Monthly_Report_Verification_Form.xlsx

	A	B	C	D	F	G	H	I	K
1	JEFFERSON COUNTY PUBLIC SCHOOLS
2	SCHOOL ACTIVITY FUNDS
3	MONTHLY REPORT VERIFICATION FORM
4
5	Part I: Required Information To Be Completed
6	MONTH ENDING (MM/DD/YYYY): DD is last day of month (i.e. 28, 30, 31)						LOCATION NUMBER:
7		Outstanding Checks >= 6 mo. to Research					SCHOOL NAME:
8
9		YES INCLUDED		NO	NO INFO
10						Have outstanding checks greater than 6 months been researched, reissued, or voided (do not backdate when voiding checks)? If no, date when they will be resolved by:
11						Close the month in EPES.	Date month closed in EPES:
12	#	PART II: REPORTS TO SUBMIT TO INTERNAL AUDIT
13		YES INCLUDED		NO	NO INFO	SCAN & EMAIL COMPLETED FORMS TO INTERNAL AUDIT BY THE 15th
14	1					Monthly Report Verification Form - signed by Bookkeeper & Principal
15	2					Activity ledger (general ledger financial report) - Signed by Principal & Bookkeeper
16	3					Copy of bank statement(s), including check images, signed and dated by Principal (signature)
17	4					Bank Reconciliation Report - Signed By Principal & Bookkeeper (full signature)
18	5					Copy of deposit ticket with bank stamp verifying outstanding deposit
19	6					Additional information form (accounts receivables & NSF checks)
20	7					Accounts payable report
21	8					Did you have inventory during the month? (e.g. concessions, bookstore, spirit wear, vending, etc.)
22	9					If # 8 is yes, attach a copy of the monthly inventory report
23	10					Copy of most recent credit card statement(s) If available, month included:
24	11					Copy of credit card sign out/sign in log(s) that support the above listed credit card statement(s)
25
26		PART II: REPORTS GENERATED, REVIEWED AND RETAINED AT SCHOOL SITE (check each box)
27			a. List of outstanding checks for month					d. Sequential list of checks for month
28			b. Sequential list of GL transfers for month					e. Sequential list of activity transfers for month
29			c. Sequential list of receipts for month					f. List of journal adjustments for month
30
31		PART III: VERIFICATION
32		YES		NO	N/A	ANSWER QUESTIONS BELOW - KEEP DOCUMENTS ON FILE AT SCHOOL SITE
33	1					Did you open a new credit card account during the month?
34						If yes, name of new credit card:			Date opened:
35	2					Did you close a credit card account during the month?
36	3					If yes, name of closed card:			Date closed:
37	4 a					Did you consistently use credit card sign-in/out logs for each card? Include monthly logs for each credit card and statement, if available, regardless of use.
38	b					Do you keep the credit card in a secured location when not in use?
39	5					Does the school have credit cards that are used for Fund 22/MUNIS and School Activity Fund purchases that have not previously been reported to Internal Audit?
40						If yes, name of credit card(s):
41	6					Did you open a new bank account during the month?
42						If yes, name of new bank:			Date opened:
43	7					Did you close a bank account during the month?
44						If yes, name of closed bank:			Date closed:
45	8					Do you have more than one bank account?
46	9					If yes, date when the 2nd account will be closed:
47	10					Have all donations or small grant funds* been reported to Resource Development? (*Funds for a specific purpose that require reporting to the donor.)
48	11					For all accounts with activity during the month, did sponsors receive a copy of the monthly/annual financial report and an individual activity account ledger copy showing all activity during the month?
49
50		I certify that if a report is not attached, then there was no information available to generate the report. I attest that all information in the attached and reviewed reports (listed Part II) are accurate and complete to the best of my knowledge.
51
52		Principal Signature						Date
53
54		Bookkeeper Signature						Date
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100