Business and Finance Division
Designated Fund Request & Change Form
Revised Date 08/22/2011
Please contact Accounting at 734-487-1321 for questions.
Email form to busfin_generalaccounting@emich.edu or send to 212 Hover Bldg.
Request Type (select one):
New
Change
Reactivate
Fund Classification (select one, contact Accounting if none fit your purpose):
Select
One
Classification Who Can Request
Predecessor
Code
Camp Beg
in Date
End Date
Anyone 3CAMP
Conference/Works
hop Begin Date
End Date
Anyone 3CFR
Fundrais
er (non-gifts & non-Foundation money)
Begin Date End Date
Anyone 3FUNDR
Extended Pr
ograms Revenue Sharing Director of Budget only 3CEREV
Indirect Cost (IDC)
Effective Date _____________
Grant Accountants only 3IC
Please provide the following information (for change requests, include fund name and info to be changed)
Fund Name: (no more than 35 characters)
Purpose of Fund:
Organization Number: Fund Number: (change or re-activation)
Revenue Source (provide fund & org
for funds transfer):
Expenditure Type(s):
Funds Transfer Approval: Name: Signature:
Fund will not be opened until an approval for funds transfer or a deposit to be made is received by Accounting. This form
may serve as approval for funds transfer providing (1) the Fund and Org are provided and (2) an authorized signer for
the Fund/Org has approved the transfer.
Financial Manager & Signer: Name: EID:
Additional Signer: Name: EID:
Additional Signer: Name: EID:
Additional Signer: Name: EID:
Contact: Name: Phone:
Approval (Dean or Dept Director) Name: Signature:
THIS BOX FOR ACCOUNTING USE ONLY
Received by: Approved by: Completed by:
Received Date: Approved Date: Completed Date:
Fund / Organization / Program Number: Deposit Completed:
Comments: