Organization Code Request

Please allow a two-week minimum turnaround time after submitting form.
Submitting department: Route to office indicated in "Purpose of Request" section below.

This form should be used for requesting: a new organization code (COMPLETE SECTION I), an organization code name change (COMPLETE SECTION II), or an organization code rollup change (COMPLETE SECTION III). The University of Memphis Operating Procedure No. UM1303 provides additional information for completing this form.

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:

REQUESTOR INFORMATION

Name of Requestor: Title of Requestor:

Signature of Submitter __________________________________ 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 (273 Admin Bldg).	___________________________________________ Financial Planning Approval & Date

ATTENTION APPROVING OFFICE:
If this change relates to a new institute, center, or bureau, has TBR been notified? Yes No If "Yes," then attach approval/notification to this request. If "No," then refer to TBR Guideline A-040 before submitting this form. Upon approval, please forward this form to Business & Finance Support Services (151 Admin Bldg) for processing.

The University of Memphis, one of the Tennessee Board of Regents institutions, is an Equal Opportunity/Affirmative Action University.