HomeMy WebLinkAboutWork_Comp_BudgetK:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
FINANCE DEPT. ONLY
Finance Committee approval required?
YES _____ NO _____
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 submitted by the 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
TOTAL TOTAL
This amendment is being requested because:
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee)Date (Signature Finance Dept. Review)Date
Date Posted (Finance Dept.)
Completed forms should be routed directly to the Finance Dept.
25 Finance
010 03 8960 3000 Cash 700,000.00 010 03 8960 1313 Legal 20,000.00
010 03 8960 1368 Medical 680,000.00
700,000.00 700,000.00
Budget for estimated work comp expense increases expected through June 30, 2025
Bridgett Wood 4/16/25
Docusign Envelope ID: 7D7EBCA0-A6A7-4D22-9B9C-D5F92B0F6811
x
May 5, 2025
May 5, 2025