More examples in Forms/Information Technology Forms
Departmental Chargeback Form Example
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Text in this example:
Departmental Charge back Charge back Information Source Department Contact Person Department Tracking # Contact Phone Number Description Estimated labor hours X Cost per Hour $ = Total Variable Cost Equipment Cost Other Cost TOTAL COST Requesting Department Manager Approved Approved with conditions* Denied Accounting Code *List Specific Conditions below: Signature Date Comments: IT Manager Review Approved Approved with conditions Denied* Assigned to Title Date Assigned Priority Signature Date *If denied, list reasons for denial Comments Completion Date Requestor's Signature Please return this form to the IT Department RECEIPT (please keep this portion for your records) Charge Description Date Received Accounting Code