RETURN TO CSUN HOMEPAGE

Financial Services

Finance & Trust Accounting
TEL NO: (818) 677-2073
FAX NO: (818) 677-3845
MAIL DROP: 8337
State Trust Account Application
PLEASE SEND THE COMPLETED FORM TO THE
F & AS RESOURCE MANAGEMENT DEPARTMENT, Mail Drop 8337
FUND: DEPT ID:
PROJECT/GRANT:
DATE NEEDED:
PREPARED BY:
DEPT:
EXT / FAX:
MAIL DROP:
Enter a brief description of the account's use:
Sources of revenue:
Expenditure categories:
This account is expected to remain active until: or
Should this account no longer be used, indicate State Trust chartfield to TRANSFER Into:
THIS IS MANDATORY!
FUND:
DEPT ID:
PROJECT/GRANT:
DATE NEEDED:
Responsible Person: (Individual responsible for maintaining account solvency)
Nane: Title:
   

Special conditions:

* INDIVIDUALS (AT LEAST 2) AUTHORIZED TO APPROVE EXPENDITURES OR REQUEST DISBURSEMENTS FROM THIS ACCOUNT.
NAME: NAME:
TITLE: FINANCIAL MANAGER TITLE:
   
Signature: ________________________________ Signature:_________________________________

 
NAME: NAME:
TITLE: TITLE:
   
Signature: ________________________________ Signature: ____________________________________
   
   
   
   
   
   
   
   
Director /Dean Approval: _______________________________________________________________ Date: __________________
   
   
Appropriate Area VP or Designee Approval: __________________________________________________ Date: _________________
   
AN ADMINISTRATIVE CHARGE OF 2.75% IS LEVIED ON ALL STATE TRUST REVENUE UNLESS RESTRICTED BY LEGAL OR REGULATORY PROVISIONS.
** Accounting Use Only **
WAIVE:
CAUSE:
DATE:
   
   
University Controller Approval: ___________________________________________________ Date:_______________
(12/19/2008)