OHR/CSA Request Template
Submitted By:
Date Submitted:
Requesting Agency:
Division:
Subject Matter Expert Name:
Email Address:
Phone Number:
Item Title & Description:
(Do not delete the following instructions)
These appear on the Council meeting agenda. Initially, the requesting agency will enter a 2-3 sentence description. Upon bill filling, the City Attorney’s Office should enter the title above the description (the title should be in bold font).
Both the title and description must be entered between the red “title” and “body” below. Do not at any time delete the red “title” or “body” markers from this template.
title
CdeBaca Amendment No. 21 to the Mayor’s Proposed 2023 Budget
body
Affected Council District(s) or citywide?
Executive Summary with Rationale and Impact:
Detailed description of the item and why we are doing it. This can be a separate attachment.
Type (choose one: Classification; Pay; Benefits; Rule Change; Other):
Fiscal Impact:
Contract Amount (if applicable):
Draft Bill Attached?