HTML Preview Budget Request Form page number 1.
Detailed Capital Budget Request Form
(To be completed for all individual expenditures/projects > $25,000 in accordance with the Capital Expenditure Policy)
1. Project Details
Project Name:
Life (years):
Completion Date:
Project Originator (Name):
2. Project Description/Justification Include a detailed description of the project and justification. Attach addt'l documentation as necessary.
Date Submitted:
Department:
Desired project timing: Start Date:
Phone:
Location:
3. Project Cost Estimate Attach detailed breakdown of costs. If the project relates to construction/remodeling, please attach a Facilities
Department Cost Estimate.
NO
YES
Included in Fiscal Year Budget:
Amount: $
Total Project Cost: $
Project Cost Estimate:
FY
Amount $
FY
Amount $
FY
Amount $
FY
Amount $
Total $
Timing of Project Costs
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