New Account Request

Please use this form when requesting a new account or when you wish to change the name on a current account.
If requesting authorized signatory changes, please email rkillion@brockport.edu directly.

Date Date / MM / DD YYYY
NEW ACCOUNTS
New Account
Fiscal Year
Account Type
New Account Title:
New Account Authorized Signature(s)
Justification for Establishing Account: (please be specific as to what type of expenditures will be charged to this account)
FOR IFR ACCOUNTS ONLY - Describe the source(s) of revenue for this account. If a fee is charged, indicate who is charged and how much. Certain fees charged to students must receive prior approval from SUNY System Administration.
FOR IFR ACCOUNTS ONLY - Describe the planned expenditures from this account, including how these expenditures relate to the activity in this account. If personal service or regular temporary service is to be expended, list the title, salary, and FTE value for each position.
ACCOUNT CHANGES
Account Change (Name)
Current Account Number
Must be between 6 and 11 characters. Currently Entered: 0 characters.
Current Account Name
Requested Account Name
THE FOLLOWING INFORMATION MUST BE COMPLETED FOR ALL REQUESTS
Submitted By
Department
Email
Phone Phone - ### - ### ####
If you have any questions, please contact Rachael Killion at rkillion@brockport.edu or x2565.

New Account Request

NEW ACCOUNTS

ACCOUNT CHANGES

THE FOLLOWING INFORMATION MUST BE COMPLETED FOR ALL REQUESTS

If you have any questions, please contact Rachael Killion at rkillion@brockport.edu or x2565.