Northern Arizona University

PS Financials

Request to Add / Authorize New Department ID

Instructions:

·  Fill out form completely, print, sign and forward to your JFR for signature.

·  Do not use this form for requesting new Sponsored Projects accounts.(Contact Grant and Contracts)

Department prefix (First 3 digits):

Proposed Department ID Name (30 character limit):

What is the Fund Type of Department ID? ( check ONE box)

State / Designated
Other / Auxiliary

Other Information:

What is the Purpose of this Department ID?

What is the Program of the Department ID? (check ONE box)

Instruction / Institutional Support
Research / Scholarships & Fellowships
Public Service / Operation and Maint – Plant
Academic Support / Auxiliary
Student Services / Agency

Other Information:

Provide an Estimated budget for this Department ID

Revenue Type / Revenue / Expense Type / Expense
Tuition / Fees / Salaries / ERE
Interest Income / Operations
Sales / Services / Other
Transfers IN / Transfers OUT

Date of Request:

Effective Starting Fiscal Year:

Department Manager Name:

Department Manager EMPL ID:

Department Manager User ID

Email and Phone:

Department Manager Signature: Date:

As the New Department Manager, I understand that I will be responsible to approve requisition documents up to $10,000 for the department id named above.

Department Manager: Forward this form to your department’s Jurisdictional Financial Representative (JFR).

JFR Name:

JFR Signature: Date:

JFR: Forward this form to the Budget Office for review and entry.

Budget Office Use Only

Is the Department ID eligible for Administrative Overhead Assessment Fee?

Cabinet: Branch: Department ID: Program category:

Suggested Revenue Accounts:

Date submitted to Comptroller: Budget Office (initials):

(Fill out a COA Template for this request. Submit this request and a copy of the Template to Comptroller.)

(File a copy of this form with a copy of the completed Template in the COA request folder for this year [electronic and paper]).

(Email JFR when Department ID added to PS Financials.)

Date completed in PS Financials: Budget Office (initials):

NAU Budget Office 10/28/2014