Texas A&M University - Corpus Christi
New Account Request
To : Accounting Services
From :
Date :
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* Account Title:
* Account Purpose:
* Responsible Person: *
UIN:
* Department Sub
Department:
* Fund Source: Other: Use
of funds:
Salary Savings: (entered
on screen 008/052) A/R
Clerk:
Salary Savings Distribution: Faculty
Salary savings Distribution:
Any restriction on funds?
__________________________________________________________________________________________________________________
* At termination of the account, what provisions for deficits or refunds of
the balance are to be made?
__________________________________________________________________________________________________________________
* What is the provision for retaining title to equipment purchased with
these funds?
__________________________________________________________________________________________________________________
* GEB:
Yes
No
Support Account: Yes No
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Prepared By: (print name): |
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Signature: |
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Phone number: |
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Fax Number (required for confirmation): |
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Account Number Assigned: |
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Accountant Assigned (screen 008): |
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