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RECEIPT FOR FUNDS DISBURSED TO STUDY PARTICIPANT (Confidentiality Assured) Date of Disbursement: I certify that I have completed an interview for case # and that $ has been disbursed to that person
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How to fill out receipt for funds disbursed

01
Gather all necessary information for the receipt, such as the date, purpose of disbursement, amount disbursed, and the name of the recipient.
02
Start by writing the date of disbursement at the top of the receipt.
03
Give a clear and concise description of the purpose for which the funds were disbursed.
04
Indicate the amount of money disbursed in both numerical and written forms.
05
Include the name of the recipient or organization receiving the funds.
06
Add any additional information or details that may be relevant.
07
Make sure to sign the receipt and have it signed by the recipient as well.
08
Keep a copy of the completed receipt for your records.

Who needs receipt for funds disbursed?

01
Individuals or businesses who have disbursed funds to someone and want to maintain a record of the transaction.
02
Organizations that need to track financial transactions and document disbursements.
03
Financial institutions that require receipts for disbursed funds as part of their recordkeeping processes.
04
Government agencies or auditors who may request receipts to verify expenses or disbursements.
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A receipt for funds disbursed is a document that acknowledges the receipt of money or payment for a specific purpose.
Any individual or organization that receives funds for a specific purpose is required to file a receipt for funds disbursed.
To fill out a receipt for funds disbursed, include the date of disbursement, amount received, purpose of the funds, and the signatures of both the recipient and the payer.
The purpose of a receipt for funds disbursed is to provide a record of the money received and ensure transparency in financial transactions.
The information that must be reported on a receipt for funds disbursed includes the amount received, date of disbursement, purpose of the funds, and signatures of both parties.
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DISBURSED Disbursement Interviewer certify PARTICIPANT Confidentiality

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