A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z


For general instructions on using Acrobat E-forms version click HERE

A

Absence Report
  • Acrobat E-forms version  (links to Human Resources page)
  • Access Request
  • Acrobat E-forms version  (accesreq.pdf)
  • Additions Request Form  (instructions)
  • Acrobat E-forms version  (arf.pdf)
  • Address Form
  • Acrobat E-forms version  (links to Human Resources page)
  • Admissions Data Access Request
  • Adobe Acrobat Version  (adar.pdf)
  • Administrative Review Form
  • Acrobat E-forms version  (links to Human Resources page)
  • Aircraft Information
  • Adobe Acrobat version  (AircraftInfoForm.pdf)  
  • Adobe Acrobat version  (AircraftReleaseForm.pdf)  
  • Alcohol Statement of Use Form
  • Acrobat E-form  (Alcohol Statement of Use Form.pdf)
  • AMDSS Access Request Form
  • Acrobat E-form  (amdssreq.pdf)
  • Applicant Self-Identification Form
  • Acrobat E-forms version  (recformc.pdf)
  • Application for Change in Plan of Study
  • link to Graduate College form  
  • Application for Computing Services
  • Acrobat E-forms version  (csapp.pdf)
  • Application for Graduate College Degree
  • link to Graduate College form  
  • Audit Form (for faculty and staff registering for course work for no credit)
  • Acrobat E-forms version  (staffapp.pdf)
  • Authorization for the Deduction of Miscellaneous Charges from Financial Aid
  • Acrobat E-forms version  (misc-fin-aid.pdf)
  • Authorization for Electronic Vendor Payments
  • Acrobat E-forms version  (ACH_PymtForm.pdf)
  • Authorization for Pre-payment of Insurance Premiums
  • Acrobat E-forms version  (links to Human Resources page)
  • B
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    Background Checks
  • Credential Check Release Form Acrobat E-forms version  (credential.pdf)
  • Department Request to Conduct a Criminal Background Check on a Vacant Position Acrobat E-forms version  (dept_criminal_vacant.pdf)
  • Beneficiary Designation Form
  • Adobe Acrobat version  (links to Human Resources page)
  • Benefit Change Request   (Faculty--Professional/Scientific--Merit Exempt--Merit)
  • Adobe Acrobat version  (links to Human Resources page)
  • Microsoft Word version  (links to Human Resources page)
  • Bio/Chemical Lab Self Audit
    Microsoft Word file  (03checklist.doc)

    Biological: Exposure Incident Form
    Microsoft Word file  (incidentform.doc)

    Bi-Weekly Employee Time Record
  • Acrobat E-forms version  (links to Human Resources page)
  • Bi-Weekly Employee Time Record (Work Study)
  • Acrobat E-forms version  (http://www.uiowa.edu/hr/benefits/forms/index.html)
  • Bloodborne Pathogens: Annual Program Review
    PDF file  (annualprogrev.pdf )

    Bloodborne Pathogens: At Risk Assessment
    PDF file  (bbpes.pdf)

    Blue Requisition & MFK Addendum
  • For requisitions going to outside vendors please use the on-line Purchase Requisitions System. Click here for Inter-departmental Requisition e-form for internal requisitions.
  • BSRPC - Administrative Amendment (Form 3)
    Microsoft Word file  (BSRPCform3.doc)

    BSRPC - Application Cancellation Form
    Microsoft Word file  (BSRPCappcancellation.doc)

    BSRPC - Authorization Request (Form 1)
    Microsoft Word file  (BSRPCform1.doc)

    BSRPC - Methodology Amendment (Form 2)
    Microsoft Word file  (BSRPCform2.doc)

    BSRPC - Survey/Receipt, Utilization and Disposal Form
    PDF file  (survinvent.pdf)

    Budget Development DSS Access Request
  • Acrobat E-forms version  (budgdevDSS.pdf)
  • C
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    Catastrophic Illness:
      Catastrophic Illness Contribution Form - Employee
       
      Catastrophic Illness Contribution Form - Family
       
      Catastrophic Illness of an Immediate Family Member Application, Donated Leave for
       
      Catastrophic Illness of an Employee Application, Donated Leave for
       

    Collective Bargaining Agreement
  • Acrobat E-forms version  (Link to IDOP website)
  • Central Microscopy Research Facility -Project Information Form
  • Acrobat E-forms version  (projectinfo09.pdf)
  • Acrobat E-forms version  (project_info_web3.pdf)
  • Certificate of College Teaching Tuition Scholarship Application
  • link to Graduate College form  
  • CEU Application Form
  • Acrobat E-forms version  (ceuaf.pdf)
  • Chemical Hygiene Plan
    PDF file  (CHP.pdf)

