Department Deposit Transmittal Form

University Cash Services

UNIVERSITY CASH SERVICES

TEL NO: (818) 677-8000, OPTION 3

HOURS OF OPERATION:

Monday-Friday: 8:30AM - 4:00PM

Deposit Transmittal Form
(Print this form in double-sided landscape format)

Fill out this form and submit to University Cash Services. Retain a copy for your records.

Person Transmitting:	Department:	Tel No:	Mail Drop:

To be deposited to the Credit of:

ITEM CODE:	OR ACCOUNT:	FUND:	DEPT ID:	PRGM:	CLASS:	PROJECT/GRANT:	AMOUNT:
							$

							$
				Total Credits :			$

All checks must be endorsed by the department on the day received and hand delivered to University Cash Services.

# OF CHECKS:

AMOUNT:

CURRENCY:

AMOUNT:

# OF CREDIT CARDS:

AMOUNT:

# OF ACH/WIRE:

AMOUNT:

Total Deposit :

Any cash greater than $250, or a total of cash, checks and money orders of $10,000 or more, must be delivered to University Cash Services the same business day of receipt by the department.

Regardless of amount, all cash, checks or money orders must be delivered to University Cash Services within three (3) business days of receipt by the department.

TOTAL CREDITS MUST EQUAL TOTAL DEPOSITS