Forms Directory


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Academic Consulting Agreement
Payment Voucher attachment Word - http://www.virginia.edu/procuremen t/forms/AcadConsultAgt.doc Additional Information: Procedure	Department Accounts Payable Added: Apr 30, 1998 Last Modified: Nov 19, 2004
Acknowledgement of Extraordinary Contribution Form
Word - http://www.hrs.virginia.edu/forms/ extraordinarycontributionform.doc	Department Employee Relations Added: Jan 17, 2002 Last Modified: Jan 17, 2002
Address Change
PDF-O - addychg.pdf - 19 KB - Last Modified: Sep 12, 2005	Department Employee Records Added: Apr 30, 1998 Last Modified: Sep 12, 2005
Admin/Professional Faculty Position Action
PDF-O - fac-pos-action.pdf - 251 KB - Last Modified: Apr 28, 2003	Department Employee Records Provost Added: Sep 1, 1999 Last Modified: Apr 28, 2003
Admission forms for undergraduates
Info - http://www.virginia.edu/~admiss/ug admiss/applica.html	Department Admission, Undergraduate Added: Jun 29, 1999 Last Modified: Jun 29, 1999
Adult Registration
URL - http://www.virginia.edu/ims/forms/ adult-registration-form.pdf	Department Intramural Sports Added: Mar 21, 2001 Last Modified: May 23, 2005
Agreement for a Fraternal Organization
PDF-O - fraternal-org-agreement.pdf - 488 KB - Last Modified: Oct 18, 2004	Department Fraternity and Sorority Life Added: Aug 9, 2002 Last Modified: Oct 18, 2004
Agreement for Use of University Equipment
Word - equipmentuse.doc - 33 KB - Last Modified: Mar 18, 2008 Additional Information: Policy	Department Executive Vice President and Chief Operating Officer Added: Mar 18, 2008 Last Modified: Mar 18, 2008
Air Services Use Authorization
Word - http://www.virginia.edu/parking/se rvices/newjetform.doc Additional Information: Policy	Department Parking and Transportation Added: Jun 2, 2005 Last Modified: Aug 4, 2006
Alcohol Free Event Application
PDF-O - alcohol-free-event.pdf - 77 KB - Last Modified: Sep 13, 2002	Department Fraternity and Sorority Life Added: Aug 9, 2002 Last Modified: Sep 13, 2002
Annual Performance Planning and Appraisal Form
2000-2001 Word - appa.doc - 50 KB - Last Modified: Nov 15, 2001	Department Medical Center of UVA Added: Nov 15, 2001 Last Modified: Nov 15, 2001
Application For Employment - forms packet
application packet for staff and temporary jobs PDF-O - http://www.hrs.virginia.edu/forms/ competency.pdf PDF-O - Competency.pdf - 655 KB - Last Modified: Jan 4, 2005 PDF-O - appempv2.pdf - 293 KB - Last Modified: Feb 19, 2007 PDF-O - SSC2.pdf - 17 KB - Last Modified: Jan 28, 2005 PDF-O - appempsup.pdf - 240 KB - Last Modified: Sep 25, 2003 PDF-O - refrel1.pdf - 16 KB - Last Modified: Jan 28, 2005 PDF-O - JOBCODE.pdf - 162 KB - Last Modified: Jan 10, 2006 PDF-P - appempinstr.pdf - 107 KB - Last Modified: Sep 25, 2003	Department Employment and Classification Added: Jul 24, 1998 Last Modified: Jan 10, 2006
Application for IRS Individual Taxpayer ID
W-7, for individuals who are not U.S. citizens PDF-P - http://www.irs.gov/pub/irs-pdf/fw7 .pdf	Department Foreign National Tax Added: Nov 9, 1998 Last Modified: Feb 10, 2005
Application To Purchase/Lease Passenger Vehicle
PDF-O - purch-lease.pdf - 137 KB - Last Modified: Jun 22, 1999 Additional Information: Policy	Department Parking and Transportation Added: Jun 23, 1999 Last Modified: Jun 22, 1999
Approval For Alcoholic Beverages
Word - http://www.virginia.edu/vpsa/forms /alcohol_approval_rqst.doc Additional Information: Policy	Department Student Affairs Added: Apr 6, 2000 Last Modified: Mar 30, 2006
Approval For Honoraria
Payment Voucher attachment Word - http://www.virginia.edu/procuremen t/forms/HonorariaApproval.doc Additional Information: Procedure	Department Accounts Payable Added: Apr 30, 1998 Last Modified: Mar 10, 2005
Approval For Honoraria
Word - http://www.virginia.edu/procuremen t/forms/HonorariaApproval.doc Additional Information: Policy	Department Foreign National Tax Added: Feb 3, 1999 Last Modified: Feb 3, 1999
Approval For New Revenue Generating Activities
URL - http://www.virginia.edu/finance/fo rms/aprv-new-rev.pdf Additional Information: Policy	Department Financial Analysis Added: Oct 6, 1998 Last Modified: Jan 3, 2008
Art Inventory Report Form
PDF-O - art_inventory_report.pdf - 683 KB - Last Modified: Mar 5, 2008 Additional Information: Policy \| Procedure	Department Fixed Assets (Property & Plant) Accounting Added: Dec 14, 2001 Last Modified: Mar 5, 2008
Art on Grounds Condition Evaluation Form A
PDF-O - eval_form_a.pdf - 210 KB - Last Modified: Dec 14, 2001 Additional Information: Policy \| Procedure	Department Fixed Assets (Property & Plant) Accounting Added: Dec 14, 2001 Last Modified: Dec 14, 2001
Art on Grounds Condition Evaluation Form B
PDF-O - eval_form_b.pdf - 188 KB - Last Modified: Dec 14, 2001 Additional Information: Policy \| Procedure	Department Fixed Assets (Property & Plant) Accounting Added: Dec 14, 2001 Last Modified: Dec 14, 2001
Authorization Agrmt for Electronic Gift Pmts
Agreement to Donate by Automatic Bank Draft PDF-O - auth-e-gift-pmt.pdf - 65 KB - Last Modified: Apr 29, 2004 Word - auth-e-gift-pmt.doc - 63 KB - Last Modified: Apr 29, 2004	Department Development, Office Of Added: Aug 27, 2001 Last Modified: Apr 29, 2004
Authorization for Payroll Deduction Gift Pmts
Agreement to Donate by Payroll Deduction PDF-P - gift-payroll-deduction.pdf - 9 KB - Last Modified: Apr 12, 2007 Word - gift-payroll-deduction.doc - 28 KB - Last Modified: Apr 12, 2007	Department Development, Office Of Added: Mar 27, 2003 Last Modified: Apr 12, 2007
Authorization For Student Activity Expenditure
CIO Treasurer's Manual, Appendix 3 (SA-1) Web - http://www.student.virginia.edu/~c ouncil/studco/apprman.html#app3 Additional Information: Policy	Department Dean Of Students Added: Jul 1, 1999 Last Modified: Jul 1, 1999
Automobile Loss Notice
PDF-P - http://www.virginia.edu/riskmanage ment/Autolossnotice.pdf Additional Information: Policy	Department Risk Management Added: Oct 27, 1998 Last Modified: Dec 20, 2006
Award Create Request Form
Create a new award Excel - req-new-awrd.xls - Last Modified: Jun 29, 2009	Department Budget Office Integrated System Added: Sep 2, 2003 Last Modified: Jun 29, 2009

