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Department: _____________________
Key & Combination Control Log Cash Fund
Description of Key/Combo
Date
Received
Signature of Employee Receiving Key/Combo
Issued By (Initials)
Date Returned
Received By (Initials)
Combo Changed (Y / N) / Date Changed
Type of Cash Fund (Check One): Operating Change Fund _____ Petty Cash Fund ______
Amount of Cash Fund: ___________________
Location of Cash Storage Area (When Fund in Use):__________________________________________
______________________________________________________________________________________
Type of Lock (Check One): Single Key Lock ____ Dual Key Lock____ Single Combo Lock _____
Dual Combo Lock ____ Key & Combo Lock _____ Other _____ (Please describe________________ _____________________________________________________________________________________ )
Location of Cash Storage Area (When Fund Not in Use):______________________________________
_____________________________________________________________________________________
Type of Lock (Check One): Single Key Lock ____ Dual Key Lock____ Single Combo Lock _____
Dual Combo Lock ____ Key & Combo Lock _____ Other _____ (Please describe________________ ____________________________________________________________________________________ )
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