Budget Office Approval by WqO2CZ6

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									               Installment Creation or Modification Request Form - SA, SE, SG, SR, SS, FI, LA, LC, LG, LO, LS, DI, and EI only*

Instructions for Preparation:
1) Complete all shaded areas as appropriate. You may add lines as needed.
2) SG, LG, and LC requests should have offsetting increases and decreases
3) Prior to submission of this request, the following MUST be completed:
     a) Decrease the Award Budget to be reduced; Submit and Baseline Award Budget
     b) Decrease the Project Funding
4) Submit this form via e-mail to    budget-icom@virginia.edu

Required for all OGM Installment Creations or Modifications:
                                                                                                                                                       Neg.
     Description                                                                            Award #    FTE Change     $ of Change    +/-    P/T/C      Y/N
 1
 2
 3
 4
 5
 6



Required for all OGL Revenue or Transfer Budget Amendments:

     Description                                             Entity        Project #     Fund Source     Object            Org      $ of Change        +/-
 1
 2
 3
 4
 5
 6


Required for all chair research award modifications, (LC or EI):

                                                            Est. Date                                  Appointed
                           Chair Title                      (If New)            Chair Holder             Date        Vacancy Date          Project #
 1
 2
 3
 4
 5
 6


All Submissions:

     Explanation of Action (This form will be paper-clipped to the installment line on the award management screen):




     Effective Date:                                                    (DD-MMM-YY)

     Originator Name & Email ID:                                              Org:                                        Date:

     Approver Name & Email ID:                                                Org:                                        Date:

     Budget Office Approval:                                                ICOM #:                                       Date:


     * SA - State Auxiliary              SE - State ETF                 SG - State General                SR - State Restricted
       SS - State Sales & Service        FI - F&A Costs                 LA - Local Auxiliary              LC - Local Chair
       LG - Local General                LO - Local Other               LS - Local Sales & Service        DI - Gift
       EI - Endowment Income


            Revised December 9, 2008                                                                                                          University Budget Office
Template Type:                                Budget Journal
Template Style:                               Single Journal Entry
Set of Books:                                 University of Virginia
Database:                                     Production
Organization:                                 UVA Budget Organization
Category                                                                   List - Text:   UVA Budget
Source                                                                     List - Text:   UVA Spreadsheet
Currency                                                                   List - Text:   USD
Budget                                                                     List - Text:   BUDGET 02-03
Batch Name                                                                       Text:    MB-#####_DDMMYY ICOM #
Journal Name                                                                     Text:    MB-#####_DDMMYY ICOM # (then add text)

Upl Period Entity Project Fund Source Object Code Organization Future                        Debit       Credit       Description   Messages
     List - Text                             List - Text                                      Value       Value          Text
      Jul-02                                                                                                      0




Totals:                                                                                            0              0
Note: This is not the end of the Journal Template. Unprotect the sheet and insert as many rows as needed.




                                                                                                                                               76f50d7a-b69f-4b2a-8fee-c6b69a61eb9d.xls, ADI

								
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