Organization Code Request

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 Type:

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.

Financial Manager's Signature __________________________________ Date___________

PURPOSE OF REQUEST / REQUIRED APPROVAL

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? Yes No 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.