Instructions For Completion of Request for Approval of
Perquisites or Sale of Goods and Services Form

PERQUISITES

1. GENERAL INFORMATION
   1. The University may furnish perquisites to certain employees who are required to use special equipment or wear certain clothing, such as safety shoes, uniforms and the like for purposes of safety or identification.
   2. Departments requiring employees to use such will pay for the perquisites and the maintenance of such perquisites from departmental funds.
   3. After obtaining approval to provide a perquisite, departments will requisition all uniforms, equipment, and assorted items through the Purchasing Department.
   4. Approval of perquisite is secured through the University Personnel Services Department and the appropriate division vice president.
   5. Safety items provided to all employees that are not personalized in any way such as aprons, smocks, safety glasses (non-prescription) or head/shoe coverings are not considered perquisites and may be purchased at the discretion of the Department or division head.
2. PROCEDURES
   1. Requests for approval of perquisites or the sale of goods and services shall be submitted at least thirty (30) days prior to the desired effective date. Retroactive approvals will not normally be granted.
   2. All original requests to provide perquisites are to be made by the completion of the FAU Request for Approval of Perquisites or Sales of Goods and Services form.
   3. The completed request is to be submitted to the University Personnel Services Department for review and recommendation to the appropriate division vice president for final action.
   4. The Vice President’s Office returns the “Request for Approval of Perquisites or Sale of Goods and Services” to Personnel Services.
   5. Personnel Services will return the original with appropriate signature to the requesting department for action.
   6. The requesting Department will contact the University Purchasing Department to coordinate the requisitioning and maintenance of perquisites through a contracting organization.
   7. Departments terminating the provision of perquisites and/or perquisite items for an employee or a group of employees must submit a completed Request for Approval of Perquisites or Sale of Goods and Services for to University Personnel Services. The type of request should be indicated as a “Request to Delete.”
   8. Perquisites are valid for one fiscal year but may be renewed annually.
3. FORM INSTRUCTIONS

   ITEM 1  -  UNIVERSITY CODE
   Type the appropriate university code from the following list:

   CODE - UNIVERSITY
   FAU     -  Florida Atlantic University

   ITEM 2  -  REASONS FOR SUBMISSION OF FORM
   Check only one box.

   1. New request for approval – Check this box if this is a new request. The Office of Personnel Services will assign a Request Number.
   2. Request to revise existing approval-Request # - Check this box to revise an existing approval and enter the Request Number previously assigned by the Office of Human Resources.
   3. Request to delete existing approval-Request # - To discontinue the provision of such prior approval, check this box and enter the Request Number.

   ITEM 3  -  LOCATION

   1. County Code – Type the two-digit county code below that reflects where the perquisite or sale of goods and services is to be provided.

      CODE	NAME
      06	BROWARD
      31	INDIAN RIVER
      43	MARTIN
      50	PALM BEACH
      56	ST. JOHN
      98	OUT-OF-STATE
      99	OUT-OF-COUNTRY

      
      
   2. Facility – Enter as applicable the name of the college/school, department, division, center or hospital where the perquisite or sale of goods and services is to be provided.
   3. Address – If the perquisite is housing of any type, i.e., room, apartment, trailer, house, or a trailer space, provide a street address, room number, or trailer space number as appropriate.

   ITEM 4  -  CLASSIFICATION INFORMATION
   For each class to receive the perquisite or sale of goods and services, Sections 4a. through 4d. must be completed.

   1. Pay Plan – Enter the appropriate pay plan code from the following list for each class:

      CODE	PAY PLAN
      21	Administrative Managerial Professional
      22	Faculty
      23	Support Personnel
      24	Executive Service (a subset of the AMP pay plan)
      99	Temporary

      
      
   2. Class Code – Enter four-digit Class Code, do not omit leading zero.
   3. F.T.E. in Class – Enter the Full Time Equivalence (F.T.E.) of the positions in each class which will receive the perquisite or be sold goods and services.
   4. Class Title – Enter the official Class Title. Do not use a working title. Abbreviate only if there is insufficient space to enter the full Class Title.

   ITEM 5  -  JUSTIFICATION / REMARKS

   1. Required – Indicate by “Y” (yes) or “N” (no) whether the perquisite or sale of goods and services is a condition of employment for the employee(s).
   2. Justification Code – Enter the code from the following list which represents the primary benefit or purpose for provision of the perquisite or sale of goods and services:

      CODE	PRIMARY JUSTIFICATION
      ACC	Access
      COD	Continuous On-Duty
      CON	Convenience
      ER	Emergency Response
      H&S	Health & Safety
      ID	Identification
      MON	Monitoring
      OTH	Other
      PRO	Protection
      PR	Public Relations
      SAN	Sanitation
      SEC	Security

   3. Justification Narrative – Enter narrative justification as required in the procedures section of the Rules governing the approval of perquisites or the sale of goods and services. The narrative justification must relate to the Justification Code used in ITEM 5b. and should also include justification (if any) beyond the primary justification.

   ITEM 6  -  ITEM DESCRIPTION

   1. Goods or Services Code / Narrative Description – Enter the code from the following list which describes the perquisite/goods or services to be provided. Enter the Narrative Description which matches the Goods and Services Code. Additional narrative should be included if necessary to adequately describe the perquisite/goods or services to be provided.

