Interdepartmental Fee Change Request

Provide guidelines for requesting, reviewing and notifying campus of new or revised fees charged interdepartmentally across the Ithaca campus.
InterDepartmental Fees Change Request

In accordance with the interdepartmental fee guidelines, please submit all interdepartmental fee requests using this form for approval by the Interdepartmental Fee Committee. This includes requests for new fees and any changes to existing fee charging methodologies. For detailed information regarding interdepartmental fees, please refer to the interdepartmental fee guidelines.  If you have any questions completing this form, please email dbp.intdepfees@cornell.edu.

Directions for Completing Form:  Respond to the requested information by inserting supporting text after each inquiry. Responses for each inquiry may use additional space as needed, or may be attached. Be as complete as possible and provide enough details to assist the Committee in reviewing your request. Ask for assistance if you have questions.

Directions for Request Processing: Requestor completes the fee request form and submits to Department Chair or Director. Department Chair or Director reviews the request and submits to Dean or Vice President or Vice Provost. Dean/Vice President/Vice Provost approves and signs the fee request and submits to the Assistant Vice President, Planning & Budget.
Select your college or unit from the drop down list below.
Has the request been approved by the Chief Business Officer?
The person submitting certifies that the Chief Business Officer of the College/Unit has certified the information being submitted in this form has been approved.
Has the request been approved by the Chief Business Officer?
Requested space is for advancing the University's academic mission ?
The person submitting certifies that the Chief Business Officer of the College/Unit will ensure the requested space is prioritized for advancing the University's academic mission.
Requested space is for advancing the University's academic mission ?

If the request pertains to a single fee, please answer the remaining questions below the line.  If the request involves more than one fee, please select "Yes" for the next question and complete this template.  Attach the completed template using the "Attachment" section at the bottom of this form.
Multiple Fee Change Requests?
Multiple Fee Change Requests?

Specify whether this request is for a new fee, or increase in fee > 5%
Specify whether this request is for a new fee, or if you are requesting an increase in a fee greater than 5%.
Specify whether this request is for a new fee, or increase in fee > 5%
Building and Room associated with fee request
Please list the proposed charges associated with the room/space. Specify whether rates are a la carte, fixed, by hour, etc. Please answer in the space provided, or upload a supporting document.
Please demonstrate how the proposed charges will cover no more than the anticipated costs. Please answer in the space provided, or upload a supporting document.
If you anticipate accumulating reserves for equipment depreciation, please provide a plan detailing how those reserves will be utilized. Please answer in the space provided, or upload a supporting document.
Specify the impact of having the interdepartmental fee(s) disapproved (i.e., impact to campus, impact to unit submitting the request, alternative course of action, etc.).
Provide an account number where the expenditures and income will be recorded.
Use the CTRL key to select multiple documents
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Other Fields

Your name
Verification Code