Org Change Request

Change Type

Effective Date

When should this change go into effect?

Organization Name

Organization Code

Organization Type

Reports to Code

Routing Code

All accounts and positions, including vacant positions, associated with this organization have been deactivated.

Responsible Person

Building Name

Building Number

Room Number

PO Box

Zip Code

Organization Phone

Estimated Annual Budget

Submitter Email

Please enter your @arizona.edu email address.

Notes

PDF Copy of Approval

One file only.
100 MB limit.
Allowed types: pdf.

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