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Business Card Printing Order
request for business card printing Web - http://www.virginia.edu/uvaprint/b scard.html Additional Information: Policy	Department Printing Services Added: Aug 11, 1998 Last Modified: Aug 11, 1998
Business Meal Certification
Payment Voucher attachment Word - http://www.virginia.edu/procuremen t/forms/BusMealCertification.doc Additional Information: Procedure	Department Accounts Payable Added: Apr 30, 1998 Last Modified: Apr 28, 2004

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Cash Deficit Authorization
PDF-O - cash-def.pdf - 13 KB - Last Modified: Mar 3, 1999 Additional Information: Policy	Department Accounting Services Added: Apr 30, 1998 Last Modified: Mar 3, 1999
Certificate of Records Destruction
State Records Management Form RM-3. Use this form to request to legally destroy obsolete university/state records in a timely and systematic manner and document their destruction. See "Help", "Policy" and "Procedure" for more information. URL - http://www.lva.lib.va.us/whatwedo/ records/forms/rm3ia.pdf Additional Information: Policy \| Procedure \| Help	Department Library, UVA Records Management Added: Aug 19, 1998 Last Modified: May 17, 2007
Certification Of Deferment Status
defer payments on a loan for health professions PDF-O - defstat.pdf - 282 KB - Last Modified: Sep 14, 1998	Department Student Financial Services Added: Oct 19, 1998 Last Modified: Sep 14, 1998
Certification Of Optional Forbearance Or Deferment
defer payments of UVA institutional loan PDF-O - opt-forbear.pdf - 21 KB - Last Modified: Dec 21, 2004	Department Student Financial Services Added: Aug 27, 1998 Last Modified: Dec 21, 2004
Chapter Directory Information
PDF-O - chapter-directory-info.pdf - 74 KB - Last Modified: Sep 13, 2002	Department Fraternity and Sorority Life Added: Aug 9, 2002 Last Modified: Sep 13, 2002
Chapter Membership Roster
Excel - chapter-membership-roster.xls - 19 KB - Last Modified: Apr 12, 2005	Department Fraternity and Sorority Life Added: Apr 12, 2005 Last Modified: Apr 12, 2005
Classified Overload Authorization Request
Compensation for additional duties of a staff employee PDF-O - cls-overload.pdf - 68 KB - Last Modified: Jun 26, 1998 Additional Information: Policy	Department Employee Records Added: Apr 30, 1998 Last Modified: Jun 26, 1998
Communication Services Request
TSR - CC40 URL - https://eforms.itc.virginia.edu/cg i-local/eforms/prod/eforms.cgi	Department Communication Services Added: Nov 10, 1999 Last Modified: Aug 7, 2009
Consent For Release Of Medical Information
URL - http://www.virginia.edu/studenthea lth/release-form.pdf	Department Student Health Added: Jul 6, 1999 Last Modified: Sep 20, 2007
Contract / Approval for Services
Work Request for ITC ADS PDF-P - ITCADSContract.pdf - 20 KB - Last Modified: May 28, 2004 Word - ITCADSContract.doc - 32 KB - Last Modified: May 28, 2004	Department ITC Applications & Data Services Added: May 28, 2004 Last Modified: Jun 7, 2004
Contract Approval Sheet
PDF-O - contract-apr.pdf - 32 KB - Last Modified: Sep 29, 1998 Additional Information: Policy	Department Financial Administration Added: Oct 6, 1998 Last Modified: Sep 29, 1998

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Dealer's Work Sheet For State And Local Taxes
form ST-9A PDF-O - dlr-tax-wksht.pdf - 32 KB - Last Modified: Oct 29, 2004 Additional Information: Policy	Department Accounting Services Added: Oct 8, 1998 Last Modified: Oct 29, 2004
Dean VP Designee
Word - http://www.virginia.edu/procuremen t/forms/DeanVPDesigneeForm.doc	Department Accounts Payable Added: Jul 12, 2001 Last Modified: Aug 8, 2001
Deed Of Gift - Corporate
PDF-O - deed-corp.pdf - 11 KB - Last Modified: Jul 1, 2005 Additional Information: Policy	Department Development, Office Of Added: Apr 30, 1998 Last Modified: Jul 1, 2005
Deed Of Gift - Intangible
PDF-O - deed-intang.pdf - 13 KB - Last Modified: Jul 1, 2005 Additional Information: Policy	Department Development, Office Of Added: Apr 30, 1998 Last Modified: Jul 1, 2005
Deed Of Gift - Tangible
PDF-P - deed-tang.pdf - 22 KB - Last Modified: Jul 1, 2005 Additional Information: Policy	Department Development, Office Of Added: Apr 30, 1998 Last Modified: Jul 1, 2005
Deed Of Gift Policies
PDF-P - deed-policies.pdf - 16 KB - Last Modified: Sep 15, 1999 Additional Information: Policy	Department Development, Office Of Added: Sep 15, 1999 Last Modified: Sep 15, 1999
Deed Of Gift Procedures
PDF-P - deed-proced.pdf - 7 KB - Last Modified: Sep 15, 1999 Additional Information: Policy	Department Development, Office Of Added: Sep 15, 1999 Last Modified: Sep 15, 1999
Delivery Location Request Form
New or change to delivery location code both within the Integrated System and with Procurement Services. Maintained by Procurement Services. Web - http://www.virginia.edu/procuremen t/forms/DeliveryLocationForm.html	Department Integrated System Procurement Services Added: Sep 2, 2003 Last Modified: Dec 23, 2003
Department Acceptance of Credit Cards
Word - dept_accept_cc.doc - 44 KB - Last Modified: Jul 11, 2007 Additional Information: Policy	Department Cashier's Office Added: Jul 11, 2007 Last Modified: Jul 11, 2007
Departmental Orientation Checklist
PDF-P - http://www.hrs.virginia.edu/forms/ orientchecklist.pdf	Department Employee Relations Added: Jan 16, 2002 Last Modified: Jan 16, 2002
Deposit ticket order form
PDF-O - http://www.virginia.edu/finance/fo rms/deposit-ticket-order.pdf	Department Revenue & Collections Added: Jul 23, 2004 Last Modified: Mar 28, 2005
Deposit/Receipt Form
PDF-O - deposit-rcpt.pdf - 106 KB - Last Modified: Oct 31, 2002 Additional Information: Policy	Department Cashier's Office Added: Jun 21, 2001 Last Modified: Oct 31, 2002
Direct Deposit Authorization
PDF-O - dir-deposit.pdf - 86 KB - Last Modified: Aug 26, 2008	Department Student Financial Services Payroll Added: Dec 1, 1999 Last Modified: Aug 26, 2008
Discoverer View Join LOV Request Form
Create or modify view, join, LOV for the creation of a Discoverer report Word - http://www.virginia.edu/integrated system/forms/DiscovererViewJoinLO VForm.dot	Department Integrated System Added: Sep 2, 2003 Last Modified: Dec 23, 2003
Discrimination Complaint
PDF-O - discrimination-complaint.pdf - 86 KB - Last Modified: Oct 1, 2003	Department Equal Opportunity Programs Added: Apr 2, 2001 Last Modified: Oct 1, 2003

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Earnings Element Request Form
PDF-P - eerf.pdf - 19 KB - Last Modified: Sep 20, 2006 Word - eerf.doc - 71 KB - Last Modified: Sep 20, 2006	Department Employment and Classification Added: Sep 20, 2006 Last Modified: Sep 20, 2006
Employee Independent Contractor
Payment Voucher attachment PDF-P - http://www.virginia.edu/finance/av pcompt/taxforms/contractor_checkl ist.pdf Additional Information: Procedure	Department Accounts Payable Added: Aug 13, 2001 Last Modified: Apr 9, 2008
Employee Work Profile (Work Description)
Word - http://www.hrs.virginia.edu/forms/ ewp.doc	Department Employment and Classification Added: Sep 20, 2006 Last Modified: Sep 20, 2006
Entity Agreement
agreement with organizations outside of UVa PDF-O - entity-agree.pdf - 53 KB - Last Modified: Nov 13, 1998	Department Financial Administration Added: Nov 13, 1998 Last Modified: Nov 13, 1998
Equipment Inventory Change Request (P-1)
PDF-P - http://www.virginia.edu/finance/fo rms/equip-inv-chg.pdf Additional Information: Policy	Department Fixed Assets (Property & Plant) Accounting Added: Oct 22, 1998 Last Modified: Apr 4, 2005
Exemption From Withholding For Nonres. Alien
Form 8233, for Independent Personal Services of a Nonres. Alien PDF-O - http://www.irs.gov/pub/irs-pdf/f82 33.pdf Additional Information: Policy \| Procedure	Department Foreign National Tax Added: Oct 16, 1998 Last Modified: Feb 10, 2005
Expenditure Credit
PDF-O - expend-credit.pdf - 50 KB - Last Modified: Apr 14, 2008 Additional Information: Policy	Department Cashier's Office Added: Jul 12, 2001 Last Modified: Apr 14, 2008
Expenditure Type (GM) Request Form
New or change GM expenditure type Word - http://www.virginia.edu/integrated system/forms/GMExpenditureTypeFor m.dot	Department Integrated System Added: Sep 2, 2003 Last Modified: Dec 23, 2003
Expenditure Voucher For Student Activity
CIO Treasurer's Manual, Appendix 4 (SA-2) Web - http://www.student.virginia.edu/~c ouncil/studco/apprman.html#app4	Department Dean Of Students Added: Jul 1, 1999 Last Modified: Jul 1, 1999

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FAC and Calling Card Request
Forced Authorization Code for long distance PDF-O - FAC-request.pdf - 100 KB - Last Modified: Dec 14, 2001	Department Communication Services Added: Feb 19, 2001 Last Modified: Dec 14, 2001
Facilities Management Work Request
URL - http://fac.mgmt.virginia.edu/workr equest/workrequestinput.asp Additional Information: Policy	Department Facilities Management Added: Apr 30, 1998 Last Modified: Apr 30, 1998
Faculty Appointment - Application Information Form
Applicant Information PDF-P - http://www.virginia.edu/eop/append _b.pdf Word - appendix_b.doc - 12 KB - Last Modified: May 9, 2007	Department Equal Opportunity Programs Added: Apr 30, 1998 Last Modified: May 9, 2007
Faculty Internal Overload Authorization
Activity to be compensated in addition to regular duties for a faculty member PDF-O - fac-overload.pdf - 11 KB - Last Modified: Jun 26, 1998 Additional Information: Policy	Department Employee Records Added: Apr 30, 1998 Last Modified: Jun 26, 1998
Faculty Personal Data Sheet
Personal information provided after acceptance of a position PDF-O - fac-data.pdf - 62 KB - Last Modified: Sep 15, 1999	Department Employee Records Added: Aug 19, 1998 Last Modified: Sep 15, 1999
Faculty Personnel Action
Add or change information regarding a faculty member PDF-O - fac-action.pdf - 101 KB - Last Modified: Aug 26, 1998	Department Employee Records Added: Jul 27, 1998 Last Modified: Aug 26, 1998
Faculty Salaried Personnel Hire Form
For people with Oracle HRMS Viewer responsibility to submit employee hire information. PDF-O - fac-sal-pers-hire.pdf - 329 KB - Last Modified: Jan 3, 2003 Word - fac-sal-pers-hire.doc - 132 KB - Last Modified: Jan 3, 2003	Department Employee Records Added: Sep 19, 2002 Last Modified: Jan 3, 2003
Faculty Wage/Student Personnel Hire Form
For people with Oracle HRMS Viewer responsibility to submit employee hire information. PDF-O - fac-wage-stu-pers-hire.pdf - 258 KB - Last Modified: Jan 3, 2003 Word - fac-wage-stu-pers-hire.doc - 106 KB - Last Modified: Jan 3, 2003	Department Employee Records Added: Sep 19, 2002 Last Modified: Jan 3, 2003
Federal Work Study Employer Handbook
PDF-P - fws-employer-handbook.pdf - 376 KB - Last Modified: Aug 21, 2009	Department Student Financial Services Added: Apr 11, 2002 Last Modified: Aug 21, 2009
Federal Work Study Voucher
PDF-P - WS-Voucher.pdf - 59 KB - Last Modified: Aug 21, 2009	Department Student Financial Services Added: Jul 23, 2004 Last Modified: Aug 21, 2009
Fellowship Disclosure Form/Questionnaire
PDF-O - fellowdis.pdf - 26 KB - Last Modified: Aug 22, 2000 Additional Information: Policy	Department Student Financial Services Added: Aug 22, 2000 Last Modified: Aug 22, 2000
Fellowship Nominations
for Graduate School of Arts and Sciences PDF-O - gsas-fellowship.pdf - 61 KB - Last Modified: Apr 4, 2000	Department Arts & Sciences, Graduate School of Added: Feb 22, 2000 Last Modified: Apr 4, 2000
Fidelity Investments 403(b) Application
PDF-P - http://www.hrs.virginia.edu/forms/ 403fidelity.pdf	Department Employee Benefits Added: Jan 21, 2002 Last Modified: Jan 21, 2002
Fidelity Investments® 401(a) Application
PDF-P - http://www.hrs.virginia.edu/forms/ Fidelityform.pdf	Department Employee Benefits Added: Jan 17, 2002 Last Modified: Jan 17, 2002
Fidelity Investments® 403b Beneficiary Designation
URL - http://wps.fidelity.com/non-profit s/forms/bdform.htm	Department Employee Benefits Added: May 3, 2000 Last Modified: May 3, 2000
Fidelity Investments® 403b Transfer
URL - http://wps.fidelity.com/non-profit s/forms/trform.htm	Department Employee Benefits Added: May 3, 2000 Last Modified: May 3, 2000
Fidelity Investments® Forms
URL - http://wps.fidelity.com/non-profit s/guide/enroll/formsnf.htm	Department Employee Benefits Added: Jan 17, 2002 Last Modified: Jan 17, 2002
Fraternity/Sorority Presentation Evaluation Form
PDF-O - evaluation-form.pdf - 23 KB - Last Modified: Aug 9, 2002	Department Fraternity and Sorority Life Added: Aug 9, 2002 Last Modified: Aug 9, 2002
Fraternity/Sorority Presentation Sign-In Sheet
PDF-P - foa_program_sign-in_sheet.pdf - 53 KB - Last Modified: Feb 22, 2005	Department Fraternity and Sorority Life Added: Oct 7, 2004 Last Modified: Feb 22, 2005

