Dean's Office Finance Customer Support Request
Complete the following Customer Support Request Form to contact the Dean's Office Finance team. You will receive an answer within 1-3 business days.
Your Full Name:
*
First Name
Last Name
E-mail:
*
Phone:
*
Unit:
*
Please Select
DGSOM DEPARTMENT (All depts)
Academic Affairs-Immediate
Behavioral Wellness Center
Business Affairs-Academic Personnel
Business Affairs-Building Management
Business Affairs-Finance
Business Affairs-Safety
Business Affairs-Staff HR
Business Affairs-Visa Office
Communications
Center for Continuing Professional Development
Cultural North Star
Dean's Office-Immediate
DGIT-AV Services
DGIT-Client Services
DGIT-Education Technology
DGIT-Enterprise Data Analytics
DGIT-Infrastructure
DGIT-OATS
DGIT-Office of the CIO
DGIT-Network
DGIT-Research Computing
DGIT-Security
DGIT-Software Development
Donated Body
Educational Affairs-Admissions
Educational Affairs-Alumni
Educational Affairs-CASIT
Educational Affairs-Curricular Affairs
Educational Affairs-Diversity & Inclusion
Educational Affairs-Evaluation & Assessment
Educational Affairs-Faculty Development
Educational Affairs-Financial Aid Office
Educational Affairs-GME
Educational Affairs-Immediate
Educational Affairs-Outreach Programs
Educational Affairs-Prime
Educational Affairs-Simulation Center
Educational Affairs-Student Affairs
Educational Affairs-Student Research
Equity and Diversity Inclusion - Immediate
Global Health Program
Good Manufacturing Practices
Institute for Precision Health
Medical Scientist Training Program
Postdoctoral Program
Research Affairs-Immediate
Vice Chancellor Health Sciences
Other Dean's Office Unit
Request:
*
Commitment Budget Allocation Change Request
Commitment Extension/Renewal Request
Commitment Reimbursement Request
Commitment Reimbursement Report FAU Update
Commitment Reimbursement Report Access Request
Existing Purchase Inquiry
Expense Transfer Request (NPEAR)
FAU Link Request - Commitment
FAU Link Request - Non-Commitment
Intercampus Transfer of Funds (TOF) Request
Online Budget-to-Actual Report Access
Other Purchasing Question
Other Travel Question
Procurement Portal Access
Project Code Addition Request
Recharge Request
Schedule Drop-In Session for Procurement, Payables, and Travel
Signature Request for Agreement/Contract
Transfer of Funds Request (TOF)
Unknown - Other Request
Request:
*
Commitment Budget Allocation Change Request
Commitment Extension/Renewal Request
Commitment Reimbursement Request
Commitment Reimbursement Report FAU Update
Commitment Reimbursement Report Access Request
Request for Assistance
Document Type:
*
Grantor Agreement
Exhibitor Agreement
Other Agreement
Company Name:
*
Name
Comments
Company Contact E-mail:
*
Event Name & Details:
*
Please name the event, purpose, and circumstances outlining the agreement/contract
Document Upload
*
Browse Files
Attach the contract/agreement requested for signature
Cancel
of
Extension / Renewal Request Document Upload
*
Browse Files
Download the Commitment Extension/Renewal Request Form from https://medschool.ucla.edu/financial-affairs/manage-your-commitments
Cancel
of
Traveler UID # (if UC employee):
XXXXXXXXX
Business Justification:
*
Please describe how your travel will benefit the mission of DGSOM
Flight Itinerary:
Browse Files
Attach your flight itinerary booked through Connexxus here
Cancel
of
Travel Pre-Approval Form:
*
Browse Files
Attach your signed Travel Pre-Approval form here
Cancel
of
Order/PO #:
XXX-XXXX
Department FAU Requesting Linkage:
Account
Cost Center
Dean's Office Fund
Commitment ID:
XXXX
CTA ID:
1-4 digits
New FAU Requested to Update:
Account
Cost Center
Dean's Office Fund
New FAU with Project Code to add to UCPath & Procurement Portal:
Account-CC
Dean's Office Fund
Project Code
CTA ID (if appliable):
*
XXX
Requestor's Mednet Email (if different from above):
Unit Requesting Access To:
Academic Affairs-Immediate
Behavioral Wellness Center
Business Affairs-Academic Personnel
Business Affairs-Building Management
Business Affairs-Finance
Business Affairs-Safety
Business Affairs-Staff HR
Business Affairs-Visa Office
Communications
Continuing Medical Education
Dean's Office-Immediate
DGIT-AV Services
DGIT-Client Services
DGIT-Education Technology
DGIT-Enterprise Data Analytics
DGIT-Infrastructure
DGIT-OATS
DGIT-Network
DGIT-Research Computing
DGIT-Security
DGIT-Software Development
Donated Body
Educational Affairs-Admissions
Educational Affairs-Alumni
Educational Affairs-Curricular Affairs
Educational Affairs-Diversity & Inclusion
Educational Affairs-Evaluation & Assessment
Educational Affairs-Financial Aid Office
Educational Affairs-GME
Educational Affairs-Immediate Office
Educational Affairs-Outreach Programs
Educational Affairs-Prime
Educational Affairs-Simulation Center
Educational Affairs-Student Affairs
Educational Affairs-Student Research
Global Health Program
Good Manufacturing Practices
Institute for Precision Health
Medical Scientist Training Program
Postdoctoral Program
Research Affairs-Immediate
Vice Chancellor Health Sciences
Department(s) Requesting Access To:
e.x. 1400 Dean's Office or 1565 Medicine Administration
Type of Access Requested
Requestor
Operational Approver
Purchaser
Administrator
Supervisor Approval
Browse Files
Attach an email/written approval from your supervisor confirming agreement with the access request (not required if CAO/CFO is submitting request)
Cancel
of
Attach the Intercampus Transfer of Funds Template
Browse Files
Click here to add an attachment
Cancel
of
Attach the NPEAR Request Template
Browse Files
Click here to add an attachment
Cancel
of
Attach the Direct Retro Request Template
Browse Files
Click here to add an attachment
Cancel
of
Attach the Recharge Request Template
Browse Files
Click here to add an attachment
Cancel
of
Attach the Commitment Reimbursement Request Template
Browse Files
Click here to add an attachment
Cancel
of
Budget Allocation Amount to Move
Enter $ to be moved from from future year to current year
Date
-
Month
-
Day
Year
Please select preferred drop-in date. DO Finance will confirm with Zoom invite.
Comments:
(Optional) Describe your support request, if not previously stated
Browse Files
(Optional) Click here to add an attachment
Cancel
of
Submit Form
Should be Empty: