Capital Expenditure Request Form (CER) Header Image

FAIRBANKS CAPITAL EXPENDITURE REQUEST FORM (CER)

  • A Capital Expenditure Request is required for all purchases/projects >$2,500 and a useful life greater than 3 years
  • All CER’s must be approved at the Director level before submission to the Chief Financial Officer
  • All CER’s related to technology will also be approved by Director of IT before submission to the Chief Financial Officer
  • All CER’s with infrastructure/building implications will also be approved by the Manager of Environmental Services before submission to the Chief Financial Officer
Budget*
Indicate if the CER is budgeted or a request to use contingency dollars.
Attach Estimate
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Attach more files at bottom of page (one file per)
CER Type*
Enter the associated CER #
Enter a detailed description of the capital request.
Describe function of equipment or project, how it will be used, the anticipated life and the benefits it will provide. What is the consequence if the equipment is not purchased or capital project not undertaken? Include commentary on why there is no suitable existing item for the purpose. Also briefly describe how new/expanded programs fit with Fairbanks’ Mission.
$
Should include installation expenses and all other costs related to putting the item in operation.
In Service Date
Additional Approval
Indicate if this CER will impact Environmental Services and/or IT.
$
Enter amount of any associated ongoing labor expense.
$
Enter amount of any associated ongoing supply expense.
Priority Ranking

Priority 1 - Must have due to safety or compliance issues.

Priority 2 - Need to have to perform job duties.

Priority 3 - Would like to have but could defer to future year.

Date Submitted*
Name*
Attachment 2
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Attachment 3
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Attachment 4
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Attachment 5
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Leadership Approval

Date
Name*

IT Sign Off

Date
Name

ESD Sign Off

Date
Name

Budget Determination

Decision*
Date
Name*

Submit for Final Approval

Decision*
Updated Estimate
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Date
Name*
Additional Attachment
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CFO Approval

Date
Name*

CEO Approval

Date
Name*
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