Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Sign UpLogin With Facebook
Sign UpLogin With Google

Cash Advance Request Form Template

Easily Manage Salary Advances with Our Template

Struggling to keep track of employee cash advance requests? This cash advance request form template is designed to help HR departments and managers efficiently handle salary advances to employees. With it, you can simplify the request process, maintain clear records, and ensure prompt approvals, all while keeping your workflow organized and compliant with internal policies. Use this template to boost productivity, enhance employee satisfaction, and minimize administrative overhead-try it out for yourself.

Full name
Employee ID
Department
Work email
Mobile phone
Employment status
Full-time
Part-time
Temporary/Contract
Intern
Seasonal
Other
Please Specify:
Hire date
Next payday date
Pay schedule
Weekly
Bi-weekly
Semi-monthly
Monthly
Other
Please Specify:
Requested advance amount (enter currency and amount)
Primary reason for this request
Medical expense
Family emergency
Rent or mortgage
Utilities
Transportation or car repair
Education fees
Prefer not to say
Other
Please Specify:
Brief explanation (optional)
Have you received a cash advance in the last 12 months?
Yes
No
If applicable, current outstanding advance balance
Do you have any existing wage garnishments or deductions that may affect net pay?
Yes
No
Preferred repayment method
Deduct full amount from next paycheck
Split equally over 2 pay periods
Split equally over 3 pay periods
Split equally over 4 pay periods
Not sure; please advise
Other
Please Specify:
I authorize the employer to deduct the approved advance and any applicable fees from my wages as outlined
Yes
No
Type your full legal name as signature
Signature date
I confirm the information provided is true and complete to the best of my knowledge
True
False
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Employee ID, Department","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a cash advance request form for FormCreatorAI article

When to use this form

Use this template when you need company funds before an expense occurs. Common cases include a short-term salary advance to cover an urgent bill, a project cash float for vendor deposits, or per diem before a trip. It helps managers and Finance set clear expectations and track repayment. For travel-related needs, pair your request with the Employee travel authorization form, or use the Travel advance request form when the advance is strictly for travel. The result is a complete request that captures amount, purpose, dates, approvals, and repayment plan, so you can approve sooner and keep an audit-ready record.

Must Ask Cash Advance Request Questions

  1. What amount are you requesting, and what will you use it for?

    Stating a precise amount and business purpose lets Finance confirm policy fit and budget availability. Specific line items prevent overfunding and reduce back-and-forth.

  2. When do you need the funds, and what date range will they cover?

    Clear timing ensures cash is issued just in time and reconciled on schedule. Coverage dates help calculate per diem or deposit needs and set return deadlines.

  3. How will you repay the advance (schedule, source, and deductions)?

    Defining payroll deduction, expense offset, or cash return avoids disputes later. It also supports compliance and shows you understand the obligation.

  4. Who approves this request (manager and department) and what is the budget code?

    Named approvers and a charge code tie the request to an accountable owner and funding source. This speeds routing and helps Finance post transactions correctly.

  5. What supporting documents are attached (quotes, invoices, itinerary)?

    Evidence confirms the amount and purpose, reducing risk and exceptions. It shortens review time because approvers can verify details in one pass.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel