REQUEST FOR APPROVAL OF SERVICE CENTER USER RATES
Systems and Procedures
A Division of The Corporate Controller's Office
IN

REQUEST FOR APPROVAL OF SERVICE CENTER USER RATES

Form Instructions

Items 1 - 5 and Approvals section to be completed by all

  1. Enter the date of the request
  2. Enter the name of the unit requesting the rate
  3. Provide a brief description of rate(s)
  4. Enter the Cost Collecter (Cost Center and/or Internal Order numbers)
  5. Select New Rate, Existing Rate, or No Rate Change and complete the appropriate section of the form

Items 6 - 14 to be completed for "New" Rates

  1. Enter the proposed rate (if more than one (1), attach list)
  2. Provide an explanation as to why a new rate is required
  3. Check all that apply :
  4. Enter the name of the building where work will be performed
  5. Enter the room name/number where the work will be performed
  6. Will equipment be used? Check yes or no
  7. If equipment will be used, list the tag numbers of each piece of equipment.
  8. Check the appropriate box if rates are based on Actual or Market Rates.
  9. NOTE: If rate will be charged to Government or Government Flow-Through, rate must be based on actual costs.

    If Market rates are used, attach benchmarking documentation
  10. Check the appropriate location where rate is applicable (only check one box)

Items 15 - 25 to be complete for "Existing" Rates

  1. Enter the previously approved rate(s)
  2. By what percent did the rate change?
  3. Provide an explanation for the increase or decrease
  4. Did the rate(s) change more than 10% since last rate approval? Check yes or no. If no, the Financial Officer has authority to approve rate change.
  5. Check all that apply :
  6. Enter the building name where work is performed
  7. Enter the room number where work is performed
  8. Is equipment be used? Check yes or no
  9. If equipment is used, list the tag number of each piece of equipment
  10. Check the appropriate box if rates are based on Actual or Market Rates.
  11. NOTE: If rate will be charged to Government or Government Flow-Through, rate must be based on actual costs.

    If Market rates are used, attach benchmarking documentation
  12. Check the appropriate location where rate is applicable (only check one box)

Approvals Section

The following approvals must be obtained:.

  1. The Budget Administrator enters their name.
  2. The Budget Administrator signs and dates the complete form and forwards the form to the Budget Executive.
  3. The Budget Executive enters their name.
  4. The Budget Executive signs and dates the completed form and forwards the form to the Financial Officer.
  5. The Financial Officer enters their name.
  6. The Financial Officer signs and dates the completed form and forwards to Cost Analysis
  7. Cost Analysis signs and dates the completed form
    • If the rate is a Finance & Business rate, Cost Analysis forwards the form to the Senior Vice President for Finance & Business
  8. If the rate is a Finance & Business rate, the Senior Vice President for Finance & Business enters their name.
  9. The Senior Vice President for Finance & Business signs and dates the completed form and forwards the completed form back to Cost Analysis for processing.
  10. The Cost Analysis Department completes the final section of the form.
Image of Request for Approval of Service Center User Rates exhibit