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General Faculty Conditional Offer Letter
template and instructions for conditional offer Word - cond-offer.doc - 40 KB - Last Modified: Oct 17, 2000	Department Provost Added: Oct 17, 2000 Last Modified: Oct 17, 2000
Gift Deposit - Hospital
PDF-O - gift-dep-hosp.pdf - 154 KB - Last Modified: Sep 12, 2001 Additional Information: Policy	Department Development, Office Of Added: Apr 30, 1998 Last Modified: Sep 12, 2001
Gift Deposit - University
PDF-O - gift-dep-uva.pdf - 790 KB - Last Modified: May 20, 2003 Additional Information: Policy	Department Development, Office Of Added: Apr 30, 1998 Last Modified: May 20, 2003
Graduate Department April Letter
PDF-P - grad-dept-apr-ltr.pdf - 73 KB - Last Modified: Apr 11, 2002	Department Student Financial Services Added: Apr 11, 2002 Last Modified: Apr 11, 2002
Graduate Department Award Notice
PDF-P - grad-dept-award-notice.pdf - 115 KB - Last Modified: Apr 11, 2002 Word - grad-dept-award-notice.doc - 38 KB - Last Modified: Apr 11, 2002	Department Student Financial Services Added: Apr 11, 2002 Last Modified: Apr 11, 2002

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Hardship/Unemployment Deferment
PDF-O - hardship.pdf - 233 KB - Last Modified: Apr 19, 2004	Department Student Financial Services Added: Apr 19, 2004 Last Modified: Apr 19, 2004
Health Plan Enrollment Application
PDF-P - http://www.hrs.virginia.edu/forms/ uvaenrollmentapplication.pdf	Department Employee Benefits Added: May 3, 2000 Last Modified: May 3, 2000
Health System Forms
Some forms in the forms directory have a different version for Health System employees. To view the Health System Forms Directory, click on the link below. You will need to login with either your HS/CS or ITC managed login account. Web - http://knowledgelink.healthsystem. virginia.edu/auth/klink.cfm?refer ringurl=/ofr/usr/allforms.cfm	Department Medical Center of UVA Health System Forms Added: Jan 26, 2004 Last Modified: Jan 26, 2004
Hepatitis B and Meningitis Immunization Waiver
URL - http://www.virginia.edu/studenthea lth/PEHF.html	Department Student Health Added: Feb 10, 2005 Last Modified: Mar 16, 2009
HSF Payment Request
for Accounts Payable in Clinical Accounting Excel - http://www.hsf.virginia.edu/hsf/cl nacct/CHECKREQ.xls	Department Health Services Foundation Added: Oct 25, 1999 Last Modified: Oct 25, 1999
HSF Travel Expense Reimbursement Voucher
for Clinical Accounting Excel - http://www.hsf.virginia.edu/hsf/cl nacct/travel%20logo.xls	Department Health Services Foundation Added: Oct 25, 1999 Last Modified: Oct 25, 1999
Human Resources Links and Forms
Complete listing of all Human Resources links and forms Info - http://www.hrs.virginia.edu/forms. html	Department Human Resources Added: Jan 16, 2002 Last Modified: Feb 13, 2007

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I-9 Form
Verify an employee's eligibility to work in US URL - http://www.uscis.gov/files/form/i- 9.pdf	Department Compliance and Immigration Services Added: Apr 30, 1998 Last Modified: Aug 11, 2008
IM-Rec Sports Membership Application
URL - http://www.virginia.edu/ims/forms/ membership.pdf	Department Intramural Sports Added: Aug 27, 1999 Last Modified: May 23, 2005
IM-Rec Sports Payroll Deduction Authorization
URL - http://www.virginia.edu/ims/forms/ payroll-deduct.pdf	Department Intramural Sports Added: Feb 12, 2002 Last Modified: May 23, 2005
Incident Report
non-auto incident resulting in injury or property damage/loss PDF-P - http://www.virginia.edu/riskmanage ment/Incident%20Report%20Form2007 .pdf Additional Information: Policy	Department Risk Management Added: Sep 16, 1998 Last Modified: Mar 7, 2007
Installment Creation or Modification (ICOM) Req.
Create or modify installment to a new or existing award Excel - req-for-icom.xls - Last Modified: Jun 29, 2009	Department Budget Office Integrated System Added: Sep 2, 2003 Last Modified: Jun 29, 2009
Integrated System Access Form
Create, modify, delete access to Integrated System via responsibility assignment. Word - http://www.hrs.virginia.edu/career /dot/ISAccessForm.doc	Department Integrated System Added: Sep 2, 2003 Last Modified: Jul 28, 2006
Interim Progress Report
PDF-O - interim-report.pdf - 52 KB - Last Modified: Nov 11, 2004	Department Fraternity and Sorority Life Added: Sep 13, 2002 Last Modified: Nov 11, 2004
Internal Controls Questionnaire
URL - https://www.virginia.edu/finance/i cq/index.php Additional Information: Policy	Department Financial Administration Added: Nov 13, 1998 Last Modified: Oct 19, 2006
Invoice Correction/Action Form
Web - http://www.virginia.edu/procuremen t/forms/ProblemInvoiceCorrection. html	Department Accounts Payable Added: Apr 14, 2003 Last Modified: Feb 1, 2005

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Job Vacancy Announcement - form packet
Forms used to post a vacant staff position Info - jobvacannpkt.html - 1 KB - Last Modified: Jul 20, 2000	Department Employment and Classification Added: Jul 24, 1998 Last Modified: Jul 20, 2000

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Key Member Data Element Change Request Form
Change GM key member/ personnel name if an employee is listed 50 or more times as a key member/personnel in Grants Management Word - http://www.virginia.edu/integrated system/forms/AwardProjectKeyMembe rDataForm.doc	Department Integrated System Added: Sep 2, 2003 Last Modified: Dec 23, 2003
Key Request
PDF-O - key-req.pdf - 179 KB - Last Modified: Aug 28, 2006 Additional Information: Policy	Department Facilities Management Added: Oct 26, 1998 Last Modified: Aug 28, 2006

