Financial Account, Program, Activity or Location Request
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and submit completed form to the Controller's Office.
College/School: _______________________________________ Department/Office: _______________________ Phone: _____ Requested Chart Element: (please check)
__ Account (required field for all entries)
__ Program (required field for operating ledger entries)
__ Activity (optional field for entries)
__ Location (optional field, except required for fixed assets)Suggested description for new element checked above: __________________________________________________
Purpose of new element (attach documentation if appropriate):
____________________________________________________________
____________________________________________________________
Approvals:
| ____________________________________________ | _________ |
| Requestor | Date |
| ____________________________________________ | _________ |
| Business/Fiscal Officer | Date |
Controller
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