College/School: _______________________________________
Department/Office: _______________________ Phone: _____
Requested Element:  (please check) __FUND        __Unrestricted 1xxxxx        __Auxiliary 4xxxxx        __Restricted 6xxxxx        __Loan 7xxxxx       __ Plant 8xxxxx       __Agency 9xxxxx Please contact RSP or Foundation directly regarding sponsored program or gift funds. Submit all other fund requests to the Controller's Office.	__ORG Please submit all organization requests to Budget Planning & Resource Analysis.
Suggested description for new Fund or Org checked above: __________________________________________________
Predecessor fund or org: ____________________________
Source of funding for data-enterable elements: __________________________________________________
Suggested defaults for data-enterable elements:    for new Fund: Org _ _ _ _ _ _ _  and  Program _ _ _ _ _   or    for new Org: Fund _ _ _ _ _ _ _  and  Program _ _ _ _ _

Purpose of New Fund or Org (attach documentation if appropriate):

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Approvals: