Form Header
Include form name, version, and internal reference so reviewers can confirm they are using the current template and link it to change-control records.
A clear Finance Not Blottered Form creates a documented chain of custody for dispute resolution, reduces downstream reconciliation work, and supports internal controls and external audits. Proper completion helps prevent erroneous reporting and demonstrates due diligence to regulators and counterparties.
Finance, treasury, reconciliation, and compliance teams usually prepare the form; managers or auditors typically review and sign.
The signer list should reflect who has authority to certify the review and retain accountability for the outcome.
A Finance Manager signs when they have reviewed reconciliation evidence and confirm no action is required. Include job title and departmental code to link the signature to authority records and access controls.
A Compliance Officer signs if the matter has potential regulatory implications. Their signature indicates review of anti-fraud checks and that the case meets internal policy for a 'not blottered' disposition.
| Field | Configuration |
|---|---|
| Required Fields | Account Number, Date, Reviewer, Decision Rationale |
| Routing | Preparer -> Reviewer -> Approver -> Records |
| Authentication | Email verification or two-factor for high-risk cases |
| Retention Tagging | Apply document type and retention period metadata |
Use an eSignature platform that supports required authentication, audit trails, and exportable records for audits.
Ensure the chosen provider can produce a tamper-evident signed PDF with an audit trail and supports legal frameworks such as ESIGN and UETA for enforceability.
Include form name, version, and internal reference so reviewers can confirm they are using the current template and link it to change-control records.
Capture a unique form ID or case number to support automated retrieval and to cross-reference related transaction files in reconciliation systems.
Record account number, transaction ID, date, currency, and amount to ensure precise matching with ledger entries and downstream reporting.
Provide a concise, factual rationale describing why the item is not blottered and reference supporting exhibits or system logs used during the review.
List approver name, title, signature area, and date; include secondary approver where policy requires dual sign-off for higher-dollar items.
Include preparer identity, timestamps, version history, and a unique audit-trail record to satisfy internal control and external audit requests.
Complete initial review within 3 business days where feasible.
Obtain final approver signature within 5 business days after review completion.
Archive executed form to the records system within 10 business days.
Ensure records are retrievable within 2 business days for audit requests.
Escalate unresolved disputes to Compliance within 7–14 days.
Preparer opens case and collects evidence.
Reviewer evaluates records and recommends disposition.
Approver signs and confirms non-action status.
Records are stored with metadata and audit trail.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A teller dispute is escalated and reviewed by reconciliation staff who find no error in the ledger
An AP invoice flagged for duplicate payment undergoes a supplier verification check