UNLV Bursar's Office - Departmental Deposit Transmittal Form

DEPARTMENTAL DEPOSIT TRANSMITTAL FORM

DATE: ____________________	DEPARTMENT: ______________________
TELEPHONE #: _____________	CONTACT PERSON: __________________
MAIL STOP: _______________

DESIGNATE FUNDS TO EACH ACCOUNT
*PLEASE DO NOT DUPLICATE ACCOUNT NUMBERS*

Account Number

Fund	Area	Org	Revenue Object	SubRev or Subobject	Cash	Checks	Credit Card
1. _ _ _ _	_ _ _	_ _ _ _	_ _	_ _	_________	_________	_________
2. _ _ _ _	_ _ _	_ _ _ _	_ _	_ _	_________	_________	_________
3. _ _ _ _	_ _ _	_ _ _ _	_ _	_ _	_________	_________	_________
4. _ _ _ _	_ _ _	_ _ _ _	_ _	_ _	_________	_________	_________
5. _ _ _ _	_ _ _	_ _ _ _	_ _	_ _	_________	_________	_________
6. _ _ _ _	_ _ _	_ _ _ _	_ _	_ _	_________	_________	_________
				Totals	$________	$________	$________

Cash+Checks SubTotal

$________

GrandTotal

$________

State reason for the deposit on the line number below that corresponds to Account Number used above. When reimbursing an account with an object code, you must list the Vendor Code used in the original transaction (PV).

DESCRIPTION/PURPOSE	VENDOR CODE (If applicable)
1.	1.
2.	2.
3.	3.
4.	4.
5.	5.
6.	6.

Attach additional list if necessary. CHECK DETAIL: LIST NAME, CHECK NUMBER AND CHECK AMOUNT ON A SHEET AND INCLUDE AS ATTACHMENT
Note: This form should be used by all departments on campus that receive funds in their respective locations and must deposit those funds with the Cashier's Office as part of the University's Deposit Policy and Procedure.