Account Request Form

Request to Open a Project'sFinancing, Accounting and Budgetary StructureFinancial ManagerDepartmentFINANCING STRUCTUREFUNDED BY:ORFINANCED BY:Cash/Cheque (Enclosed)Who is supplying the funds?Internal Account:When are they supplying the funds?Are there conditions linked topayments?Is invoicing required?YesYesNoExplain Conditions(Financial/Progress Reports)Explain Conditions(Semi annual/ cost incurred)Collateral account number that will be accountable for any deficits incurred by the projectNoOwnership of AssetsWill Concordia own the capital assets purchased through this project/operation? Yes NoWill Concordia be given in-kind contributions of capital assets through this project/operation?YesNoIf yes, please specifyWho will own any unspent balances at closure of project/ operation?ConcordiaRemitted back to supplier of fundsACCOUNTING STRUCTUREWhat is the title of the Project?What is the purpose of theproject/operation?Who are the players involvedin the project/operation?(ie: partners, collabators etc.)Where is the project taking place?(Concordia or another city)start and end dates for the project? Start Date End DateFor externally funded project.operation; is legal signed agreement enclosed?If no, when will it be signed?YesNoIs a Financial report required for the project/operation? Yes NoIf yes, when is the report due?

Request to Open a Project's Financing, Accounting and Budgetary Structure (Page 2)Budgetary StructureAre there any restrictions assigned to the spending of the funds? Yes NoIf yes, what are therestrictions?Is a budget of project/operation enclosed?YesNoIf no, when will the budgetbe provided?Authorization StructurePrincipal InvestigatorSpending LimitAlternate Signing AuthoritySpending LimitAlternate Signing AuthoritySpending LimitAlternate Signing AuthoritySpending LimitAuthorizationSpending Limit