Use this form to request custodian funds for human subject studies, change funds, petty cash and contingent bank account.
Custodian Funds are advanced only to authorized, permanent UW employees. The Custodian Funds are issued for a specific purpose and may not be used for any other purpose than expressed on the Custodian Fund Request Form.
All Custodian Funds must be reconciled monthly to authorized advance levels and properly accounted for within 30 days of the end of the advance period.
All Custodian Funds require, quarterly reporting, regardless of activity, to ensure advance leves are maintained by using the Custodian Fund Accounting Form.
Top paragraph: Fill in the dollar amount of the Custodian Fund and enter the same amount in the Custodian Fund Request Form. Enter begin and end dates of the Custodian Fund Request. Enter the Custodian Fund reference number which agrees with the Custodian Fund Request Form.
Individual Custodian Agreement paragraph: Enter the custodian name and ensure it agrees with the Custodian Fund Request Form. Include in this section, the Custodian telephone number, and the Custodian e-mail. The Custodian must sign and date this Custodian Fund Agreement before it can be reviewed for approval and processed.
Department Agreement paragraph: Filled in the Department name,.
Bottom section of this agreement:
Print Name (Department Representative): Filled in with the name of the department representative.
Telephone Number (Department Representative): Fill in with the telephone number of the department representative.
E-mail (Department Representative): Fill in with the e-mail address of the department representative.
Signed (Department Representative): This section must be signed and dated by the department representative.
Signed (Dean/Director): This section must be signed and dated by the Dean/Director.
Keep a copy of the Custodian Fund Agreement along with the Cash Fund Request Form for internal records.
Keep a copy of the Custodian Fund Agreement along with the Cash Fund Request Form for internal records. Send original documents onto Cash Management, 21 N. Park St., Suite 6101, Madison, WI 53715.
Policy & Procedure