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Labor Distribution Cost Transfer Request
Word - cost_transfer_request.doc - 48 KB - Last Modified: Jun 14, 2002	Department Payroll Added: Oct 22, 2001 Last Modified: Jun 14, 2002
Limited Purchase Order (LPO)
Info - http://www.virginia.edu/procuremen t/departments/LimitedPurchaseOrde rs.html Additional Information: Policy \| Procedure	Department Procurement Services Added: Apr 30, 1998 Last Modified: Apr 30, 1998
LPO Instructions
Web - http://www.procurement.virginia.ed u/main/departments/LPOInstruction s.html	Department Procurement Services Added: Jul 12, 2001 Last Modified: Oct 5, 2004

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Mandatory Compliance
IS Request Form Word - http://www.virginia.edu/integrated system/forms/MandatoryComplianceF orm.dot	Department Integrated System Added: Jun 10, 2003 Last Modified: Jan 6, 2004
MetaLink Access
Create, modify, delete vendor site access for Integrated System Word - http://www.virginia.edu/integrated system/forms/MetaLinkAccessForm.d ot	Department Integrated System Added: Jun 10, 2003 Last Modified: Dec 23, 2003
MonsterTrak Access Form
Word - fws-access-form.doc - 27 KB - Last Modified: Aug 12, 2003	Department Student Financial Services Added: Apr 11, 2002 Last Modified: Aug 12, 2003
Moving Expense Agreement
URL - http://www.hrs.virginia.edu/forms/ move-exp-agr.pdf Additional Information: Policy	Department Payroll Added: Jun 28, 1998 Last Modified: May 20, 2008
Moving Expense Summary
URL - http://www.hrs.virginia.edu/forms/ move-exp-sum.pdf Additional Information: Policy	Department Payroll Added: Jun 28, 1998 Last Modified: Jan 2, 2007
Multi-Color Printing Request
Word - http://www.virginia.edu/procuremen t/forms/MultiColorPrint.doc Additional Information: Policy	Department Procurement Services Added: Aug 13, 2001 Last Modified: Aug 13, 2001

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Name Change
PDF-O - namechg.pdf - 18 KB - Last Modified: Feb 3, 1999	Department Employee Records Added: Apr 30, 1998 Last Modified: Feb 3, 1999
Name/ID Number Change Form
to change a student name or ID PDF-O - name-id-change.pdf - 19 KB - Last Modified: Apr 9, 2009	Department Registrar Added: Jun 25, 1999 Last Modified: Apr 9, 2009
New Faculty Personal Data Sheet
Faculty personal information that must accompany the Preliminary Form. PDF-O - new-fac-data.pdf - 53 KB - Last Modified: Jun 26, 1998	Department Employee Records Added: Apr 30, 1998 Last Modified: Jun 26, 1998
New Member Roster
Excel - new-member-roster.xls - 52 KB - Last Modified: Apr 12, 2005	Department Fraternity and Sorority Life Added: Apr 12, 2005 Last Modified: Apr 12, 2005
New Project Worksheet
to raise funds from corporations and foundations Word - cfr-new-proj.doc - 31 KB - Last Modified: Jun 2, 1999	Department Health Systems Development Ofc Added: Jun 15, 1999 Last Modified: Jun 2, 1999
Nonresident Alien Visa Table
PDF-P - visa-2.pdf - 4 KB - Last Modified: Jun 10, 1999 Additional Information: Policy	Department Foreign National Tax Added: Feb 3, 1999 Last Modified: Jun 10, 1999
Notice of Improvement Needed
Notice of Improvement Needed/Substandard Performance Form Word - http://www.hrs.virginia.edu/forms/ belowcontributorform.doc	Department Employee Relations Added: Jan 17, 2002 Last Modified: Jan 17, 2002

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Object Code (GL) Request Form
New or change GL Object Code Word - http://www.virginia.edu/integrated system/forms/GLObjectCodeForm.dot	Department Integrated System Added: Sep 2, 2003 Last Modified: Dec 23, 2003
Off-Grounds Equipment Certification Form
PDF-P - http://www.virginia.edu/finance/fo rms/off_grounds_equip.pdf Additional Information: Procedure	Department Fixed Assets (Property & Plant) Accounting Added: Jul 20, 2005 Last Modified: Jul 20, 2005
Organization Values Request Form
Create, modify Organzational (org) value Word - http://www.virginia.edu/integrated system/forms/OrganizationValuesFo rm.doc	Department Integrated System Added: Sep 2, 2003 Last Modified: Dec 23, 2003
Outstanding Contribution Award Nomination Form
PDF-P - http://www.hrs.virginia.edu/forms/ nomination.pdf	Department Employee Relations Added: Jan 16, 2002 Last Modified: Jan 16, 2002

