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FH-CL-007 • VERSION 1.0
Client Funds, Purchases & Errand Authorization
Approved errands, payment methods, limits and financial safeguards.
Digital workflow:
Complete required fields, review carefully, then submit. A submitted record is timestamped and preserved for office review.
1. Record identification
Client name *
Date *
Completed by *
2. Authorized errands & payment
Authorized errands
Groceries
Household items
Pharmacy
Personal care products
Meals
Post office
Dry cleaning
Pet supplies
Approved check drop-off / pickup
Payment methods
Cash
Debit / credit card
Prepaid card
Gift card
Prepaid order
Client-prepared limited-use check
Card last 4 digits / spending limit
Maximum cash amount
Limited check payee, purpose and maximum
3. Rules & acknowledgment
Purchase limits / substitution approval
Required safeguards *
Receipt and FH-OP-001 required
Prepared pharmacy items only
No ATM or banking
No borrowing, gifts or personal purchases
Immediate report of missing funds
Return / refund instructions
4. Certification / acknowledgment
Electronic signature / typed name *
Signature date *
Notes
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