advance released to me on the due date above, I, (State Name):
0 do hereby authorize Goodhands Water Specialists, Inc. to deduct
from my salary or salaries or last pay, as the case may be, the amount due as restitution for money received that has
remained unliquidated/ unreturned on said due date.

Signed by: Noted by: Received by:

0
Employee / Date Dept. & Div. Head / Date HR Personnel / Date

Notes on reports: Designated Finance personnel shall submit a semi-monthly report to CFO of all Cash Advances granted and outstanding. And,
upon approval, shall submit a list to HR of all CAs for salary deduction and endorsement for disciplinary action.