ࡱ> uwt` Mbjbjss 0h&&&z b#b#b#b#\#^<hf$t&t&t&t&S'V(m)d0;2;2;2;2;2;2;$=h?V;&,O'S',,V;t&t&;...,8t&&t&0;.,0;..V\6@& 7t&Z$ P@ob# ,@6 <8;0<6x@`,,@ 7@& 7)U*^.*L*)))V;V;.L)))<,,,,^^^b#^^^b#:$^v ACCOUNT NUMBER REQUEST (Do not use this form for sponsored program (4xx) accounts. If you need a sponsored account established, please contact the Office of Sponsored Programs Administration  OSPA.) PURPOSE:  FORMTEXT       PROPOSED TITLE: FORMTEXT      (30 characters maximum) ACCOUNT TYPE: (check one)  FORMCHECKBOX  General University (1XX, 7XX accounts)  FORMCHECKBOX  Discretionary or Residual; Source of Funds  FORMTEXT        FORMCHECKBOX  Agency (funds not owned by ISU); Source of Funds  FORMTEXT        FORMCHECKBOX  Service Center (in-house operation operating on break-even basis); Please complete Page 2 ADMINISTRATIVE INFORMATION: Effective Date:  FORMTEXT       End Date:  FORMTEXT      , OR  FORMCHECKBOX  Continuous Project Accounting System:  FORMCHECKBOX  Yes,  FORMCHECKBOX  No Project Department Code FORMTEXT    (two digit alpha code) Print Monthly Departmental Statement:  FORMCHECKBOX  Yes,  FORMCHECKBOX  No Note: If this account has external sales, the administrative fee will be charged to the same section/project as the revenue generating the fee unless you notify the Financial Accounting & Reporting Office of the need for a different option. Administrative Contact FORMTEXT       FORMTEXT      Printed NamePhone Number ********************************************************************************************* I understand that the account is not to operate in a deficit position and the department or college/administrative unit will be responsible for covering any deficits.  FORMTEXT      DepartmentDepartment Chair/Director SignatureDate FORMTEXT      Admin UnitDean or Vice President SignatureDate Return completed forms to 3607 ASB. Direct questions to Financial Accounting and Reporting Office at 294-6652. ACCOUNT NUMBER REQUEST (Page 2) (Complete this page if Service Center is checked as Account Type on Page 1) ISU service center policy and directions for rate calculation can be found at the "Service Centers" tab of www.ats.iastate.edu/vpbf/far/far.htm. 1. Describe how this service center relates to the mission of ISU.  FORMTEXT       2. Intended customers: (check all that apply)  FORMCHECKBOX  Internal customers billed intramurally. Includes ISU departments and research grants  FORMCHECKBOX  External customers billed through Accounts Receivable and/or cash ,.0bdvx ҷ{wpibiZVh ,jh ,U hh? hh3 hhAhjhP~cUmHnHujhE&UjhE&UhE& hh$!hCJaJhACJaJhphpCJaJhACJaJhP~cCJaJhpCJaJhXhV4$hA5CJ aJ h_u'5CJ aJ hV4$hX5CJ aJ !.  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If this box is checked, complete the next two questions. Are there other providers of this product or service?   FORMCHECKBOX Yes  FORMCHECKBOX NoIf yes, who?  FORMTEXT      Will the product or service be advertised to the public?  FORMCHECKBOX Yes  FORMCHECKBOX No If only  External Customers is checked above, go to question 4. 3. Attach a sheet detailing how the rates were developed. This must include: Projected annual costs to be recovered. Costs may include: Labor salaries, wages, and benefits. If labor includes salaried personnel, the attached sheet must include: list of individuals by name, salary and benefits included for each individual. Annual cost of equipment costing $5,000 or more. Include costs of any service or maintenance contracts. If rates include depreciation, the attached sheet must include: equipment inventory number, original cost of equipment, estimated useful life. Supplies and related costs supplies consumed in the process, telephone, IT monthly costs, office supplies, related travel, expendable equipment (items costing less than $5,000) and other miscellaneous costs The units of measure (per hour, per test) over which the cost is spread, AND projected total units per year. The calculated rate based upon projected annual costs and total units per year. 4. Anticipated annual sales $ FORMTEXT       5. Will there be inventory of supplies for resale with value in excess of $25,000?   FORMCHECKBOX Yes  FORMCHECKBOX No6. Will all internal customers including the host department be charged the same rates? (If no, contact Financial Accounting and Reporting before submitting this New Account Request.)   FORMCHECKBOX  Yes  FORMCHECKBOX  No 7. Will external customers be charged a higher rate? If yes, explain how external rates were determined.  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E@P,q |BBB PP P PP @PPP,@PP>UnknownG: Times New Roman5Symbol3& : Arial5& zaTahoma;Wingdings?5 z Courier New"qh""R&*  * !24d3QHX ?_u'2Request for Account NumberErica J FischerErica J Fischer   Oh+'0 ,8 X d p |Request for Account NumberErica J Fischer reqacct.dotErica J Fischer1Microsoft Office Word@G@ p-@霕o@po*՜.+,D՜.+,\ hp  Iowa State University   Request for Account Number TitleX@(L_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOncekH(Revised Accounting Template kdhoule@mail.adp.iastate.eduHoulette, Kevin D [CONTR]  !"#$%&'()*+,-./012346789:;<=>?@ABDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcefghijkmnopqrsvRoot Entry FPvBoxData 51TableC@WordDocument0hSummaryInformation(dDocumentSummaryInformation8lCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q