Executive/Council Action Form (ECAF)
TITLE:
Title:
TEST MOTION
body
DEPARTMENT / DIVISION:
ORIGINATOR:
EXECUTIVE RECOMMENDATION: Approved
Does this require action by a certain date to avoid negative impacts? (Example of negative impact: Loss of grant, state or federal deadline, increased liability)
Yes ☐ No ☐ Date Action is Needed By: Click here to enter date.
Description of negative impact: _______________________
APPROVAL AUTHORITY: COUNCIL ☐ EXECUTIVE ☐
PURPOSE:
BACKGROUND:
FISCAL IMPLICATIONS:
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EXPEND: FUND, AGY, ORG, ACTY, OBJ, AU |
CURRENT YR |
2ND YR |
1ST 6 YRS |
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TOTAL |
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REVENUE: FUND, AGY, ORG, REV, SOURCE |
CURRENT YR |
2ND YR |
1ST 6 YRS |
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TOTAL |
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DEPARTMENT FISCAL IMPACT NOTES:
CONTRACT INFORMATION:
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TYPE (Orig., Am.#) |
CONTRACT # |
AMOUNT |
DURATION |
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OTHER DEPARTMENTAL REVIEW (FOR COUNCIL CLERKS USE ONLY):
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STAFF: |
APPROVED: |
DATE: |
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Risk Management |
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☐ |
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Finance |
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Prosecuting Attorney (Approved As To Form) |
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