Customer Number Request/Update Form

Your Contact Information

Name*

First Last

Email*

Phone*

Request Type*

What type of customer number are you requesting?*

Notes:

Changing the funding of an existing customer number will change ALL work orders using this customer number.
Changing funding for an existing customer number does not impact finalized work orders.
Changing funding of an existing customer number only impacts future work.

Note: Existing work orders tied to this customer number will be finalized before this customer number is inactivated.

Existing Customer Number (B#, HE#, SD#, T#, etc.)*

Description for Customer Number*

Describe the use of the customer number, such as the room number, laboratory number, PI name, project, etc.

Existing Biosafety Cabinet Serial Number*

Effective Date*

Funding String Information*

Note: To add multiple funding strings, click + at the end of the row.

Dept/Div	Fund	Program	Account	Project	Class/Bldg	Business Unit	% Split	$ Limit

Funding String Guidance

Funding strings must be defined as follows:

Start Date

End Date

Notes:

Are you the Financial Contact responsible for this funding string?*

Financial Contact Name*

First Last

Financial Contact Email*

Financial Contact Phone*

Financial contacts are assigned to the funding string, not the customer number.

Name of Existing Financial Contact

First Last

Email of Existing Financial Contact*

Name of New Financial Contact*

First Last

Email of New Financial Contact*

Phone of New Financial Contact*

Comments

This field is for validation purposes and should be left unchanged.