Cash Tracker Submission Form
This Must Be Completed At End Of Every Shift
Please Select Location You Are Submitting For:
Richfield
Payson
Salem
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Please Select Your Job Position:
Employee
General Manager
Regional Manager
Owner
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Employee Form
Full Name
*
Please type the date you are submitting for:
*
Example: 02/04/2025
Please Specify Shift:
*
AM SHIFT
MID-DAY SHIFT
PM SHIFT
Employee Form
Please input current amount of $100's in till:
*
Example: If there is one $100 dollar bill, write: "1"
Please input current amount of $50's in till:
*
Example: If there are two $50 dollar bills, write "2"
Employee Form
Please input current amount of $20's in till:
*
Example: If there are three $20 dollar bills, write: "3"
Please input current amount of $10's in till:
*
Example: If there are two $10 dollar bills, write: "2"
Employee Form
Please input current amount of $5's in till:
*
Example: If there are four $5 dollar bills, write "4"
Please input current amount of $1's in till:
*
Example: If there are ten $1 dollar bills, write "10"
Employee Form
Please input current amount of *QUARTERS* in till:
*
Example: If there are twenty quarters, write "20"
Please input current amount of *DIMES* in the till:
*
Example: If there are forty dimes, write "40"
Employee Form
Please input current amount of *NICKELS* in the till:
*
Example: If there are forty nickels, write "40"
Please input current amount of *PENNIES* in the till:
*
Example: If there are fifty pennies, write "50"
Employee Form
Please input TOTAL cash in till:
$
Please add up all $ in the till
Please Sign Your Name Below:
*
Clear
I certify the amount I counted in the till is correct, to the best of my knowledge.