State & Other Local Accounts Budget Transfer

Fields with * are required

*Date: (mm/dd/yyyy)


*Account Name:




*Account No.


*Requested By (must be fiscal agent/alternate)




*Phone Ext.


*Email Address (must be fiscal agent/alternate)

*Reason for Transfer:


           (Enter Dollars Only. Do Not Enter Cents. Each Value Should Between 1 to 1000 ONLY)
ITEM NAME CODE INCREASE DECREASE
Retirement 1160
Other Fringe Benefits 1170
Contractual 1200
Travel 1290
Commodities 1300
Equipment 1500
Telecommunications 1700
Operation of Auto 1800
Awards and Grants 4400
Permanent Improvements 6600
Other Exp/Fund Reductions 9000
TOTAL: INC & DEC must equal