Please allow a two-week minimum turnaround time after submitting form.
Submitting department: Route to office indicated in "Purpose of Request" section below.
This form should be used for requesting: a new organization code
(COMPLETE SECTION I), an organization code name
change (COMPLETE SECTION II), an organization
code rollup change (COMPLETE SECTION III) or
reactivating an organization code (COMPLETE SECTION IV). The
University of Memphis Operating Procedure No.
UM1303
provides additional information for completing this form.
SECTION I - REQUEST FOR NEW ORGANIZATION CODE
Proposed Organization Title:
Principal Investigator/Financial Manager:
Username, Banner U#, & Position Number:
Reports To (Rollup Structure)
Chair/Department Org Code and Org Title:
VP/Dean/Director Org Code and Org Title:
Provost/VP Org Code and Org Title:
SECTION II - ORGANIZATION CODE NAME CHANGE
Organization Code:
Org Code Current Title:
Org Code New Title:
SECTION III - ORGANIZATION CODE ROLLUP CHANGE
Org Code and Title:
Reports To (Rollup Structure)
Chair/Department Org Code and Org Title:
VP/Dean/Director Org Code and Org Title:
Provost/VP Org Code and Org Title:
SECTION IV - REACTIVATE ORGANIZATION
Organization Code:
Org Code Title:
Principal Investigator/Financial Manager
Username, Banner U#, & Position Number:
REQUESTOR INFORMATION
Name of Requestor:
Title of Requestor:
Signature of Submitter __________________________________ Date___________
FINANCIAL MANAGER
As an employee of The University of Memphis, I am aware that the data and materials to which I may have access are to be treated in a professional and confidential manner. I agree herein, as a consideration of my employment, that I will not disclose or cause to be disclosed any such confidential information gained in the course of my employment at any time. I am aware that any breach of the confidentiality of this material or any abuse of my position, including but not limited to alteration of records, destruction of records or other similar acts, may result in disciplinary action or constitute a basis for termination of employment. I understand that it is my responsibility to attend instructor-led and/or online training.
If Research Grant,
route to Research Support (315 Admin Bldg).
___________________________________________
Research Support Approval & Date
OR If Professorship,
route to Provost's Office (360 Admin Bldg).
___________________________________________
Provost Approval & Date
OR If Startup Funds,
route to Dean of College.
___________________________________________
Dean of College Approval & Date
OR If New Department,
route to Financial Planning (151 Admin Bldg).
___________________________________________
Financial Planning Approval & Date
ATTENTION APPROVING OFFICE
If this change relates to a new institute, center, or bureau, has the Provost Office been notified?
If "Yes," then attach approval/notification to this request.
If "No," then obtain Provost Office approval before submitting this form.
Upon approval, please email scanned form to bfsas@memphis.edu for processing
The University of Memphis is an Equal Opportunity/Affirmative Action University.