Cashier details
Cashier's name, telephone number, date, location and office symbol.
GSA2094
Imprest Fund Cash Count
- Agency
- GSA
- Revision
- Rev. 2/1986
- Fillable fields
- 47
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2094: Imprest Fund Cash Count
GSA Form 2094, Imprest Fund Cash Count, is a General Services Administration form, Rev. 2/1986. GSA hosts it in its forms library.
The form records a count of an imprest fund held by a cashier. It lists the number and amount of each bill and coin, then uncashed Treasury checks, unvouchered receipts, interim receipts (SF 1165) on hand and reimbursement checks due from Treasury, and compares the total accounted for with the total imprest fund advanced. It also records the security precautions in use and asks whether any interim receipts are more than five working days old.
The person who performs the count signs it, the cashier signs that the cash and documents were counted in their presence and returned, and a section is completed by the Financial Director or designee. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 2094
Bills and coins
Number and amount for one hundred, fifty, twenty, ten, five and one dollar bills, and for fifty, twenty-five, ten, five and one cent coins.
Totals and other items
Total cash on hand, uncashed Treasury checks, unvouchered receipts (subvouchers), interim receipts (SF 1165) on hand, reimbursement checks due from Treasury, total accounted for and total imprest fund advanced.
Security and comments
Boxes for locked cashbox, combination lockbox, key locking cabinet and combination lock cabinet, a question on interim receipts more than five working days old, and comments.
Signatures and director section
Signatures of the person who counted and the cashier, then the reimbursements over the preceding 12 months and the monthly turnover.
How to complete GSA Form 2094
- 1
Fill in the header
Enter the cashier's name, telephone number, location, office symbol and the date of the count.
- 2
Count each denomination
Enter the number and amount for each bill and coin, then the total cash on hand.
- 3
Add the other items
Enter uncashed Treasury checks, unvouchered receipts, interim receipts (SF 1165) on hand and reimbursement checks due from Treasury, then the total accounted for and the total imprest fund advanced.
- 4
Record security and old receipts
Check the security precautions in use and answer whether any interim receipts are more than five working days old, with an explanation.
- 5
Sign the count
The person who performed the count signs with an office symbol, and the cashier signs that the cash and documents were counted in their presence and returned.
- 6
Director's section
The Financial Director or designee enters the reimbursements received in the 12 months preceding the count and the monthly turnover.
Why fill Form GSA2094 on indox
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What the form says
Where it goes
The form prints no filing address, deadline or instructions. Follow the directions of the office that gave you the form.
Turnover
The form says the turnover average should be consistent with Chapter 2, paragraph 31 of the handbook. It does not name the handbook.
Interim receipts
The form lists interim receipts (SF 1165) on hand and asks whether any are more than five working days old.
Related forms
Who completes GSA Form 2094?
The form names these roles. It prints no instructions on who orders the count.
Official sources and the blank
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Questions about Form GSA2094
Who issues GSA Form 2094?
It is a General Services Administration form, Rev. 2/1986. GSA hosts it in its forms library.
Who signs GSA Form 2094?
The person who performs the cash count signs with an office symbol, and the cashier signs that the cash and documents listed were counted in their presence and returned.
What does the Financial Director or designee complete?
The reimbursements the imprest fund received during the 12 months preceding the count, and the monthly turnover. The form says the turnover average should be consistent with Chapter 2, paragraph 31 of the handbook.
What besides cash is counted?
Uncashed Treasury checks, unvouchered receipts (subvouchers), interim receipts (SF 1165) on hand and reimbursement checks due from Treasury.
What security precautions does it list?
Locked cashbox, combination lockbox, key locking cabinet and combination lock cabinet.
Where is GSA Form 2094 sent?
The form prints no filing address or deadline.