REQUEST FOR REALLOCATION FORM
(with Cost-Share indicator)

Person Requesting Reallocation:  
Email:   Extension:   Date:  
This form is to be used only for the purpose of re-allocating salary from one account to another account.

Employee Information: (complete all the information for the employee whose salary is to be reallocated)

Name: Title:
SS#: Department:
 
Period of salary re-allocation:   
Beginning Date:     End Date:  

Re-allocate:
TO:   FROM:
Position Ctrl# Account Number   Account Number Amount Cost Share?
 
 
 
 
 
Comments: (Call the Payroll Office at x.73424 with any questions)

Approvals:
Dept: ________________________________ Payroll: _______________________
(must have signature authority for “To” account)  
Budget/Project Accounting _________________ Acctg: ________________________

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