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Comprehensive Alphabetical List of Online F&A Forms

[Information Technology Request for] Access Form Last Revised: 10/2009
This form is used to request access to UCAR's production accounts and GANDA systems.
Advance Notice of Field Project Facility Deployment and Safety/Security Review Last Revised: 4/2008
To be used in conjunction with Field Project Safety and Security Risk Assessment
Affidavit of Common Law Marriage or Domestic Partnership Added: 10/2007
Used to certify an employee is in a relationship or partnership other than marriage recognized by the State of Colorado.
[Request to Serve] Alcohol Form Last Revised: 2/2005
Form needed if alcoholic beverages will be served at a UCAR event, either on-site or off-site.
Applicant Affirmative Action Information Form Last Revised: 1/2009
This form should be provided to interviewees during the interview process.
Authorization, Waiver and Acknowledgement of Driving on UCAR Business Policy Last Revised: 7/2009
Authorized Drivers at UCAR must provide UCAR with authorization to obtain motor vehicle driving records to determine suitability to drive UCAR vehicles.
[UCAR] Award Change Request Form Added: 4/2002
This form is used to provide requests for additional funds, extensions and other changes of existing awards to the UCAR Sponsored Agreements Office for review and submission to the funding source.
[UCAR] Beneficiary Change Form Added: 7/2005
The UCAR Beneficiary Change Form is used to make any changes that affect an employee's beneficiary designations for Life Insurance, Travel AD&D, Basic AD&D, and Optional AD&D. Instructions are included to change TIAA-CREF beneficiaries online.
[UCAR] Benefit Change Form Last Revised: 12/2004
The UCAR Benefit Change Form is used to make any changes that affect an employee's health insurance coverage, beneficiary designation(s) and/or changes in flexible spending contributions.
Bi-Tech Chart of Accounts - Account Key Set Up Form  Last Revised: 9/2008
The Account Key Set Up Form is the mechanism for establishing an account key in the Bi-Tech system chart of accounts. The new account key may be added to an existing contract or may represent the addition of a new contract. The form may also be used for changing information on an existing account key. 
Business Card Request Form Last Revised: 1/2009
To order business cards.
Card Access Form Last Revised: 1/2004
This is the signed authorization for an employee/visitor's UCAR access control card.
Casual Request Form Added: 1/2005
Used to request a Casual Pool Administrative Assistant from the Casual Pool Coordinator.
Check, Foreign Draft, or Wire Request Form  Last Revised: 5/97
This form is to request checks, foreign drafts, or wires of funds. 
CIGNA Authorization for Use and Disclosure of Private Health Information Form Last Revised: 4/2003
Used by an employee requesting assistance from Human Resources on specific claims.
CIGNA Choice Fund Health Savings Account  – Automatic Claim Forwarding Election/Change Form Added:  11/2006
Enrollment in or termination of the automatic claims forwarding program
CIGNA Choice Fund Health Savings Account – JP Morgan Chase Bank Enrollment Form Last Revised: 11/2008
Employee authorizes JP Morgan Chase Bank to set up a savings account for depositing pre-tax contributions toward a CIGNA Choice Fund Health Savings Account (HSA)
CIGNA Choice Fund Health Savings Account – [UCAR] Payroll Authorization Last Revised: 11/2006
Employee authorizes UCAR to deduct the designated pre-tax contributions toward a CIGNA Choice Fund Health Savings Account (HSA)
CIGNA Dental Claim Form Last Revised: 6/2003
Used to report expenses incurred during a dental visit.
CIGNA Medical Claim Form Added: 12/2001
Used to report expenses incurred during a medical visit.
CIGNA Prescription Claim Form Added: 5/2004
Used to report Prescription Expenses for those employees with CIGNA PPO insurance plan
CIGNA Tel-Drug Mail Order Form Added: 12/2001
To order a 90-day supply of a maintenance prescription.
[Request to] Close Purchase Orders and Travel Vouchers Form Last Revised: 8/2006
This form is used to request the closure of Purchase Orders or Travel Vouchers. Any PO or Travel Voucher which has been fully paid, expired, or placed in error, should be disencumbered. 
Conflict of Interest Form Added: 3/2008
The Conflict of Interest form is completed upon hire and updated annually by all employees.
[UCAR/NCAR] Copy Job Request Form Added: 3/2008
To order copies (B&W and color), letterhead and/or envelopes.
Cost Sharing Approval Form Added: 2/2004
This form is to be used by divisions/programs to request authorization to cost share on a project.
[Request to Process] Credit Card Form Added: 11/2002
This form is used to process credit cards that have been received for payment for any type of registration fees or event. VISA/MasterCard Only.
[Authorization to] Deposit Payroll and Accounts Payable Checks Last Revised: 3/2006
This form is used to request payroll and/or accounts payable or travel checks be deposited to one to three accounts. (This one form takes the place of two previous forms: Authorization to Deposit Payroll Checks and Authorization to Deposit Accounts Payable and Travel Reimbursement Checks)
Disclosure of Significant Financial Interests Form Added: 8/2003
To assure that there are no conflicts of interest.
Discretionary Funds

