Stephen F. Austin State University

Request to Establish a New Departmental Account (Fund - Org - Program) for Non-Grant Accounts

Account Name:
General Purpose:

Position to be Responsible:
Name of Present Incumbent:
Department Responsible:
Source of Funding:
If Restricted Funds, Name of Grantor/Donor:
(Attach letter, contract, budget and/or other instructions.)

Disposition of Fund Balance if Orignal Purpose is Completed:

Requested by:
Recommended by:
Phone # of Requestor:

*Please fill in proposed budget below.*
*New accounts will not be set up without a proposed budget included. These requests will be forwarded to the Controller's Office for approval. Once your account has been set up and budget approved, you will be notified of the new account number.*