Numeric List of Forms
Revised January 4, 2011
University System forms are designated by "UM." Federal forms are designated with one letter (W-4, I-9). Campus and department forms are not included on this list.
Note: Packages and pads contain 25 forms, and orders for indicated forms must be in multiples of 25.
| Form # | Date | Form Title | Unit | Source of Supply |
|---|---|---|---|---|
| I-9 | Aug 09 |
Employment Eligibility Verification | Pkg | Forms Web Page |
| W-4 | Jan 11 | Federal and State Withholding Form | Pkg | Forms Web Page |
| UM 5 |
Aug 10 |
Vehicle Accident Report | Forms Web Page | |
| UM 8 | Jun 02 | Stores Requisition | Pkg | Campus Storeroom Website |
| UM 9 | Jun 95 | Advice of Gift Received | Set | Campus Development |
| UM 9A | May 77 | Advice of Gift Received - Short Form | Set | Campus Development /Forms Web Page |
| UM 11 | Jan 11 | Travel - Trip Expense Detail | Forms Web Page | |
| UM 11A | Jan 11 | Travel - Daily Expense Detail | Forms Web Page | |
| UM 12 | Jul 04 | Supplemental Accounting Voucher | Forms Web Page | |
| UM 13A | Aug 09 |
Bi-Weekly Payroll Time Record, | Forms Web Page | |
| UM 13A-C | Aug 09 | Bi-Weekly Payroll Time Record - Comp Time Version | Forms Web Page | |
| UM 13NB | Jul 05 | Bi-Weekly Payroll Time Record - Non-Benefit Eligible | Forms Web Page | |
| UM 17 | Jan 11 | Employee Moving Expense Reimbursement Request | Forms Web Page | |
| UM 19 | Jan 03 | Organizational Structure DeptID Change Request | Forms Web Page | |
| UM 20 | Jan 03 | Organizational Structure Change Request | Forms Web Page | |
| UM 22 | Sep 05 | Wire Transfer Authorization | Forms Web Page | |
| UM 25 | Jan 04 | Petty Cash Purchase | Forms Web Page | |
| UM 26 | Jul 04 | Credit Memorandum and Return Receipt | Pkg | Campus Storeroom Website |
| UM 27 | Apr 08 | Property Inventory and Change Report | Forms Web Page | |
| UM 29B | Oct 97 | Performance Review Form |
Pad | Forms Web Page |
| UM 30A |
Jun 08 |
Payroll Correction Form - Salaried Employees |
Forms Web Page |
|
| UM 30B |
Jun 08 |
Payroll Correction Form - Hourly Paid Employees |
Forms Web Page |
|
| UM 32B | Feb 10 | Direct Deposit | Pad | Forms Web Page |
| UM 34 | May 06 | Transmittal of Records to University Records Center | Each | Forms Web Page |
| UM 34A | Mar 04 | Transfer Records to Archives | Each | Records Center |
| UM 48 | Jul 01 | Internal Order Form | Forms Web Page | |
| UM 50A | Sep 04 | Harland Deposit Supply Order – Columbia Campus | Forms Web Page | |
| UM 50B | Sep 04 | Harland Deposit Supply Order - Hospital | Forms Web Page | |
| UM 52 | Feb 10 | Application for Student Employment | Forms Web Page | |
| UM 53 | Mar 99 | Assumption of Risk & Release Form | Forms Web Page | |
| UM 54 | Jul 04 | Bid Summary | Forms Web Page | |
| UM 55 | Jul 10 | Meningococcal Vaccination Policy Compliance Form | Forms Web Page | |
| UM 60 | Apr 02 | Report of Absence | Pkg | Records Center |
| UM 60A | Mar 10 | Monthly Absence Summary | Forms Web Page | |
| UM 69 | Jan 09 | Damage Report | Forms Web Page | |
| UM 70 | Jun 07 | Withdraw of Authorization for Deduction of Organization Dues | Forms Web Page | |
| UM 71 | Mar 08 | Request and Authorization for Deduction of Organization Dues | Forms Web Page | |
| UM 72 | Nov 05 | Vehicle Usage Log | Forms Web Page | |
| UM 73 | Nov 05 | Vehicle Fuel Log | Forms Web Page | |
| UM 74 | Nov 05 | Vehicle Maintenance Log | Forms Web Page | |
| UM 81 | May 03 | Book Stores Requisition | Pkg | Campus Storeroom |
| UM 84-1 | May 07 | Educational Assistance Program Questionnaire & Authorization Form | Forms Web Page | |
| UM 85 | Nov 09 | Authorization for Educational Fee Reduction for Spouse and Dependents | Forms Web Page | |
| UM 107 | Dec 06 | Authorization for Payroll Deduction | Each | Campus Development |
| UM 108 | Jan 09 | Request for Leave of Absence | Forms Web Page | |
| UM 121 | Sep 90 | Records Center Box Label | Each | Records Center |
| UM 140 | Aug 09 |
On-Line Check Request | Forms Web Page | |