Last Revised: 6/2000

This form is used to receive reimbursement for funds used for discretionary purposes.
Donation Acknowledgement Letter Added: 6/2007
This form is used by division/programs to acknowledge donations received as required by the Fundraising Procedure.
Donation of Hours Form Added: 1/2004
The Donation of Hours Form is used to voluntarily donate accrued PTO or traditional vacation hours to fellow employees who may deplete their own PTO or traditional vacation leave due to unusual medical circumstances.
Donation Request Form Added: 1/2004
The Donation Request Form is used by employees requesting donated leave hours.
[Authorization, Waiver and Acknowledgement of] Driving on UCAR Business Policy Last Revised: 5/2009
Must be completed before an offer of employment can be made for a position where driving a UCAR vehicle is a requirement.
Educational Assistance Program Application Form Last Revised: 4/2005
The employee completes the Educational Assistance Program application to seek the approval for a degree program or individual courses.
Employee Evaluation of Supervision

Added: 3/2001

This optional form is a tool which may be used for several purposes.  See Form Details page.
[UCAR] Equipment Loan Agreement Last Revised: 1/2009
To authorize and document loans of UCAR-accountable equipment to non-UCAR entities.
Equipment Loan Form for Employees Last Revised: 5/2009
This form tracks property that is in the temporary custody of a UCAR employee
Exit Interview Added: 7/2002
To solicit information from terminating employees on their experience with UCAR.
Fact Sheet Requirements Justification Last Revised: 6/2004
This form is used for acquisitions that require approval by NSF.
[UCAR] Field Inventory List Added: 4/2006
To list UCAR-accountable equipment (both assets and non-assets) being removed from UCAR Boulder sites for field efforts.
Firm Fixed Price Form Added: 10/2009
To obtain approval from the Associate Vice President of Business Services before issuance of an FFP proposal.
Five Year Career Planning Added: 3/2001
Two forms are listed here:  Five Year Career Personal Development form and My Five Year Career Personal Development Plan form.  See details page for more information on using these two forms.
Fixed Asset Capitalization Form Last Revised: 3/2007
This form documents whether the cost of a new purchase, which replaces an existing component, should be capitalized and included in the cost of an existing Fixed Asset.
Fundraising Request Form Added: 6/2007
This form is used by division/programs to request authorization to fund raise as required by the Fundraising Procedure.
Funds Request Budget Transfer Form Last Revised: 5/97
This form is to be used for allocation of new funds or reprogramming of existing funds. 
HIPAA Privacy Rights Forms Added: 4/2003
This series of forms allows employees to make certain requests pertaining to their Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rights.
Hiring Process Road Map

Last Revised: 11/2009

Provides a checklist of 5 steps a hiring supervisor follows to complete the hiring process.
[UCAR] Insurance Card for Fleet Vehicles - FY10 Last Revised: 9/2009
 This insurance ID card is used to verify vehicle insurance coverage.
Intellectual Property Form Last Revised: 11/2003
Used to satisfy the requirements of the UCAR Cooperative Agreement with the National Science Foundation.
International Travel Hazards Review Added: 6/2004
To be used in conjunction with Field Project Safety and Security Risk Assessment
Interview Documentation Form Added: 5/2009
The hiring supervisor completes the Interview Documentation form to summarize the results of interviews during the hiring process.
Invention Disclosure Form Last Revised: 1/2007
This form is used to submit a new invention to the Office of General Counsel
Invoice Request Form Last Revised: 6/2009
This form should be used by anyone who needs to bill for receivables.
Joint Appointment Memorandum of Understanding (MOU) Form Last Revised: 3/2006
This MOU is completed when an employee's time is allocated to two or more entities...
UCAR Motor Vehicle Accident Claim Reporting Form Added:  6/2008
This form is used to document and report all vehicle accidents while on official UCAR Business.
Multimedia Services Conference Equipment Reservation Form Added: 8/2008
This form is meant to provide detailed information about the video conference including technical information provided by service providers at the other sites.
NBPO Blanket Account Key Authorization Form Added: 10/2005
This for is used to request Account Key Authorization for a NBPO (Non-encumbered Blanket Purchase Order).
NBPO Checklist Form Added: 10/2005
This form is a checklist to determine if you need to establish a new NBPO (Non-encumbered Blanket Purchase Order).
New Employee Orientation Checklist