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Patent Policy Agreement
PDF-O - patent.pdf - 6 KB - Last Modified: Aug 25, 1998 Additional Information: Policy	Department Research & Public Service, VP Added: Aug 26, 1998 Last Modified: Aug 25, 1998
Pay Action Request Form
Word - http://www.hrs.virginia.edu/forms/ payactionrequestform.doc	Department Employment and Classification Added: Sep 20, 2006 Last Modified: Sep 20, 2006
Payment Delay Certification
form UT-B Excel - pay-delay-cert.xls - 36 KB - Last Modified: Nov 20, 2003	Department Student Financial Services Added: Aug 27, 1998 Last Modified: Nov 20, 2003
Performance Planning & Evaluation (EWP)
URL - http://www.hrs.virginia.edu/forms/ ewp.doc	Department Employee Records Employee Relations Added: Apr 30, 1998 Last Modified: Aug 23, 2006
Perkins/NDSL Loan Cancellation or Deferment
PDF-O - perkins.pdf - 325 KB - Last Modified: Sep 29, 1998	Department Student Financial Services Added: Sep 30, 1998 Last Modified: Sep 29, 1998
Permanent Motor Pool Vehicle Request
PDF-O - mtr-pool-app.pdf - 52 KB - Last Modified: Jun 26, 1998 Additional Information: Policy	Department Parking and Transportation Added: Apr 30, 1998 Last Modified: Jun 26, 1998
Personal Training Registration
URL - http://www.virginia.edu/ims/forms/ PT-Registration.pdf	Department Intramural Sports Added: Feb 12, 2002 Last Modified: May 23, 2005
Personal Training-Physician Waiver Form
URL - http://www.virginia.edu/ims/forms/ PT-Physicians-Release.pdf	Department Intramural Sports Added: Feb 12, 2002 Last Modified: May 23, 2005
Personnel Action Form
Add or change information for any employee PDF-O - peractfm.pdf - 236 KB - Last Modified: Jul 10, 1998	Department Employee Records Added: Jul 10, 1998 Last Modified: Jul 10, 1998
Petty Cash & Change Fund Reconciliation
Excel - pc-checking-reconciliation.xls - 62 KB - Last Modified: Jul 18, 2006 Excel - petty-cash-reconciliation.xls - 76 KB - Last Modified: Sep 14, 2006 Excel - change-fund-reconciliation.xls - 75 KB - Last Modified: Sep 14, 2006 Additional Information: Policy	Department Cashier's Office Added: Jun 29, 2001 Last Modified: Sep 14, 2006
Petty Cash - Request, Checking, or Change Fund
PDF-O - pet-csh-req.pdf - 42 KB - Last Modified: Jan 3, 2003 Additional Information: Policy	Department Accounting Services Added: Jun 29, 2001 Last Modified: Jan 3, 2003
Petty Cash Voucher
Payment Voucher attachment Word - http://www.virginia.edu/procuremen t/forms/PettyCash.doc Additional Information: Procedure	Department Accounts Payable Added: Jul 11, 2001 Last Modified: Apr 2, 2004
Phone Quote Summary
Word - http://www.virginia.edu/procuremen t/forms/PhoneQuote.doc	Department Procurement Services Added: Jul 12, 2001 Last Modified: Jul 12, 2001
Position Action Form
See HR website for MS Word version. URL - http://www.hrs.virginia.edu/forms/ newposactform.pdf	Department Employment and Classification Added: Sep 20, 2006 Last Modified: Sep 20, 2006
Pre-entrance Health Record
URL - http://www.virginia.edu/studenthea lth/PEHF.html	Department Student Health Added: Jun 25, 1999 Last Modified: Mar 16, 2009
Prelim. Account Request & Grant/Contract Change
PDF-O - acnt-grant-chng.pdf - 32 KB - Last Modified: May 19, 1998 Additional Information: Policy	Department Sponsored Programs Office Added: Apr 30, 1998 Last Modified: May 19, 1998
Preliminary Approval
recommendation of a faculty member for approval	Department Employee Records Added: Jul 24, 1998 Last Modified: Jul 14, 1998
Printing Requisition Form
request for printing services, with all options PDF-P - http://www.virginia.edu/uvaprint/p rint-req.pdf Additional Information: Policy	Department Printing Services Added: Aug 11, 1998 Last Modified: Aug 11, 1998
Printing Requisition Web Page
request for printing services, with limited options URL - http://www.virginia.edu/uvaprint/r equi.html Additional Information: Policy	Department Printing Services Added: Aug 11, 1998 Last Modified: Aug 11, 1998
Probationary Progress Review (PDF)
PDF-P - http://www.hrs.virginia.edu/forms/ ProbRev.pdf	Department Employee Relations Added: Jan 16, 2002 Last Modified: Jan 16, 2002
Probationary Progress Review (Word)
Word - http://www.hrs.virginia.edu/forms/ probreview.doc	Department Employee Relations Added: Jan 16, 2002 Last Modified: Jan 16, 2002
Project Award/Activity Checklist
PDF-O - proj-act-chklst.pdf - 314 KB - Last Modified: May 27, 2008 Additional Information: Policy \| Procedure	Department Accounting Services Added: Oct 12, 2001 Last Modified: May 27, 2008
Project Create Request Form
Attach to all new projects upon creation. The form responses should justify the expenditure function chosen when creating the project. Word - http://www.virginia.edu/integrated system/forms/ProjectCreateAttachm entForm.doc	Department Accounting Services Integrated System Added: Sep 2, 2003 Last Modified: Jun 29, 2009
Property Claim Spreadsheet
Excel - http://www.virginia.edu/riskmanage ment/EmergencyPlanUnitLevelLinkPr operty%20Claim%20Spreadsheet.xls	Department Risk Management Added: Mar 7, 2007 Last Modified: Mar 7, 2007
Property Loss Responsibilities
Word - http://www.virginia.edu/riskmanage ment/EmergencyPlanUnitLevelLinkPr opertyLossResponsibilities.doc	Department Risk Management Added: Mar 7, 2007 Last Modified: Mar 7, 2007
Purchase Order Change Request
Web - http://www.virginia.edu/procuremen t/forms/POChangeRequest.html	Department Procurement Services Added: Feb 8, 2002 Last Modified: Feb 8, 2002
Purchase Requisition
Info - http://www.virginia.edu/procuremen t/departments/PurchaseRequisition s.html Additional Information: Policy \| Procedure	Department Procurement Services Added: Apr 30, 1998 Last Modified: Apr 30, 1998
Purchasing Card Application
This form requires Netscape 4.5 (128 Bit Encryption) or Internet Explorer 4.0 or higher. Web - https://www.procurement.virginia.e du/forms/PCardApplication.html Additional Information: Policy \| Procedure	Department Procurement Services Added: Nov 2, 2001 Last Modified: Sep 2, 2005
Purchasing Card Change Request
This form requires Netscape 4.5 (128 Bit Encryption) or Internet Explorer 4.0 or higher. Web - https://www.procurement.virginia.e du/main/frms/PCardChange.php Additional Information: Policy \| Procedure	Department Procurement Services Added: Jul 7, 2000 Last Modified: Jul 11, 2007
Purchasing Fiscal Year Workbook
Transaction Log Excel - http://www.procurement.virginia.ed u/main/tools/PcardFiscalYearWorkb ook.xls	Department Procurement Services Added: Jul 11, 2001 Last Modified: Oct 5, 2004
Purchasing Unit Request Form
Web - http://www.virginia.edu/procuremen t/forms/PurchasingUnitForm.html	Department Procurement Services Added: Feb 13, 2002 Last Modified: Oct 24, 2003

