FORM: A-221 SALES AND SERVICE ACTIVITY QUESTIONNAIRE

PURPOSE:

Use this form to provide information as to the nature of the Sales and Service income in order to document proper use of the account. The form must be completed before beginning any new Sales and Service activity.

PROCEDURES:

1. Complete the Fund, Area, Orgn section with the appropriate information. Requests for new funds will leave these three fields empty until approval of the fund and assignment of the fund number from the Associate Controller=s Office.

2. Complete the College, Department, Contact Person, Phone Number, date the form is submitted, and enter the current fiscal year.

3. Provide a detailed description of the product or service that will be provided to outside vendors. Full descriptions will be required.

4. Provide a detailed list of all revenues anticipated for the fiscal year. List each vendor separately by type of service provided. A copy of each Contract/Agreement used for each vendor must be provided.

5. If the revenue is being received from a foreign source (see Guidelines for Accounting for Outside Revenue in Policy section), please indicate this on the form.

6. Provide the expense budget information. Include all anticipated expenses for the fiscal year.

7. Send completed questionnaire to Financial Service's Office, mail location #0637.

PLEASE NOTE: FORM A-221 IS TO BE COPIED AS NEEDED. THIS FORM IS NOT AVAILABLE FROM CENTRAL STORES.

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