Last Revised: 8/2001

Hiring supervisor should review this checklist with a new employee.
[UCAR] Nondisclosure Agreement Form Last Revised: 11/2008
This form must be executed and signed by the Office of General Counsel before the exchange of confidential information
Nonresident Alien Statement of Reduced Withholding Form Last Revised: 2/2000
This form must be completed by anyone on J or F visa who is eligible to claim tax exemption. 
Packing Slip for Materials Return Form

 Last Revised: 5/2000

This form is used to process a return authorization (RMA) for credit card orders. 
Payroll Encumbrance and Timecard Account Key Allocation Form Added: 10/2005
This form is used to make any changes that affect an employee's account keys and percent allocations.
Performance Appraisal Form Last Revised: 3/2009
Formal performance appraisals occur annually according to a prescribe schedule of review dates. Each supervisor annually prepares a written evaluation of the performance of each employee reporting to him or her. Evaluations should include a discussion of the strengths and weaknesses of the employee's performance and steps by which the employee's performance can be improved. 
Performance Appraisal Form / Scientists Added: 2/2002
Annual performance appraisals for scientific staff.
Personnel Profile Change Form Last Revised: 3/2006
The Personnel Profile Change Form is used to make any changes that affect an employee's position, program allocations, or profile information.
Position Description (PD) Last Revised: 8/2007
The PD is completed by the supervisor and asks for the signed concurrence of the employee. Instructions for completing the PD are attached to the questionnaire. The duties section is particularly important for reclassification requests. If should describe current job duties. A "Y" should be placed in the last column if the duty is new to the job since the last job description of record. 
PO/PR Number Changes/Corrections Request Form Last Revised: 8/95
This form is used to change a PO or PR number. 
Prespending and Overspending Questionnaire Last Revised: 10/2009
To authorize advance or overspending for program costs to accomplish the program mission prior to the receipt of funding.
[Information Technology] Project Acceptance & Sign Off Form Last Revised: 9/2007
This form is the mechanism for IT to attain customer acceptance and sign off on major and minor projects that have been completed.
[Information Technology] Project Request Form Added: 11/2004
This form is used to request a project through the Information Technology department. This is an online form.
[UCAR] Property Claim Reporting Form Added:  6/2008
 This form is used to document and report all UCAR property loss.
[UCAR Housing Services] Property Listing Form Last Revised: 7/98
This form is for UCAR and non-UCAR persons to submit property listings to the UCAR Housing Services. 
[Electronic] Purchase Requisition Form Last Revised: 2/2003
E-mail or print completed purchase requisition form. 
Ratification of Unauthorized Procurement Action Added: 10/2005
This form is used by an employee who identifies that an unauthorized procurement has occurred and seeks ratification from the President's Council.
Reclassification Action Form Last Revised: 4/95
The Reclassification Form, completed by the supervisor, requests information about the employee's current job classification, rationale for change, and appropriate Division/Program approvals. Please note that reclassification requests cannot be reviewed without the Division/Program Director's approval. 
Recovery of Corporate Property Form Last Revised: 7/2008
The Recovery of Corporate Property Form, completed by the employee (or the supervisor under some circumstances), is used to identify and return all equipment, property and/or monies or other UCAR items assigned to employees or visitors. 
[Request to] Reopen PO Form Last Revised: 4/96
This form is used to reopen a closed purchase order. 
Return of Mistaken Distribution from Health Savings Account Added: 9/2007
To return funds to the Health Savings Account that were removed in error.
Return Order Form

 Added: 5/2000

This form is used to process a return authorization (RMA) for credit card orders. 
Separation Notice Form Last Revised: 9/2009
Required document to notify UCAR Human Resources of an employee's departure.
[Request for] Shipping Information Added: 9/2001
This form is to be used by any employee wishing to send a package through our Shipping department.
Signature Authority Administrator Approval Form Last Revised: 12/2005
To identify and authorize persons to serve as Signature Authority Administrators
Signature Authority Purview Profile Form Added: 6/2009
To identify the account keys for which you would like additional alerts when changes occur including someone requesting a new authority and an authority expiring.
[2009] Smart Choices Enrollment Form Last Revised: 11/2008
Those UCAR employees needing a hard copy of the enrollment form.
Sole Source Form (aka Justification for Noncompetitive Procurement Form) Last Revised: 2/2007
This form is used for all procurements in excess of $10K and can be submitted electronically to the Contract Administrator.
SRSH Export Template Last Revised: 7/2009
Used by staff responsible for processing salary increases through the Connect Salary Plan application.
STORM Fund Approval Form Added: 8/2002
UCAR has established a Science and Technology Opportunity/Risk Mitigation Fund (STORM) for the dual purpose of providing funds for NCAR and UOP (and the divisions and programs within these entities) to mitigate the risks associated with prespending and overspending and to provide funding for new scientific/technical initiatives or opportunities.
Telephone Reference Check Form Added: 4/2003
This form is to serve as a guide for checking, via telephone, an applicant's references before making a job offer.
TIAA/CREF Beneficiary Change Form Added: 8/2005
The TIAA/CREF Beneficiary Change Form is used to change the employee's beneficiary(ies) listed on their TIAA/CREF Retirement plan.
TIAA/CREF Election Change Form - 2009 Last Revised:1/2009
The TIAA-CREF Election Change Form is used to increase or decrease the amount of additional contribution to the employee's TIAA-CREF Retirement plan for 2009.
TIAA/CREF Election Change Form--2010 Added: 11/2009
The 2010 TIAA/CREF Election Change Form is used to increase or decrease the amount of additional contribution to the employee's TIAA/CREF Retirement plan for 2010.
Transfer Expenditures Request Form (Non-Payroll) Last Revised: 3/2006
This form is used to transfer non-payroll expenditures. 
Transfer Expenditures Request Template (Non-Payroll)

