Employee Name: ID: Position #
Effective Date: Redistribution Required?
From Account String/s:
%
Account String
Account String
Account String
Account String
Account String
Account String
Account String
Account String
Account String
Total s/b 100%
To Account String/s:
%
Account String
Account String
Account String
Account String
Account String
Account String
Account String
Account String
Account String
Total s/b 100%
Budget Manager Approval:
Printed name Signature Date
Fiscal Services Use Only
Entered in NBAPBUD:
Date Initials
Redistribution:
Date Initials PHAREDS #
Human Resources Use Only
Entered in NBAJOBS by:
Date Initials
Employee Account String Change Form
(for all employees except those on PARF forms)
0.00
0.00
Print Form