Appendix 37
REPORT OF AUTHORITY TO DEBIT ACCOUNT ISSUED
(RADAI)
INSTRUCTIONS
A. This report shall be used by the Disbursing Officer to report daily or as often as necessary
his/her disbursements made through Authority to Debit Account (ADA). It shall be
maintained by fund cluster. One report shall be prepared for each bank account
B. The report shall be accomplished as follows:
1. Period Covered – period covered by the report
2. LGU – name of the local government unit
3. Fund – the fund name in which issuance of checks is charged
4. Bank Name/Account No. – name of the bank and the account number where the check is
drawn
5. Report No. – number assigned by the Cash/Treasury Unit on the report. It shall be
numbered as follows:
0000-00-0000
Serial Number (one series per year)
Month
Year
6. Sheet No. – sheet number of the report
7. ADA Date – date of the ADA issued
8. ADA Serial No.– serial number of the ADA issued whether released or unreleased
including the cancelled ones
9. DV/Payroll No. – number of the reference DV/Payroll
10. CAFOA No. – number of the CAFOA supporting the DV or payroll
11. Payee – name of the payee/claimant
12. Nature of Payment – brief description of the disbursement
13. Amount – amount of the check issued whether released or unreleased
C. The RADAI shall be certified by the Disbursing Officer/Cashier on the last sheet of the report
after the totals as follows:
CERTIFICATION
I hereby certify on my official oath that the above is a true statement of all
ADAs issued by me during the period stated above for which ADA Nos.
____________ to ___________ inclusive, were actually issued by me in the
amounts shown thereon.
Name and Signature of the Local
Treasurer
Official Date
Designation
Appendix 37
D. The report shall be prepared in three (3) copies daily or as often as necessary to be distributed
as follows:
Original – COA Auditor, through the Accounting Division/Unit, together with
the original copy of the paid DVs/payroll, copy of the ADA and
supporting documents
Copy 2 – Accounting Division/Unit
Copy 3 – Cash/Treasury Unit