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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 8Jun 02Stores RequisitionPkgCampus Storeroom Website
UM 9Mar 17Advice of Gift ReceivedSetCampus Development
UM 9AMay 7Advice of Gift Received - Short FormSetCampus Development /Forms Web Page
UM 11AFeb 1, 2018Travel - Mileage Log - Daily Expense Detail Forms Web Page
UM 11BFeb 1, 2018Travel - Non-Employee- Trip Expense Detail Forms Web Page
UM 12Jul 04Supplemental Accounting Voucher Forms Web Page
UM 13AAug 09Bi-Weekly Payroll Time Record, Forms Web Page
UM 13A-CAug 09Bi-Weekly Payroll Time Record - Comp Time Version Forms Web Page
UM 13NBJul 05Bi-Weekly Payroll Time Record - Non-Benefit Eligible Forms Web Page
UM 17Feb 1, 2018Employee Moving Expense Reimbursement Request Forms Web Page
UM 19Jan 03Organizational Structure DeptID Change Request Forms Web Page
UM 20Jan 03Organizational Structure Change Request Forms Web Page
UM 22Sep 05Wire Transfer Authorization Forms Web Page
UM 25Jan 04Petty Cash Purchase Forms Web Page
UM 26Jul 04Credit Memorandum and Return ReceiptPkgCampus Storeroom Website
UM 27Apr 08Property Inventory and Change Report Forms Web Page
UM 29BOct 97Performance Review FormPadForms Web Page
UM 30AJun 08Payroll Correction Form - Salaried Employees Forms Web Page
UM 30BJun 08Payroll Correction Form - Hourly Paid Employees Forms Web Page
UM 32BFeb 10Direct DepositPadForms Web Page
UM 34May 06Transmittal of Records to University Records CenterEachForms Web Page
UM 34AMar 04Transfer Records to ArchivesEachRecords Center
UM 48Jul 01Internal Order Form Forms Web Page
UM 50ASep 04Harland Deposit Supply Order – Columbia Campus Forms Web Page
UM 50BSep 04Harland Deposit Supply Order - Hospital Forms Web Page
UM 52Feb 10Application for Student Employment Forms Web Page
UM 53Mar 99Assumption of Risk & Release Form Forms Web Page
UM 54Jul 04Bid Summary Forms Web Page
UM 55Jul 10Meningococcal Vaccination Policy Compliance Form Forms Web Page
UM 60Apr 02Report of AbsencePkgRecords Center
UM 60AMar 10Monthly Absence Summary Forms Web Page
UM 69Jan 09Damage Report Forms Web Page
UM 70Jun 07Withdraw of Authorization for Deduction of Organization Dues Forms Web Page
UM 71Mar 08Request and Authorization for Deduction of Organization Dues Forms Web Page
UM 72Nov 05Vehicle Usage Log Forms Web Page
UM 73Nov 05Vehicle Fuel Log Forms Web Page
UM 74Nov 05Vehicle Maintenance Log Forms Web Page
UM 81May 03Book Stores RequisitionPkgCampus Storeroom
UM 84-1May 07Educational Assistance Program Questionnaire & Authorization Form Forms Web Page
UM 85Nov 09Authorization for Educational Fee Reduction for Spouse and Dependents Forms Web Page
UM 107Dec 06Authorization for Payroll DeductionEachCampus Development
UM 108Jan 09Request for Leave of Absence Forms Web Page
UM 121Sep 90Records Center Box LabelEachRecords Center
UM 140Aug 09On-Line Check Request Forms Web Page
UM 155Apr 10Disappearance of Assets and Money Forms Web Page
UM 161Aug 09Request for Change in Budget Forms Web Page
UM 176ADec 91Records Destruction Box LabelsEachRecords Center
UM 177Jun 07Educational Assistance Program for Retired Employee Forms Web Page
UM 200Mar 1, 2018Student or General Public Injury & Property Report Forms Web Page
UM 260Aug 03University Printing Services Work AuthorizationPkgRecords Center/ Printing Services Web Page
UM 268Jun 5Administrative Posts Forms Web Page
UM 269Feb 10Appointment Notification Forms Web Page
UM 270Nov 09Personnel Action Form Forms Web Page
UM 270AJul 03JED - Continuation Forms Web Page
UM 270RJul 05Data Form for Retired Staff Forms Web Page
UM 271Jul 10Additional Pay Forms Web Page
UM 272Feb 10Personal Data Form Forms Web Page
UM 273May 08Request for Extra Compensation Forms Web Page
UM 282Jun 06Change of Address/Telephone Number Forms Web Page
UM 284Nov 06Student Employees FICA Checklist Forms Web Page
UM 325May 07Employee Separation Checklist Forms Web Page
UM 326Jan 10Benefits Enrollment FormPadFaculty & Staff Benefits Web Page
UM 326AJan 09Benefits Enrollment Change FormPadFaculty & Staff Benefits Web Page
UM 326BMar 06Beneficiary Designation FormPadFaculty & Staff Benefits Web Page
UM 328Aug 01Faculty Performance Shares Option Exercise Request Notice A Faculty & Staff Benefits Web Page
UM 329Aug 01Faculty Performance Shares Option Exercise Request Notice B Faculty & Staff Benefits Web Page
UM 330Aug 07Voluntary Salary Deferral Agreement Faculty & Staff Benefits Web Page
UM 341Jul 08Salary Reduction AgreementEachFaculty & Staff Benefits Web Page
UM 341AJul 08Roth (403b) Salary Reduction Agreement/Disclosure Faculty & Staff Benefits Web Page
UM 353Sep 02Accounting Recurring Voucher Detail Forms Web Page
UM 357Feb 92Forms Printing RequestPkgForms Management
UM 367Jan 92Record Center Location LabelEachRecords Center
UM 368Oct 02Request for President's Approval for New Appointment Forms Web Page
UM 374Nov 99Foreign Visitor Tax Assessment Intake Form Forms Web Page
UM 376Apr 09Personnel Action Form for Courtesy Appointments and Volunteers Forms Web Page
UM 376AFeb 10Personnel Action Form (PAF) for Non-Resident Aliens Not Employed Forms Web Page
UM 377Jun 97Out Card - Top TabEachRecords Center
UM 377AJun 97Out Card - Side TabEachRecords Center
UM 378Nov 08Non-Resident Alien Expense Supporting Statement Forms Web Page
UM 400Mar 09E-Verify Exception Request Forms Web Page
UM 410Apr 09Certification of HealthCare Provider for Employee Serious Health Condition Forms Web Page
UM 411Apr 09Certification of HealthCare Provider for Family Member's Serious Health Condition Forms Web Page
UM 412Apr 09Certification of Qualifying Exigency for Military Family Leave Forms Web Page
UM 413Apr 09Certification for Serious Injury or Illness of Covered Service Member - for Military Family Leave Forms Web Page
UM WC-1Jan 09Report of Injury Forms Web Page
  Medical Insurance Claim Form Faculty & Staff Benefits Website
  Dental Insurance Claim Form Faculty & Staff Benefits Website
  Prescription Claim FormPadFaculty & Staff Benefits Website

Reviewed 2018-09-14.