Request for new grant account and budget
Federal, State, and Private Grants
Business Services completes shaded areas of form.
This form available online in pdf at: mnsu.edu/busoff/forms
Help Sheets
Read Me
Recommended Account/Cost Center Name:
Responsible Person/Contact:
Tech ID:
Intracampus Mail Code:
Person Allowed to Sign Off on Account/Cost Center:
Tech ID:
Person Allowed to Sign Off on Account/Cost Center:
Tech ID:
Person Allowed to Sign Off on Account/Cost Center:
Tech ID:
Person Allowed to Sign Off on Account/Cost Center:
Tech ID:
(check one)
Research
Institutional/Academic Support
Grant Purpose
Public Service
Professional Development
Instruction
Equipment
(brief description)
Funding Source
Grant Award Amount $
Object Codes
Original
Current
Object
Type of Expenditure
Budget
Budget
FY
Cost Center
Code
(see attached help sheet)
Amount
( ) Check
( ) Check
(4 digits)
(6 digits)
(4 digits)
Read Me
for additional budget lines - utilize page 2
To Form - Page 2
Subtotal
(Page 1 & Page 2 Totals) Grand Total
As the person requesting this account, I am ultimately responsible to review this cost center's monthly reports to ensure expenses posted to
this cost center are accurate and allowable. It is my responsibility to request corrections in a timely fashion.
I further understand that if funding on this grant/contract is not received, if I commit expenditures to this cost center that exceed the grant
award, or if I incur expenses outside the grant/contract award period, project expenses will be charged to a regular operating cost center,
which is:
Cost Center No. for Guarantor (6-Digits)
Cost Center Name
(Required)
(Required)
Print Form
Signatures Required:
Clear Page
Tech ID:
Date
Person Requesting Account
Clear All Pages
Tech ID:
Date
Chair/Dean (responsible for overage Cost Center number)
Tech ID:
Date
VP/Dean/Director
Cost Center(s) assigned by Grants & Contracts Accounting:
Business Services Signature
Cost Center(s)
Date
A member of the Minnesota State Colleges and Universities System. Minnesota State University, Mankato is an Affirmative Action/Equal Opportunity University.
This document is available in alternative format to individuals with disabilities by Business Services at 507-389-5069 (V), 800-627-3529 or 711 (MRS/TTY)
September 2009