HomeMy WebLinkAbout_41_Finance_Health_Insurance Docusign Envelope ID:9042B526-99EC-41AO-B6F5-043423AOD889
Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY
Finance Committee approval required?
YES X NO 41/21/2025
If so,date approved:
City of Waterloo
Line-Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line-item budget
amendment for FYE 25 submitted by the Finance Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct# Acct Name Proj Code Amount Fund Dept Activity Acct# Acct Name Proj Code Amount
010 03 8950 3625 Ins Refund 500,000.00 010 03 8950 1366 Prescription Claims 600,000.00
010 03 8950 3829 Employee Contributions 100,000.00
F_
TOTAL 600,000.00 TOTAL 600,000.00
This amendment is being requested because:
Amend health insurance activity to more actual
Prior Committee Actions(Dates):
Signed by:
Bridgett Wood 4/10/25 �y`° �°°d 4/21/202 5
(Signature Dept. Head or Designee) Date Ignature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form(Apr 2003)