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Phone Number
Chartfields:
Department
Department Description
Fund Group
Fund Type
Fund
Fund Description
PC Business Unit
Project
Activity
Project Description
Employee Name
(Last,First)
Action
Code
(A, C, D)*
Employee Name
(Last,First)
Steward
Primary Signer
Delegate Signer
Additional Delegate Signer
Additional Delegate Signer
Additional Delegate Signer
Additional Delegate Signer
Additional Delegate Signer
Reconciler
Designated Fund Receiver
Secondary Designated Fund
Receiver
* Action Codes: A = Add, C = Change, D = Delete
Comments:
Proposed
General Notes:
Steward, Primary Signer, Delegate Signer and Reconciler all have to be unique active MDA employees
Faculty members cannot be assigned as Primary or Delegate Signers on Grants & Contracts (Fund Group 90 projects)
DesignatedDesignated
Funds Receivers
be the same
either the
Signer,
Delegate
Signer
or Reconciler
Secondary
Fundscan
Receivers
can beemployee
the sameas
employee
asPrimary
either the
Primary
Signer,
Delegate
Signer or
Reconciler
Designated and Secondary Funds Receivers cannot be the same MDA employee
Action Code indicates the action for that Fund Attribute:
A to add the employee under Proposed
C to change the employee listed under Current and replace with Proposed employee
D to delete the employee listed under Current
The Faculty member or Executive Leader that is responsible for all activity on a fund.
Primary Signer
The Department Administrator or Department Leader who provides financial authorization for transactions; ensures
financial transactions are compliant with applicable institutional, state and federal rules and regulations.
Delegate Signer
The employee who provides financial authorization on behalf of the Primary Signer.
Not required.
Reconciler
The employee who confirms a service was performed and then approves the voucher in PeopleSoft.
Secondary Designated
Funds Receiver
The employee who confirms a service was performed and then approves the voucher in PeopleSoft on behalf of the
Designated Funds Receiver.
Approvals:
If you are changing the steward or primary signer, an email is required to accompany this form that shows the new steward
and/or new primary signer approves the change. If approval is not included, the changes will not be processed.
Submission:
All completed forms must be submitted by a representative(s) from the following offices:
- Vice President or Above
- Division
- Basic Science Department
All requests must be submitted to the appropriate department for Fund Group approval:
Fund Group 10, 20 & 70 - fpa@mdanderson.org
Fund
Fund
Fund
Fund
Group
Group
Group
Group
Questions:
Send any questions regarding this form to ResourceOnehelp@mdanderson.org.