      Note: Do not enter more than one Goods or Services Code. A different Goods or Services Code requires completion of a separate Perquisite Form. Further, a separate Perquisite Form must be submitted for each apartment, duplex, house, trailer, or trailer space.

      CODE	NARRATIVE DESCRIPTION
      A105	Appliances
      B110	Barber or Beautician Services
      C115	Cash Allowance, Equipment replacement
      C120	Cash Allowance, Laundry (personal clothes only)
      C125	Cash Allowance, Law Enforcement deck shoes
      C130	Cash Allowance, Meals
      C135	Cash Allowance, Others
      C140	Cash Allowance, Shoes (not part of uniform)
      C145	Cash Allowance, Sworn Law Enforcement Plain Clothes allowance and shoe allowance
      C150	Cash Allowance, Personal property replacement
      C155	Cash Allowance, Tools
      D159	Clothing, Airplane Uniform with shoes, with no uniform maintenance or shoe allowance
      D160	Clothing, Athletic Uniform with shoes, with uniform maintenance and shoe allowance
      D165	Clothing, Athletic Uniform with shoes, with uniform maintenance allowance only
      D170	Clothing, Athletic Uniform with shoes, with shoe allowance only
      D175	Clothing, Athletic Uniform with shoes, with agency provided laundry
      D180	Clothing, Athletic Uniform with shoes, with no allowance or laundry
      D225	Clothing, Medical Uniform, agency laundry service
      D226	Clothing, Medical Uniform with Shoes, no allowance or laundry service
      D227	Clothing, Medical Uniform without shoes, no allowance or laundry service
      D270	Clothing, Other Uniform with shoes, with uniform and shoe allowance
      D271	Clothing, Other Uniform without shoes, no allowance or laundry service
      D275	Clothing, Other Uniform with shoes, with uniform allowance only
      D280	Clothing, Other Uniform with shoes, with shoe allowance only
      D285	Clothing, Other Uniform with shoes, with agency laundry service
      D290	Clothing, Other Uniform with shoes, rental
      D295	Clothing, Other Uniform with shoes, no allowance or laundry service
      D296	Clothing, Lifeguard Uniform without shoes, no allowance or laundry service
      D300	Clothing, Personal Clothing with shoes, with clothing and shoe allowance
      D305	Clothing, Personal Clothing with shoes, with laundry service
      D310	Clothing, Personal Clothing with shoes, with no allowance or laundry
      D315	Clothing, Personal Clothing with shoes, rental
      D320	Clothing, Personal Clothing without shoes, with clothing allowance
      D325	Clothing, Personal Clothing without shoes, with laundry service
      D330	Clothing, Personal Clothing without shoes, no allowance or laundry service
      D335	Clothing, Personal Clothing without shoes rental
      D337	Clothing, Formal wear, rental
      D340	Clothing, Protective Outer, Lab
      D345	Clothing, Protective Outer, Lab, agency laundry
      D350	Clothing, Protective Outer, Lab, rental
      D355	Clothing, Protective Outer, Medical
      D360	Clothing, Protective, Outer, Medical, agency laundry
      D365	Clothing, Protective Outer, Medical, rental
      D370	Clothing, Protective Outer, Service
      D375	Clothing, Protective Outer, Service, agency laundry
      D380	Clothing, Protective Outer, Service, rental
      D385	Clothing, Protective Outer, Food Service
      D390	Clothing, Protective Outer, Food Service, agency laundry
      D395	Clothing, Protective Outer, Food Service, rental
      D400	Clothing, Protective Outer, Diving
      D405	Clothing, Protective Outer, Rain
      D410	Clothing, Security Uniform with shoes, with uniform maintenance and shoe allowance
      D415	Clothing, Security Uniform with shoes, with uniform maintenance allowance only
      D420	Clothing, Security Uniform with shoes, with shoe allowance only
      D425	Clothing, Security Uniform with shoes, with agency laundry service only
      D430	Clothing, Security Uniform with shoes, with no maintenance allowance
      D435	Clothing, Security Uniform without shoes, with uniform maintenance allowance
      D436	Clothing, Security Uniform without shoes, with uniform maintenance and shoe allowance
      D440	Clothing, Security Uniform without shoes, with agency laundry service
      D445	Clothing, Security uniform without shoes, with no allowance
      D450	Clothing, Service Uniform with shoes, with uniform maintenance and shoe allowance
      D455	Clothing, Service Uniform, with shoes, with uniform allowance only
      D460	Clothing, Service Uniform with shoes, with shoe allowance only
      D465	Clothing, Service Uniform with shoes, with agency laundry service
      D470	Clothing, Service Uniform with shoes, rental
      D475	Clothing, Service Uniform with shoes, with no allowance or laundry service
      D480	Clothing, Service Uniform without shoes, with uniform allowance
      D485	Clothing, Service Uniform without shoes, with agency laundry service
      D490	Clothing, Service Uniform without shoe, rental
      D493	Clothing, Service Uniform without shoes, with shoe allowance only
      D495	Clothing, Service Uniform without shoes, with uniform maintenance and shoe allowance
      D500	Clothing, Service Uniform without shoes, no allowance or laundry service
      D505	Clothing, Specialty, Cap
      D507	Clothing, Specialty, Promotional Straw Hat
      D510	Clothing, Specialty, Vest
      D511	Clothing, Flight Suit with shoes, with maintenance allowance
      D512