| UM 155 | Apr 10 | Disappearance of Assets and Money | Forms Web Page | |
| UM 161 | Aug 09 |
Request for Change in Budget | Forms Web Page | |
| UM 176A | Dec 91 | Records Destruction Box Labels | Each | Records Center |
| UM 177 | Jun 07 | Educational Assistance Program for Retired Employee | Forms Web Page | |
| UM 200 | Dec 10 | Student or General Public Injury & Property Report | Forms Web Page | |
| UM 260 | Aug 03 | University Printing Services Work Authorization | Pkg | Records Center/ Printing Services Web Page |
| UM 268 | Jun 5 | Administrative Posts | Forms Web Page | |
| UM 269 | Feb 10 | Appointment Notification | Forms Web Page | |
| UM 270 | Nov 09 |
Personnel Action Form | Forms Web Page | |
| UM 270A | Jul 03 | JED - Continuation | Forms Web Page | |
| UM 270R | Jul 05 | Data Form for Retired Staff | Forms Web Page | |
| UM 271 | Jul 10 | Additional Pay | Forms Web Page | |
| UM 272 | Feb 10 | Personal Data Form | Forms Web Page | |
| UM 273 |
May 08 |
Request for Extra Compensation |
Forms Web Page |
|
| UM 282 | Jun 06 | Change of Address/Telephone Number | Forms Web Page | |
| UM 284 | Nov 06 | Student Employees FICA Checklist | Forms Web Page | |
| UM 325 | May 07 | Employee Separation Checklist | Forms Web Page | |
| UM 326 | Jan 10 | Benefits Enrollment Form | Pad | Faculty & Staff Benefits Web Page |
| UM 326A | Jan 09 | Benefits Enrollment Change Form | Pad | Faculty & Staff Benefits Web Page |
| UM 326B | Mar 06 | Beneficiary Designation Form | Pad | Faculty & Staff Benefits Web Page |
| UM 328 | Aug 01 | Faculty Performance Shares Option Exercise Request Notice A | Faculty & Staff Benefits Web Page | |
| UM 329 | Aug 01 | Faculty Performance Shares Option Exercise Request Notice B | Faculty & Staff Benefits Web Page | |
| UM 330 | Aug 07 | Voluntary Salary Deferral Agreement | Faculty & Staff Benefits Web Page | |
| UM 341 | Jul 08 |
Salary Reduction Agreement | Each | Faculty & Staff Benefits Web Page |
| UM 341A |
Jul 08 |
Roth (403b) Salary Reduction Agreement/Disclosure |
Faculty & Staff Benefits Web Page |
|
| UM 353 | Sep 02 | Accounting Recurring Voucher Detail | Forms Web Page | |
| UM 357 | Feb 92 | Forms Printing Request | Pkg | Forms Management |
| UM 362 | Apr 02 | Request for Return of Record from Records Center/Out Card | Each | Records Center /Forms Web Page |
| UM 365 | Feb 92 | Records Center Box Contents | Each | Records Center /Forms Web Page |
| UM 365A | Feb 92 | Records Center Box Contents - Continuation | Each | Records Center /Forms Web Page |
| UM 367 | Jan 92 | Record Center Location Label | Each | Records Center |
| UM 368 | Oct 02 | Request for President's Approval for New Appointment | Forms Web Page | |
| UM 374 | Nov 99 | Foreign Visitor Tax Assessment Intake Form | Forms Web Page | |
| UM 376 | Apr 09 | Personnel Action Form for Courtesy Appointments and Volunteers | Forms Web Page | |
| UM 376A | Feb 10 | Personnel Action Form (PAF) for Non-Resident Aliens Not Employed | Forms Web Page | |
| UM 377 | Jun 97 | Out Card - Top Tab | Each | Records Center |
| UM 377A | Jun 97 | Out Card - Side Tab | Each | Records Center |
| UM 378 | Nov 08 | Non-Resident Alien Expense Supporting Statement | Forms Web Page | |
| UM 400 |
Mar 09 |
E-Verify Exception Request |
Forms Web Page |
|
| UM 410 |
Apr 09 |
Certification of HealthCare Provider for Employee Serious Health Condition |
Forms Web Page |
|
| UM 411 |
Apr 09 |
Certification of HealthCare Provider for Family Member's Serious Health Condition | Forms Web Page |
|
| UM 412 |
Apr 09 |
Certification of Qualifying Exigency for Military Family Leave |
Forms Web Page |
|
| UM 413 |
Apr 09 |
Certification for Serious Injury or Illness of Covered Service Member - for Military Family Leave |
Forms Web Page |
|
| UM WC-1 | Jan 09 |
Report of Injury | Forms Web Page | |
| Medical Insurance Claim Form | Faculty & Staff Benefits Website | |||
| Dental Insurance Claim Form | Faculty & Staff Benefits Website | |||
| Prescription Claim Form | Pad | Faculty & Staff Benefits Website |
Reviewed 2012-04-03.