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Recognition Award Request Form
PDF-P - rarf.pdf - 466 KB - Last Modified: Sep 19, 2006 Word - rarf.doc - 65 KB - Last Modified: Sep 19, 2006	Department Employment and Classification Added: Sep 19, 2006 Last Modified: Sep 19, 2006
Reimbursement - Faculty Entertainment of Students
PDF-P - faculty-reimb.pdf - 23 KB - Last Modified: Aug 19, 2009 Word - faculty-reimb.doc - 27 KB - Last Modified: Aug 19, 2009	Department Dean Of Students Added: Aug 28, 1999 Last Modified: Aug 19, 2009
Release of information
Authorize HR to release info to outside party PDF-O - inforel.pdf - 12 KB - Last Modified: Jun 26, 1998	Department Employee Records Added: Apr 30, 1998 Last Modified: Jun 26, 1998
Request For Accommodation Of Disability
PDF-O - accom-disab.pdf - 93 KB - Last Modified: Jun 22, 1999 Additional Information: Policy	Department Parking and Transportation Added: Jun 23, 1999 Last Modified: Jun 22, 1999
Request For Charter Transit Service
PDF-O - charter-tran.pdf - 14 KB - Last Modified: Nov 27, 2001 Additional Information: Policy	Department Parking and Transportation Added: Jun 23, 1999 Last Modified: Nov 27, 2001
Request for Dual Employment
Approval to work an additional temporary job PDF-O - dual1.pdf - 14 KB - Last Modified: May 5, 2000	Department Employment and Classification Added: Apr 30, 1998 Last Modified: May 5, 2000
Request For Key Or Card Access To Newcomb Hall
PDF-O - keyreq.pdf - 25 KB - Last Modified: Jun 5, 2002 Additional Information: Policy	Department Newcomb Hall Added: Jun 29, 1999 Last Modified: Jun 5, 2002
Request for Professorship Establishment
Word - request-for-professorship.doc - 21 KB - Last Modified: Aug 12, 2003	Department Development, Office Of Added: Aug 12, 2003 Last Modified: Aug 12, 2003
Request for Reassignment
used to move an employee to a different position PDF-O - reasign.pdf - 43 KB - Last Modified: May 5, 2000	Department Employment and Classification Added: Jul 24, 1998 Last Modified: May 5, 2000
Request for Security Support for Social Event
PDF-O - event-security-request.pdf - 18 KB - Last Modified: Sep 13, 2002	Department Fraternity and Sorority Life Added: Sep 13, 2002 Last Modified: Sep 13, 2002
Request For Transcript
PDF-P - http://www.virginia.edu/registrar/ Transcriptreq.pdf Additional Information: Policy \| Procedure	Department Registrar Added: Nov 15, 1999 Last Modified: Nov 15, 1999
Request For University Account
request a new FAS account number PDF-O - acnt-create.pdf - 40 KB - Last Modified: Oct 16, 1998 Additional Information: Policy	Department Accounting Services Added: Mar 9, 2001 Last Modified: Oct 16, 1998
Request For University Account -Supplementary Info
Oracle values for a new FAS account number PDF-O - acnt-create-supp.pdf - 14 KB - Last Modified: Mar 9, 2001	Department Accounting Services Added: Mar 9, 2001 Last Modified: Mar 9, 2001
Request for Workforce Planning & Staffing Services
Establish a new position; reallocate, abolish, or redefine an existing position PDF-O - rpaform.pdf - 35 KB - Last Modified: Dec 9, 1998	Department Employment and Classification Added: Apr 30, 1998 Last Modified: Dec 9, 1998
Request to Establish Quasi Endowment Project
for University Quasi Endowment Projects Excel - quasi-endow-proj-req.xls - 19 KB - Last Modified: May 1, 2002	Department Investment and Tax Services Added: May 1, 2002 Last Modified: May 1, 2002
Request to Establish True Endowment Project
for University True Endowment Projects Excel - true-endow-proj-req.xls - 19 KB - Last Modified: Oct 30, 2001	Department Investment and Tax Services Added: May 1, 2002 Last Modified: Oct 30, 2001
Request to Surplus Property
Web - https://www.procurement.virginia.e du/surplus/uvastaffonly/form Additional Information: Procedure \| Help	Department Procurement Services Added: Nov 12, 1998 Last Modified: Jun 23, 2008
Required Documentation for Travel or Honorarium Pa
PDF-P - HonorariaTravelReq.pdf - 187 KB - Last Modified: Jul 13, 2007 Additional Information: Policy	Department Foreign National Tax Added: Jul 20, 2005 Last Modified: Jul 13, 2007
Research Pro. Staff Conditional Offer Letter
template and instructions for conditional offer Word - cond-offer.doc - 40 KB - Last Modified: Oct 17, 2000	Department Provost Added: Oct 17, 2000 Last Modified: Oct 17, 2000
Rotunda Reservation
PDF-O - rotunda-res.pdf - 53 KB - Last Modified: Mar 30, 2006 Additional Information: Policy	Department Rotunda Administration Added: Aug 24, 1998 Last Modified: Mar 30, 2006

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Salary Reduction Agreement
Authorize Contributions for Tax-Deferred Savings for Salaried Employees Excel - http://www.hrs.virginia.edu/forms/ tdspformsalary.xls	Department Employee Benefits Added: Jul 5, 2000 Last Modified: Apr 24, 2007
Selective Service Compliance
PDF-P - http://www.hrs.virginia.edu/forms/ SSC2.pdf	Department Employment and Classification Added: Nov 3, 1999 Last Modified: Nov 3, 1999
Sole Source Justification
Word - http://www.virginia.edu/procuremen t/forms/SoleSourceJustification.d oc Additional Information: Policy \| Procedure	Department Procurement Services Added: Jul 24, 1998 Last Modified: Jul 24, 1998
SOM Conflict of Interest Form
filed with gifts from corportations and foundations Word - SOM_conflict_of_interest.doc - 24 KB - Last Modified: Mar 6, 2008	Department Health Systems Development Ofc Added: Mar 6, 2008 Last Modified: Mar 6, 2008
Special Cash Advance Request
PDF-O - spc-cash-adv.pdf - 1035 KB - Last Modified: Sep 14, 2006	Department Revenue & Collections Added: Apr 30, 1998 Last Modified: Sep 14, 2006
Special Event Application
Application for special events and road closings PDF-O - road-closing.pdf - 12 KB - Last Modified: Jun 26, 1998 Additional Information: Policy	Department Police Dept, University Added: Apr 30, 1998 Last Modified: Jun 26, 1998
Standard Expenditure Project Reconciliation Form
Excel - standard-reconciliation.xls - 72 KB - Last Modified: May 22, 2002	Department Accounting Services Added: Apr 29, 2002 Last Modified: May 22, 2002
State Agency Billing - Academic Division
IAT substitute PDF-O - iat-uva.pdf - 21 KB - Last Modified: Oct 26, 1998 Additional Information: Policy	Department Accounting Services Added: Oct 26, 1998 Last Modified: Oct 26, 1998
State Agency Billing - Health Sciences Center
IAT substitute PDF-O - iat-uva.pdf - 21 KB - Last Modified: Oct 26, 1998 Additional Information: Policy	Department Accounting Services Added: Oct 26, 1998 Last Modified: Oct 26, 1998
State BCOM Forms
Various forms from the state's Bureau of Capitol Outlay Management that are used by contractors Web - http://bcom.dgs.virginia.gov/	Department Bureau of Capitol Outlay Management (BCOM) Added: Jul 23, 2004 Last Modified: Jul 23, 2004
Stop Payment Authorization
Web - http://www.virginia.edu/procuremen t/forms/StopPymtAuthorization.htm l	Department Accounts Payable Added: Jan 17, 2003 Last Modified: Feb 1, 2005
Student Activity Fee Refund Request
PDF-O - stu-actv-refund.pdf - 20 KB - Last Modified: Nov 22, 1999 Additional Information: Policy	Department Dean Of Students Added: Nov 22, 1999 Last Modified: Nov 22, 1999
Student Billing Change Of Address
URL - http://poe.acc.virginia.edu/~bursr web/scripts/mail.html	Department Student Financial Services Added: Apr 30, 1998 Last Modified: Apr 30, 1998
Student Employment Application for IM-Rec Sports
URL - http://www.virginia.edu/ims/forms/ student-application.pdf	Department Intramural Sports Added: Oct 30, 2000 Last Modified: May 23, 2005
Student Employment Request
Request a student worker from pool maintained in HR PDF-O - stuempre.pdf - 9 KB - Last Modified: Jun 26, 1998	Department Employment and Classification Added: Jul 27, 1998 Last Modified: Jun 26, 1998
Student Org. Fund Raising Approval - Academic
approval for projects conducted in academic facilities PDF-O - stu-fund-aca.pdf - 12 KB - Last Modified: Oct 13, 1998 Additional Information: Policy	Department Dean Of Students Added: Oct 16, 1998 Last Modified: Oct 13, 1998
Student Org. Fund Raising Approval - Outside
approval for projects outside of academic facilities PDF-O - stu-fund-out.pdf - 25 KB - Last Modified: Oct 13, 1998 Additional Information: Policy	Department Dean Of Students Added: Oct 16, 1998 Last Modified: Oct 13, 1998
Summer Certification Form
Excel - summer-pay-delay-cert.xls - 18 KB - Last Modified: Apr 15, 2005	Department Student Financial Services Added: Apr 19, 2004 Last Modified: Apr 15, 2005

