Category II - Request To Establish A New Fee

Version Dated: 05/23/2022

General Information
Department / College *
Department ID
Division *
Proposed New Fee Name *
Purpose of the Fee *
Detailed Fee Description
Effective Date Semester Year *
 
Authorization to Submit Request
Division VP / Appropriate Admin.
Division AVP / College Dean
Department Chair / Manager *
ASM *
ASM Phone / Extension *
ASM Email *
 
Contact Information
Contact Name *
Contact Phone / Extension *
Contact Email *
 
Calculation of Fee Level

Minimum (Year One) - Needed for all fee requests
Please state the projected cost (and the number of students) for the first year.

Maximum (Year Two) - Needed for all fee requests
Please state the projected cost (and the number of students) for the second year. Usually, the cost during the second year is higher than the first year due to general price increases.

All figures must be rounded to the nearest dollar

Please refer to Financial Documentation for detailed instruction and explanation.

Personnel Services Cost

  Min (Year 1) Max (Year 2)
Salaries and Wages
Temporary Help Cost
Student Assistants Cost
Staff Benefits Cost
Other Personnel Services Cost
Supplies and Services
Tangible Consumable
Materials
Services
Insurance
Rentals
Other Supplies and Services
Other Costs
Any Other Costs
Description
Total Costs (A) $ $
Number of Students/Year (B)
Calculated Cost per Student (C) = A / B $ $
 
What Fee Amount Do You Recommend? Cannot exeed actual cost. $ *
 

Please verify all information.

Please contact us at sfac@csulb.edu if you have any additional questions.