Purchase Service Units Name Email User ID REFRESH Department/Group * - Select - Classification * - Select - Faculty Staff Postdoctoral Associate Student Other Academic Discipline * - Select - Astronomy Biochemistry Bioinformatics Biology Chemistry Commerce Computer Science Data Science Economics Environmental Science Engineering Health Sciences Informatics Physics Social Sciences Other Other Academic Discipline Name of PI * Is the PI of your account a UVA faculty member? * Yes No I agree that this allocation will be used for research purposes only * Agree Disagree Title of Award (if applicable) Total number of SUs requested * Total amount to be charged to FDM * $ SU expiration date (if applicable) Apply this purchase to which allocation * For new groups, specify "This group will be used for Rivanna/Afton access" in the description section of the Service Now request form to expedite group creation. You will need to add yourself as a member to the group in order for us to fulfill any allocation request related to this group. Billing Information PLEASE NOTE: We no longer accept PTAOs as payment for RC services. Please reach out to your fiscal contact for the full FDM accounting string before submitting a service request. All worktag values are needed for processing payments, not just the driver worktag. Thank you! Financial Contact Company ID Cost Center Business Unit Funding Type Project Gift Grant Designated Funding Number FDM Billing Information Fund Function Program Activity Assignee Please submit the form only once. If you receive an error message after submitting this request, please check your email to confirm that the submission completed. Submit
