UNIVERSITY OF PITTSBURGH \ FORM INSTRUCTION GUIDE



FORM TITLE:         FAIS ACOUNT ADMINISTRATOR APPLICATION
NUMBER:             FORM 0025 PITT 1102
PROCEDURE:          10-02-11


INSERT THE FOLLOWING INFORMATION WHERE INDICATED:

    1.    Requestor's  name (Last, first, middle initial  --limit
          to 39 characters)

    2.    University  Personal Reference (PR) Number (PNNNNNNNNN)
          - located on the reverse side of the University ID card

    3.    Campus  address (Room number and building).   Refer  to
          SPI 9 for building abbreviations

    4.    Campus  telephone  number,  including  area  code  (3),
          telephone  number (7), and extension (4), if applicable
          (AAA-NNN-NNNN-XXXX)

    5.    Electronic  Mail  Address  (EMail),i.e.,  your  VAX/VMS
          Cluster Username

    6.    School or Responsibility Center

    7.    Department name

    8.    CAP  Logname.  This should be an assigned CAP  Logname.
          Leave  blank  if  you  do not have  one.   It  will  be
          assigned to you by CIS.

    9.    Signature of FAIS Account applicant

   10.    Date of application

   11.    FAIS Account Number (N-NNN-NNNN).  Refer to SPI 6

   12.    Printed   name  of  the  department  administrator   or
          principal investigator

   13.    University Personal Reference Number

   14.    Allocation Amount

   15.    Campus telephone number

   16.    Signature  of the department administrator or principal
          investigator

   17.    Date of signature

FOR TRANSFERS TO ANOTHER ACCOUNT COMPLETE THE FOLLOWING SECTION:

   18.    Printed name of the FAIS Account Administrator

   19.    University Personal Reference Number

   20.    Campus telephone number

   21.    FAIS Account Number

   22.    EMail Address

   23.    Signature of the FAIS Account Administrator

   24.    Date of signature

COMPUTER ACCOUNTS SECTION

   25.&26.      Initialed  by person calling Research  Accounting
          and the date

   27.    Approved or rejected

   28.    Agency name: Agency sponsoring grant

   29.    Expiration date: Expiration date of grant number

   30.    Allocation: Line item budget for Computing Services

   31.    Signature of person providing confirmation

   32.    Date of confirmation