    Chemical Hygiene Plan: Annual Review
    Microsoft Word file  (CHPannualreview.doc)

    Compliance Statement
  • Acrobat E-forms version  (links to Human Resources page)
  • TOP

    Copier Feature Request Sheet
  • Acrobat E-forms version  (copier.pdf)
  • Cost Sharing Authorization Form
  • Acrobat E-forms version  (csaf.pdf)
  • Credit Letter
  • Acrobat E-forms version  (UofIowa_CreditLetter.pdf)
  • Data Collection Form For New Appointments
  • Acrobat E-forms version  (dcffna.pdf)
  • Deductions and Surplus Flood Forms  
  • Acrobat E-form  (dsff.pdf)
  • Deductions Request Form  (instructions)
  • Acrobat E-form  (drf.pdf)
  • Delegation of Signature Authority Form
  • Acrobat E-forms version  (DEOSignature.pdf)
  • Departmental Travel Approval
  • Acrobat E-forms version  (dta08.pdf)
  • Direct Deposit Form (Payroll/Benefits)
  • Acrobat E-forms version  (links to Human Resources page)
  • Disability Accommodation Request Form-Employment
  • Disability Accommodation Request Form Acrobat E-forms version  (links to Human Resources page)
  • Disclosure of Employee Relationship with Potential or Existing U of I Vendor
  • Acrobat E-forms version  (ConflictDisclosureStmt.doc)
  • Dissertation Publishing Agreement Form
  • link to Graduate College form  All Ph.D. and DMA thesis candidates use this form
  • Doctoral Plan of Study Summary Sheet
  • link to Graduate College form  
  • Donated Leave for Catastrophic Illness of an Immediate Family Member Application
  • Acrobat E-forms version  (links to Human Resources site)
  • Donated Leave for Catastrophic Illness of an Employee Application
  • Acrobat E-forms version  (links to Human Resources site)
  • Dosimeter Change in Service
    Microsoft Word file  (dchform.doc)

    Dosimeter Request Form
    Microsoft Word file  (daddform.doc)

    DSHB Order & Compliance Form
  • Acrobat E-forms version  (order-terms-2008.pdf)
  • Edeposit Access Authorization
  • Acrobat E-forms version  (cashedepDSS.pdf)
  • Election to Transfer Sick Leave to Vacation
  • Acrobat E-forms version  (links to Human Resources page)
  • Electronic Prepress Form
  • Acrobat E-forms version  (eppfrm.pdf)
  • Employee Eligibility Verification (I-9)
  • Links to Faculty and Staff Immigration Services  (I-9.pdf)
  • Equal Opportunity and Diversity Reference Check Template for Professional and Scientific Staff
  • MS Word version  (Reference Check Template Feb 16 2005.doc)
  • Equal Opportunity and Diversity Voluntary Self-Identification Form
  • Acrobat PDF version  (Voluntary Self-Identification Form March 2005.pdf)
  • Equal Opportunity and Diversity Form F Postdoctoral Scholar Recruitment Summary
  • Acrobat E-forms version  (recformbf.pdf)
  • Equipment on Loan or Demonstration Agreement Form
  • Acrobat E-forms version  (eldaf.pdf)
  • Essential and Marginal Job Function Analysis
  • MS Word version  (EMFA.doc)
  • Fleet Safety Program Out-of-State Driver Record Release
  • Acrobat E-forms version  (FS_OutofState.pdf)
  • G
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    General Stores Order Form
  • Acrobat E-forms version  (gsof.pdf)
  • Gift Deposit Form
  • Acrobat E-forms version  (giftdep.pdf)
  • GL Journal Entry Access Request Form
  • Acrobat E-forms  (GLJE_request.pdf)
  • GrantDSS Access Request
  • Acrobat E-forms version  (GrantDSS.pdf)
  • Green Requisition & MFK Addendum
  • For requisitions going to outside vendors please use the on-line Purchase Requisitions System. Click here for Inter-departmental Requisition e-form for internal requisitions.
  • GSRA Calculation Worksheet
  • Acrobat E-forms version  (links to Human Resources page)
  • GSRA Disclosure Statement
  • Acrobat E-forms version  (links to Human Resources page)
  • GSRA Salary Reduction Agreement
  • Acrobat E-forms version  (links to Human Resources page)
  • H
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    Hepatitis B Vaccination Consent Form
    PDF file  (HepBconsent.pdf)

