GL Code for UB Payment Request Workflow

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^* Required Information

Requestor Information

Requestor Name*

First Name

Last Name

Requestor Email*

UBITName@buffalo.edu

Requestor's Department or Unit*

Authorizer's Name*

Purpose for GL Code

Is this GL Code to be used for fees collected through UB Marketplace?*

Yes No

This is NOT the correct form to request a GL Code for use in UB Marketplace.
Please make your request at UB Marketplace Requests.

Prior Fee Approval

Approval has been granted for collecting the fee for this product.*

Yes No

Fee Name*

You cannot complete this request without prior fee approval. Please submit the Fee Approval Request form to request approval.

Restart this form after approval is granted.

Learn more about creating State fees.

Contact us at ubs-fees@buffalo.edu for questions.

Product Information

Was this previously an ePay product?*

Yes No

Approved State IFR Account Number*

8 digits; Funds collected for this item to be deposited here

3 Digit ePay #*

Product Name*

Must match the name on the Fee Approval

Product Description*

Is the price a set price or is it variable? *

Set Variable Customer Entered

Price Type Options

Set: One price for everyone for this product

Variable: The price can vary with a variety of options or circumstances, such as affiliation of the customer, date of purchase, product variations

Customer Entered: As from a previous price quote

Product Price*

$xx.yy

Number of Different Prices for this Product*

1 2 3 More than 3

Additional Product Price Notes*

Enter None or variable pricing details here, or an explanation for use of customer enters price option.

Variable Prices

Variable Price 1*

$x.yy

Variable Price 1 Description*

Describe the qualification for Price 1

Variable Price 2*

$x.yy

Variable Price 2 Description *

Describe the qualification for Price 1

Variable Price 3*

$x.yy

Variable Price 3 Description*

Describe the qualification for Price 1

More than 3 Variable Prices

List each additional price and its description

Fee Review

Reviewer Name*

First Name

Last Name

Reviewer Email*

@buffalo.edu

Product Name*

Fee on File Verified*

Yes No

State IFR Account Verified*

Yes Option3

Other Information

Optional

Last Step - Implementation

GL Code Request *

Approved and created Request needs additional information Cannot be approved

GL code for product *

Additional Information*

Additional Information needed OR reason request cannot be completed