Service Request Form

Service Type

Select Dept Service Request for BSHES, BIOS , HPM and HDGH ticketing system.
Select Financial Approval Request for authorized approval of financial transactions.

Service Type

Click HERE for R-FAS Hints and Tips.

Case/Request Information

Department

Department Request Type

Department Sub Type

Department Admin Other Details

Short description

Request Type

For Purchasing Request for items eg : Refrigerator,laptops , freezers, table top appliances.

Non‑Emory Guest

Item Number (Staples/Amazon)

Location Name

Sub Type

Check or select all that apply

Equipment order > 5000

Details

Requested by (Due date)

Contact Name

Contact Email

Contact Division

Fulfillment Speed Type

EPI Speed Type

IT Related Information

To request approval for an IT-related item you have already purchased/paid check this box.

NOTE:

If you have recently received IT approval for this item, DO NOT check this box or request additional approval.
For new IT related purchases or questions, please submit a request to the IT help desk at help@sph.emory.edu

Accounts Receivables

Other revenue account code: 48489 Offset of expenses: account code used to debit the expense
Account Code	Event Code
Paid By	Check Nbr

SpeedType and (PI/Alternate Approver) Information

If PI is the same for multiple speedtypes, list the PI’s name ONLY ONCE.

Type the first few digits of the ST to initiate the lookup.

SpeedType 1	Approver for Speedtype 1	SpeedType 1 Amt
SpeedType 2	Approver for Speedtype 2	SpeedType 2 Amt
SpeedType 3	Approver for Speedtype 3	SpeedType 3 Amt
SpeedType 4	Approver for Speedtype 4	SpeedType 4 Amt

Addtional Speedtypes?

NoYes

Additional SpeedType(PI/Alternate Approver)
Information

SpeedType 5	Approver for Speedtype 5	SpeedType 5 Amt
SpeedType 6	Approver for Speedtype 6	SpeedType 6 Amt
SpeedType 7	Approver for Speedtype 7	SpeedType 7 Amt

More Speedtypes?

NoYes

Additional SpeedType(PI/Alternate Approver)
Information

SpeedType 8	Approver for Speedtype 8	SpeedType 8 Amt
SpeedType 9	Approver for Speedtype 9	SpeedType 9 Amt
SpeedType 10	Approver for Speedtype 10	SpeedType 10 Amt

Attachments

Financial approval requests require at least one attachment.
Examples include: EE or compass summary page, receipts or Excel expense breakdown. The maximum file size is 30 MB.

Deposits: copy of check, invoice (if appropriate), copy of EBI report (if offset of expense).

Wires: copy of wire reference line from the Compass Wire Identification page, copy of invoice (if appropriate), copy of EBI report (if offset of expense).

Attachment 1

Attachment 2

Attachment 3

Attachments

Please attach the guest list.

The uploaded spreadsheet must contain the following fields:

Field	Description
Host Name	RSPH event host
Department	Host’s department
Event	Event name
Location	Location name
Date of Event	Date the event takes place
First Name	Guest first name
Last Name	Guest last name
Email	Guest email address

Attachment

If you have more than three attachments, please email them to epiadmin@emory.edu

Student Information

Submitter

Submitter Information

Total Amount

Submitter Name

Submitter Email

Submitter Division

Account ID

Department Name

Dept school code

Contact EmpID

CaseId

Type

New Contact First Name

New Contact Last Name

Submitter EmpID

Submitter Last Name

Submitter First Name

RSPH Location

Primary Speed Type

Case Number

SubmitterId

StudentSubmitterId

Account ID

ContactId

Contact email

PIContactId

Name

PISpeedType1UserId	STFundGroupID
PISpeedType2UserId	STFundGroupID2
PISpeedType3UserId	STFundGroupID3
PISpeedType4UserId	STFundGroupID4
PISpeedType5UserId	STFundGroupID5
PISpeedType6UserId	STFundGroupID6
PISpeedType7UserId	STFundGroupID7
PISpeedType8UserId	ST Fund GroupID 8
PISpeedType9UserId	ST FundGroup ID 9
PISpeedType10UserId	ST FundGroup ID 10