Budget Office Forms

Employee Reimbursements

• Employee Expense Reimbursement (Excel)

  • Employee Reimbursement Flowchart (PDF)

  • Statement in Lieu of Receipt (PDF)

  • Moving Expense Reimbursement Form (Word)

Non-Employee Reimbursements

• Request for Lecture Fee, Honorarium and/or Travel Expenses Form (Word)
  
  
  • Honorarium Process Flowchart (PDF)
     
  • Documentation Needed for Honorariums:
    
    • U.S. Citizens:
      
      • Vendor Authorization/Change Form [UM 1679] (PDF)
         
      • Independent Contractor Authorization Form [UM 1650] (PDF)
         
      • Request for Taxpayer Identification Number and Certification (UM1679 Vendor W9) (PDF)
         
    • Foreign Nationals:
      
      • Vendor Authorization/Change Form [UM 1679] (PDF)
         
      • Independent Contractor Authorization Form [UM 1650] (PDF)
         
      • Reimbursement of Expense and Payment of Honoraria To Visitors with 'B', ‘WB’ and ‘WT’ Legal Status (PDF)
         
      • Nonresident Alien Data Collection Worksheet (Word)
         
      • A copy of the passport/visa is also needed.
         
• Other Non-Employee Reimbursement Requests
  
  
  • Request for Taxpayer Identification Number and Certification (PDF)
     
  • Vendor Authorization/Change Form [UM 1679] (PDF)
     

Purchasing

• Check Request Form (CRF) (Excel)
  
  
• Check Handling Request (Special Handling Request) UM1680 (PDF)
   
• Contracts for Professional Services:
  
  
  • Professional Services Information Sheet [UM1669] (Word)
     
  • Statement of Work Attachment for Professional Services [UM1697] (Word)
     
  • Vendor Authorization/Change Form [UM 1679] (PDF)
     
• Price Comparison for Purchases of Goods (Word)
   
• Purchase Order Request Form--Department Supplies/Services (PDF)
   
• Request to Procurement Specialist UM1681 (Word)
   

Purchasing Card

• Purchasing Card Application UM1656 (Word)
  
  
  • Card Dispute Resolution Form (Word)
     
  • Card Lost/Stolen Form (PDF)
     
  • Statement in Lieu of Receipt (PDF)
     
  • Processing Calendar (PDF)
     

Other Useful Forms

• Computer Support via AHC-IS request for services Web page.  Add or terminate access using the following forms:
  
  
  • Data/file Server Access Request Form
     
  • Meeting Maker Request Form
     
  • Fairview Clinical Apps Request Form
     
  • Collaborative Account Request Form
     
  • Add Existing Computer to Support Form
     
  • Request for Purchase Form
    

• Property Disposal Request (PDF)

• Request for Taxpayer Identification Number and Certification (Signed, Tax Department) (PDF)
   
• Request for Taxpayer Identification Number and Certification (UM1679 Vendor W9) (PDF)
   
• Travel Authorization (Word)

• Vendor Authorization Form UM1679 (Excel)

For additional forms, please check the UWide Forms Library.