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Tax Form Web Sites
sources for state and federal tax forms PDF-P - nra-tax-sites.pdf - 22 KB - Last Modified: Feb 25, 2000	Department Foreign National Tax Added: Feb 3, 1999 Last Modified: Feb 25, 2000
Tenure/Tenure-Track Conditional Offer Letter
template and instructions for conditional offer Word - cond-offer.doc - 40 KB - Last Modified: Oct 17, 2000	Department Provost Added: Oct 17, 2000 Last Modified: Oct 17, 2000
TIAA-CREF 401(a) Application
URL - http://www.hrs.virginia.edu/forms/ uvafrpapp.pdf	Department Employee Benefits Added: Jan 21, 2002 Last Modified: Jan 21, 2002
TIAA-CREF 403(b) Application
PDF-P - http://www.hrs.virginia.edu/forms/ 403TIAACREF.pdf	Department Employee Benefits Added: Jan 21, 2002 Last Modified: Jan 21, 2002
Travel Card Request
URL - http://www.virginia.edu/finance/fo rms/travel-card-req.pdf Additional Information: Policy	Department Revenue & Collections Added: Nov 14, 2001 Last Modified: Jun 9, 2005
Travel Workbook
Payment Voucher attachment Excel - http://www.virginia.edu/procuremen t/forms/TravelWorkbookV2.xls Additional Information: Policy \| Procedure	Department Accounts Payable Added: Aug 13, 2001 Last Modified: Jul 4, 2005
Traveler's Check Request
URL - http://www.virginia.edu/finance/fo rms/travchk.pdf Additional Information: Policy	Department Revenue & Collections Added: Sep 30, 1998 Last Modified: Jun 9, 2005

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User Responsibility Acknowledgement and Agreement
Confidentiality agreement to protect the information that resides in the Integrated System. PDF-O - http://www.itc.virginia.edu/policy /form/eaa.pdf	Department Employee Records Integrated System Added: Dec 3, 2003 Last Modified: Dec 29, 2005

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VA-4
Virginia Income Tax Witholding Exemption Certif URL - http://www.tax.virginia.gov/taxfor ms/Individual/Misc/VA-4.pdf	Department Payroll Added: Apr 30, 1998 Last Modified: Jun 2, 2009
Vanguard 403(b) Application
URL - http://www.hrs.virginia.edu/forms/ 403enrollwithcaa.pdf	Department Employee Benefits Added: Jan 17, 2002 Last Modified: Jan 17, 2002
Vanguard Distribution Form
URL - http://www.hrs.virginia.edu/forms/ 403AT.pdf	Department Employee Benefits Added: Jan 17, 2002 Last Modified: Jan 17, 2002
Vehicle Use Authorization
approval to use a motor pool vehicle PDF-O - vehicle-auth.pdf - 11 KB - Last Modified: Nov 2, 1998 Additional Information: Policy	Department Parking and Transportation Added: Nov 2, 1998 Last Modified: Nov 2, 1998
Vendor Change Request For Vendors
Add/update Oracle vendor site. This form requires Netscape 4.5 (128 Bit Encryption) or Internet Explorer 4.0 or higher. Web - https://www.procurement.virginia.e du/main/frms/VendorChange.php Additional Information: Policy \| Procedure	Department Accounts Payable Procurement Services Added: Jul 12, 2001 Last Modified: Aug 27, 2007
Vendor Registration
Includes W-9 information. Web - https://www.procurement.virginia.e du/main/frms/VendorReg.php Additional Information: Procedure	Department Accounts Payable Procurement Services Added: Jun 18, 2001 Last Modified: Aug 27, 2007
VRS Beneficiary Change
PDF-P - http://www.hrs.virginia.edu/forms/ vrs-2.pdf	Department Employee Benefits Added: May 3, 2000 Last Modified: May 3, 2000
VRS New Member Enrollment
PDF-P - http://www.hrs.virginia.edu/forms/ vrs-1.pdf	Department Employee Benefits Added: May 3, 2000 Last Modified: May 3, 2000

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W-4
Federal Income Tax Employee's Withholding Allowance Certificate PDF-P - http://www.irs.gov/pub/irs-pdf/fw4 .pdf	Department Payroll Added: Jan 17, 2003 Last Modified: Feb 25, 2004
Wage Reduction Agreement
Authorize Contributions for Tax-Deferred Savings for Wage Employees Excel - http://www.hrs.virginia.edu/forms/ tdspformwage.xls	Department Employee Benefits Added: Jan 17, 2002 Last Modified: Apr 24, 2007
Wire Transfer Request
This form requires Netscape 4.5 (128 Bit Encryption) or Internet Explorer 4.0 or higher. Web - https://www.procurement.virginia.e du/forms/WireTransferRequest.html	Department Accounts Payable Procurement Services Added: Oct 29, 2003 Last Modified: Apr 7, 2005

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Year-End Progress Report
PDF-O - year-end-report.pdf - 255 KB - Last Modified: Oct 18, 2004	Department Fraternity and Sorority Life Added: Aug 9, 2002 Last Modified: Oct 18, 2004
Youth Sports Registration
URL - http://www.virginia.edu/ims/forms/ youth-registration-form.pdf	Department Intramural Sports Added: Aug 27, 1999 Last Modified: May 23, 2005

Forms Directory

Academic Consulting Agreement

Department

Acknowledgement of Extraordinary Contribution Form

Department

Address Change

Department

Admin/Professional Faculty Position Action

Department

Admission forms for undergraduates

Department

Adult Registration

Department

Agreement for a Fraternal Organization

Department

Agreement for Use of University Equipment

Department

Air Services Use Authorization

Department

Alcohol Free Event Application

Department

Annual Performance Planning and Appraisal Form

Department

Application For Employment - forms packet

Department

Application for IRS Individual Taxpayer ID

Department

Application To Purchase/Lease Passenger Vehicle

Department

Approval For Alcoholic Beverages

Department

Approval For Honoraria

Department

Approval For Honoraria

Department

Approval For New Revenue Generating Activities

Department

Art Inventory Report Form

Department

Art on Grounds Condition Evaluation Form A

Department

Art on Grounds Condition Evaluation Form B

Department

Authorization Agrmt for Electronic Gift Pmts

Department

Authorization for Payroll Deduction Gift Pmts

Department

Authorization For Student Activity Expenditure

Department

Automobile Loss Notice

Department

Award Create Request Form

Department

Business Card Printing Order

Department

Business Meal Certification

Department

Cash Deficit Authorization

Department

Certificate of Records Destruction

Department

Certification Of Deferment Status

Department

Certification Of Optional Forbearance Or Deferment

Department

Chapter Directory Information

Department

Chapter Membership Roster

Department

Classified Overload Authorization Request

Department

Communication Services Request

Department

Consent For Release Of Medical Information

Department

Contract / Approval for Services

Department

Contract Approval Sheet

Department

Dealer's Work Sheet For State And Local Taxes