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Accountability Report for Forms

This document is a report template for accountability of forms for a specific month and year. It includes sections for detailing the beginning balance, receipts, issues, and ending balance of accountable forms, both with and without face value. The document concludes with a certification statement to be signed by the accountable officer confirming the accuracy of the information provided.

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skbgumalang
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14 views2 pages

Accountability Report for Forms

This document is a report template for accountability of forms for a specific month and year. It includes sections for detailing the beginning balance, receipts, issues, and ending balance of accountable forms, both with and without face value. The document concludes with a certification statement to be signed by the accountable officer confirming the accuracy of the information provided.

Uploaded by

skbgumalang
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

Appendix 67

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS


For the month of ______________________________, 20___

Entity Name : _______________________________________________ Fund Cluster : ______________________

Accountable Forms Beginning Balance Receipt Issue Ending Balance


Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
Name of Form Number Face Value Quantity Quantity Quantity Quantity
From To From To From To From To
A. WITH FACE VALUE
165

B. WITHOUT FACE VALUE

CERTIFICATION

I hereby certify that the foregoing is a true statement of all accountable forms received,
issued and transferred by me during the period above-stated and that the beginning and ending balances are correct.

_________________________________________________
Signature over Printed Name of the Accountable Officer

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