External Sales Application - Cost Center Request Purpose: This form must be completed and approved prior to setting up a new cost center and the commencement of any external sales activity. The purpose of this form is to capture the essential information related to the pending business activity with external customers, identify potential risks before the activity begins, and to create a bill and generate an invoice in PeopleSoft (PS). Section I. Date of request: __________________ Fiscal Year: _____________________ Billing Contact: _____________________ Phone: ___________ Email: _____________________ School: __________________________________________ Department no.: __________________ Section II. Describe activities (for example – laboratory testing, dept. consulting fee, support service, etc.): _____________________________________________________________________________________ _____________________________________________________________________________________ Section III. General: 1. Who will the customer(s) be? _____________________________________________________ 2. Will there be a contract for your service or product? ___________________________________ 3. What are your projections for External Sales Revenue volume? Current Fiscal Year ______________________ Next Fiscal Year ________________________ 4. Is University overhead being recovered in the proposed rate for external customers? __________ If yes, what is the applied rate? ____________________________________________________ 5. Frequency of Billing (i.e.-weekly, monthly, quarterly, or once a year)? ____________________ 6. Who will be your Billing Specialist in PeopleSoft (PS)? Primary: ______________________________ Alternate: _______________________________ 7. Do you have an existing billing methodology and system? ______________________________ ______________________________________________________________________________ 8. Is this Cost Center request associated with the Internal Billing Service Center? ______________ Page - 1 - of 2 Receivables: 1. What supporting documentation will you present in compliance with Appendix I? - see link, http://www.utdallas.edu/afr/files/Appendix-I-External-Sales.pdf . ________________________ ______________________________________________________________________________ 2. What will the procedure be for uncollectable receivables? _______________________________ ______________________________________________________________________________ Fiscal Officer Approval: Print Name: __________________________________ Date: _________________ Signature: ___________________________________ Date: _________________ Page - 2 - of 2