Texas a & M University-Kingsville s1

TEXAS A & M UNIVERSITY-KINGSVILLE Ref #______FISCAL REQUEST

 Please supply the following information and attach any additional documentation (memos): Date: ______

Account Name: ______Acct No.: ______

Responsible Person: ______MSC: ______Ext: ______

Type of Request: Budget Increase [ ] Amount: ______

Original Allocation [ ] Amount: ______

DESCRIPTIONS/EXPLANATIONS

A. Funds to be used for: (wages {not budgeted pins}, new equipment, etc.):

B. Justification for need:

C. Source of additional funds:

D. Type of Fund Commitment: Does this request represent a one-time need for funding or a continuing commitment of funds?

One-time [ ]

Continuing [ ]

Submitted Approval By: ______Recommended: ______Head of Department Vice President or Provost (Required) (Required if applicable) Approval Recommended: ______Assoc. VP & Comptroller, or Director of Budget (Required) Approval Recommended: ______Approved: ______Sr. VP for Fiscal and Student Affairs President (Required) (Required if applicable)

Additional Comments: ______

Updated 10.7.2014 Page 1