BUDGET MODIFICATION JUSTIFICATION MOA #: _________________ Personnel Costs Information Authorized Authorized Adjustments Modified Hrs. or Mos.: Budget: ( + or - ): Budget Total: Job Description(s) or Position Title(s): Fringe Benefit Breakdown by Authorized Adjustments Modified Budget: ( + or - ): Budget Total: % of Wage or Fixed Amount: Non-Personnel Costs Information Description of Non-Personnel Line Items Authorized Adjustments Modified Budget: ( + or - ): Budget Total: & Basis for Valuation: Travel: Costs (Rent/Lease): Consumable Supplies: Equipment Consultant Services: Contract Services: Subcontractors: Other Costs (Not included above):
BUDGET MODIFICATION JUSTIFICATION MOA #: _________________ Personnel Costs Information Job Description(s) or Position Title(s): Authorized Hrs. or Mos.: Authorized Budget: Adjustments ( + or - ): Modified Budget Total: Fringe Benefit Breakdown by % of Wage or Fixed Amount: Authorized Budget: Adjustments ( + or - ): Modified Budget Total: Non-Personnel Costs Information Description of Non-Personnel Line Items & Basis for Valuation: Authorized Budget: Adjustments ( + or - ): Modified Budget Total: Travel: Costs (Rent/Lease): Consumable Supplies: Equipment Consultant Services: Contract Services: Subcontractors: Other Costs (Not included above):
Budget%20Mod%20p2.docx