After submitting this form, a copy will be sent to your supervisor for overview. You will receive a copy in your email.
(
*
= Required Field)
Section I: Cardholder Information
First Name
*
Last Name
*
Phone Number
*
Fax Number
Global ID
*
@cmich.edu
Section 2: Accounting Information
Current Cost Center/WBS/Grant:
*
Current GL:
*
New Cost Center/WBS/Grant :
*
New GL:
*
*If using a Grant/WBS Element:
Date Grant Expires:
**The backup cost center will be used if there are problems with the grant account or there are charges after the grant has expired.
Backup Cost Center:
Date accounting changes are effective:
*
(please do not back date)
Section 3: Supervisor Information.
Supervisor's First Name
*
Supervisor's Last Name
*
Supervisor's Global ID
*
@cmich.edu
Date:
4/19/2024