Last Revised: 3/97

This template is for electronically submitting non-payroll transfer expenditure requests following the JE upload procedures.
Transfer Payroll Expenditures Request Form Last Revised: 12/97
This form is used to transfer payroll expenditures. 
Travel Authorization/Voucher Workbook  Last Revised: 1/2009
This workbook is used to request authorization for travel, to request a travel advance, and then to file for reimbursement of or recording of expenses related to that trip.
UPC - Application / Changes Form Last Revised:  9/2008
This form is used for all new UPC cardholders and Approving Officials.
UPC - Approving Officials Form Added: 9/2008
This form is used for all new UPC Approving Officials and Alternate Approving Officials.
UPC - Creating a Query for Specific Cardholders Added: 3/2007
This form shows Approving Officials how to filter only those Cardholders in which they approve via PaymentNet.
UPC - Exceptions Form Added: 10/2008
his form is used to request an exception for special or unique circumstance(s)  to existing regulations and restrictions of the UPC policies.
UPC - Instructions for Downloading Your Statement Electronically Added: 3/2007
This form is used to retrieve a Statement of Account (SOA) electronically in order to perform monthly reconciliation.
UPC - Remote Training Certification Added: 10/2008
This form is to be completed, signed and dated to certify that the individual has watched the on-line UPC Training Video and agrees to comply with the UCAR procedures and policies.
UPC - Sample Purchasing Card Log Added: 3/2007
This form is used to provide a template example of what detailed transaction information should be tracked by Cardholder.
UPC - Training Certification Added: 10/2008
This form is to be completed, signed and dated to certify that the individual has attended the UPC Training and agrees to comply with the UCAR procedures and policies.
Visa Information: H-1B Visa  Last Revised: 4/2008
The Temporary Worker (H-1B) visa is usually granted for an initial period of up to three years, may be extended to up to a total of six years, and may be changed to a different type of visa at any time. Recipients are not subject to a requirement of foreign residency before applying for another type of visa to this country. This visa may take several months to obtain.
Visa Information: J-1 Visa Last Revised: 4/2008
The Exchange Visitor (J-1) visa may be granted for up to three years. Exchange Visitors are subject to a two-year residence requirement in their country of nationality or last foreign residence before applying for another type of U.S. visa, unless the requirement is waived by the Immigration and Naturalization Service. Normally, the J-1 visa may be obtained in a few days, but it may take considerably longer in certain countries.
Visitor Form Last Revised:  9/2009
The appropriate form must be completed for all new appointees, and revisions or extensions of current appointees.
[UCAR] Visitor Intellectual Property Agreement Added: 4/2009
This document can be provided by the Division or Program Director to V2 or V3 visitors when the Director wishes to document the fact that all intellectual property developed at UCAR belongs to UCAR. 
[UCAR] Visitor Non-Disclosure Agreement (NDA) Form Added: 4/2009
This document can be provided by the Division or Program Director to V2 or V3 visitors when the Director wishes to obtain a commitment from the visitor to keep such information confidential.
file WageWorks Commuter Benefits Claim Form Added: 1/2009
Allows reimbursements from the WageWorks Commuter Benefits Account. Plan effective 1/1/09.
file WageWorks Dependent Care Flexible Spending Account Claim Form Added: 1/2009
Allows reimbursements from the WageWorks Dependent Care Flexible Spending Account. Plan effective 1/1/09.
WageWorks Flexible Spending Direct Deposit Authorization Added: 1/2009
Allows direct deposit of health care and/or dependent care reimbursements into the employee's designated account
file WageWorks Health Care Flexible Spending Account Claim Form Added: 1/2009
Allows reimbursements from the WageWorks Health Care Flexible Spending Account. Plan effective 1/1/09.
W-4 Form Last Revised: 1/2009
This form is required so that UCAR can withhold the correct Federal income tax from your pay.
You're a Star Form Added: 4/2003
This form is given by one F&A employee to another F&A employee in recognition of activity above and beyond their normal job function.


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