Form 100 LAC* Course Specific Fee Request *Legislative Audit Commission

From the PVCAA website, click on the Forms link (

Scroll down to *Course/Program Changes, select the Form 100 link

Click on Download Form (for the form instructions, click Use Documentation)

Notice the new option “Move Existing Fee to Equivalent (Move)**”

Note: Item #9 should indicate the Addendum to your existing Catalog Description regarding the Proposed Fee ONLY.

Page 2: Justification – VERY IMPORTANT: provide a DETAILED explanation which includes: Benefit to Students if Approved; and Impact to Course if Not Approved.

Form 100 Items of Importance New and Modified Fees are presented to the Chancellor once each fiscal year. Check the Provost’s Planning Calendar for the deadline (usually in October each year). Form 100s received after the deadline will be held until the next catalog year. Course Specific Fees may be dropped at any time and may be forwarded for processing any time, to be effective the following semester or as determined by Transfer Student Services.

Form 100 Items of Importance A Fee request of $200 or more, if approved by the Chancellor, requires a Board Matter with Final Fee Approval considered by the Board of Trustees. The department must prepare the Board Matter, with guidance from the Office of the Associate Provost for Academic Programs.

Form 100 Items of Importance Don’t Forget to Prepare a Form 100 for any Catalog Change that may affect the Fee (Course Prefix change, Course Number change, Course Splits [A, B, C, etc.], Course Consolidations [eliminate A, B, C, etc.], New Cross-Listed Courses, etc.). REMEMBER, a change to the Catalog (by way of a Form 90 or Form 90A) does NOT change/move an existing Fee.

Form 100 Items of Importance Each Fee must designate a Revenue and a corresponding Expenditure Budget Purpose. If a New Revenue and/or Expenditure BP is needed, a “Request for New Budget Purpose” form for each new BP must be attached. Unique Dept. Act. 1 codes may be established to Track Revenue by Course or by Category of Fee, as designated by the college/department.

Form 100 Items of Importance Each Form 100 must include all approval signatures in order. Once signatures of the Department Chairperson, College Dean, and Graduate School Dean (if 400- level or above and for graduate credit) are secured, the Form 100 (with Request for New BP forms, if necessary) should be forwarded by the date indicated on the Provost’s planning calendar to the Office of the Associate Provost for Academic Programs.

Form 100 Items of Importance Scanned copies of Approved Form 100s will be forwarded to College Deans and Department Chairpersons directly from Transfer Student Services.

REMINDER An Approved Course Specific Fee may be spent up to the amount of Revenue Realized in the Fiscal Year. Funds do NOT carry-over from one fiscal year to the next. Course Specific Fees are Approved to be expended in accordance with the Justification submitted with the Fee Request. LAC Fee Equipment Expenditures are approved on a case-by-case basis by the Provost (even if the Approved Justification includes Equipment).