Go to navigation Go to content
opener

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 Mar 17 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 2017-04-03.