State & Other Local Accounts Budget Transfer

Fields with * are required

*Date: (mm/dd/yyyy)


*Account Name:




*FOP 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 10,000 ONLY)
ITEM NAME CODE INCREASE DECREASE
Retirement 621160
Other Fringe Benefits 611170
Contractual 710000
Travel 720000
Commodities 730000
Equipment 740000
Telecommunications 750000
Operation of Auto 760000
Awards and Grants 770000
Permanent Improvements 790000
Other Expenses  
TOTAL: INC & DEC must equal