A petty cash receipt on VA Form 10-5018 is the Veterans Canteen Service record of a cash payment, published by the U.S. Department of Veterans Affairs - Veterans Health Administration. The form names who is paid, describes the payment, shows the amount and carries a printed statement acknowledging receipt of the cash. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original PDF is published by VA at va.gov.
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What is 10-5018?
Form 10-5018, Petty Cash Receipt, is a Department of Veterans Affairs form, headed Veterans Canteen Service, that records a payment of cash from petty cash: it names the payee, describes the payment, states the amount and carries an acknowledgment that the cash was received.
The form is issued under the U.S. Department of Veterans Affairs - Veterans Health Administration and is printed as VA FORM 10-5018, edition SEP 2007. It is a single receipt with these blocks:
- DATE and PAY TO, which identify when the payment was made and who received it.
- DESCRIPTION and AMOUNT, which say what the cash was for and how much was paid.
- The statement RECEIPT OF CASH IN ABOVE AMOUNT IS HEREBY ACKNOWLEDGED.
- DEPT. OR ACTIVITY and ACCOUNT NO., which tie the payment to a department or activity and an account.
- CROSS REFERENCE boxes for C. B. NO, P. O. NO and P. R. NO.
- APPROVED CANTEEN STAMP and ENTERED ON PETTY CASH SUMMARY, the two blocks reserved for canteen handling.
The form is a receipt only. It prints no instructions, deadlines or filing address.
Who needs to file 10-5018?
The form is headed Veterans Canteen Service, so it belongs with the canteen staff who pay out and record petty cash. A person or business receiving cash is identified in the PAY TO block, and the DEPT. OR ACTIVITY and ACCOUNT NO. blocks tie the payment to the part of the canteen operation that bears it. The printed acknowledgment, RECEIPT OF CASH IN ABOVE AMOUNT IS HEREBY ACKNOWLEDGED, is the statement the payee stands behind. The form prints no eligibility rules, exclusions or instructions about who may complete or sign it for someone else, so follow the procedures of your canteen or VA facility for those questions.
How to fill out 10-5018
Enter the date
Write the date of the payment in the DATE block at the top right of the receipt.
Name the payee
In the PAY TO block, enter the name of the person or business that receives the cash.
Describe the payment
In the DESCRIPTION column, state briefly what the cash payment is for.
Enter the amount
Write the cash amount in the AMOUNT column next to the description.
Review the acknowledgment
Read the printed statement RECEIPT OF CASH IN ABOVE AMOUNT IS HEREBY ACKNOWLEDGED; it confirms the cash in the amount above was received.
Enter department and account
Fill in DEPT. OR ACTIVITY and ACCOUNT NO. so the payment is tied to the right department or activity and account.
Add cross reference numbers
Under CROSS REFERENCE, enter the C. B. NO, P. O. NO and P. R. NO that relate to the payment, where they apply.
Leave canteen blocks for handling
The APPROVED CANTEEN STAMP and ENTERED ON PETTY CASH SUMMARY blocks are for the canteen to complete.
Review and download the PDF
Check the date, payee, description and amount, then download or print the completed PDF from FillingPDF and handle it as your canteen requires.
Common mistakes to avoid
- Entering the amount in the DESCRIPTION area and leaving the AMOUNT column empty, so the receipt shows no figure.
- Leaving the DATE or PAY TO block blank, so the receipt does not show when the cash was paid or who received it.
- Omitting the DEPT. OR ACTIVITY and ACCOUNT NO. entries, which tie the payment to a department and account.
- Skipping the CROSS REFERENCE boxes (C. B. NO, P. O. NO, P. R. NO) when a matching number exists for the payment.
- Filling in the APPROVED CANTEEN STAMP and ENTERED ON PETTY CASH SUMMARY blocks as if they were part of the payee's entries; they are reserved for canteen handling.
Frequently asked questions
What is VA Form 10-5018?
VA Form 10-5018, Petty Cash Receipt, is a Veterans Canteen Service receipt issued under the Veterans Health Administration. It records who was paid, what the cash was for, the amount, and carries a printed acknowledgment that the cash was received.
Can I fill out a petty cash receipt online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service, is not connected to VA and does not file or deliver the receipt; your canteen handles it under its own procedures.
What does the acknowledgment on the petty cash receipt mean?
The form prints the statement RECEIPT OF CASH IN ABOVE AMOUNT IS HEREBY ACKNOWLEDGED. It confirms that the cash shown in the AMOUNT column was received by the person named in the PAY TO block.
What are the cross reference boxes on Form 10-5018?
The CROSS REFERENCE area has three boxes: C. B. NO, P. O. NO and P. R. NO. The form prints no explanation of them, so enter the matching numbers from your canteen records where they apply.
What do the canteen stamp and petty cash summary blocks do?
The form includes an APPROVED CANTEEN STAMP block and an ENTERED ON PETTY CASH SUMMARY block. They are set aside for the canteen's own handling of the receipt, not for the payee's entries.
What revision of the Petty Cash Receipt is this?
The form is printed as VA FORM 10-5018, edition SEP 2007. VA publishes the PDF at https://www.va.gov/vaforms/medical/pdf/10-5018.pdf, the address to check for any newer edition.
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