    Hepatitis B Vaccination Decline Form
    PDF file  (HepBdecline.pdf)

    HR Decision Support (Data Warehouse)
  • Acrobat E-forms version  (links to Human Resources page)
  • HR Delegation of Signature Authority form
  • Acrobat E-forms version  (hrsigauthdeleg.pdf)
  • HR Merit Forms Processing
  • Acrobat E-forms version  (hrmfp.pdf)
  • HR Unit Representative Exit Forms
  • Entire Packet (10 pages)  Acrobat E-forms version  (exit_packet.pdf)
  • Entire Packet (10 pages)  MS Word version  (exit_packet.doc)
  • HRIS Data Entry Form
  • Acrobat E-forms version  (hrisdef.pdf)
  • I
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    HRSRG - Compounded Radiopharmaceutical Form
    Microsoft Word file  (compoundradio.doc)

    HRSRG - FDA Approved Radiopharmaceutical Form
    Microsoft Word file  (approveradio.doc)

    HRSRG - Radioactive Material Devices
    Microsoft Word file  (RAMdevices.doc)

    Improving Our Workplace Award Application
  • Acrobat E-forms version  (uiowaapp.pdf)
  • Incident Information Form
  • links to Risk Management site  (incidentinfoform.pdf)
  • All incidents affecting members of the general public, students or others while on campus which you believe could reasonably result in a liability claim against the University should be reported to the Risk Management, Insurance & Loss Prevention Department (not used for University Hospitals and Clinics, auto accidents or workers compensation).

    Instrument Calibrations - Radiation
    PDF file  (instrumentcal.pdf)

    Inter-Departmental Requisition
  • Requisition  Acrobat E-forms version  (idreq.pdf)
  • MFK Addendum  Acrobat E-forms version  (mfkad.pdf)
  • Internal Transfer of University Equipment  (instructions)
  • Acrobat E-form  (itue.pdf)
  • Internship Program Application
  • Acrobat E-forms version  
  • J
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    Job Offer Confirmation Letter (Merit)
  • Acrobat E-forms version  (jbofrcon.pdf) and (jbofrcon.doc)
  • GL Journal Entry Access Request Form
  • Acrobat E-forms  (jearf.pdf)
  • M
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    Labels: Caution Postings for Labs
    PDF file  (labelpostingsamples.pdf)

    Labels: Large Hazardous Waste
    PDF file  (lrghazlbl.pdf)

    Labels: Moving Box Chemical Identification Label
    PDF file  (chemicalmovingboxlbl.pdf)

    Labels: Small Hazardous Waste
    Microsoft Word file  (smhazlbl.doc)

    Labels: Universal Waste - Batteries
    Microsoft Word file  (UNbatteriesLBL.doc)

    Labels: Universal Waste - Lamps
    Microsoft Word file  (UNlampslbl.doc)

    Labels: Universal Waste - Mercury Containing Equipment
    Microsoft Word file  (UNmercuryequiplbl.doc)

    Laser Registration for Class 3b and Class 4 Lasers
    Microsoft Word file  (laserregform.doc)

    Mary Jo Small Staff Fellowship Application
  • • The electronic application is located within Employee Self-Service. Select the "Personal Tab", and select the "Mary Jo Small Application" located under "Learning & Development".  
  • Master's Publishing Agreement Form
  • link to Graduate College form  If you are a Master's or DMA essay candidate submitting an ETD, use this form
  • Monthly Leave and Pay Adjustment Record (Merit)
  • Acrobat E-forms version  (links to Human Resouces page)
  • Monthly Leave and Pay Adjustment Record (P and S / Non-exempt)
  • Acrobat E-forms version  (links to Human Resources Page)
  • Monthly Leave Record (P and S / SEIU / Fiscal Faculty)
  • Acrobat E-forms version  (links to Human Resources Page)
  • Monthly Leave Record (Academic Faculty)
  • Acrobat E-forms version  (links to Human Resources Page)
  • MPRC - Frequently Asked Questions
    PDF file  (MRPCFAQ.pdf)

    MRPC - Laser Form for Class 3b & 4 Lasers
    Microsoft Word file  (MRPClaserform.doc)

    MRPC - Long Form Diagnostic
    Microsoft Word file  (MRPClongformdiagnostic.doc)

    MRPC - Long Form Diagnostic Example
    PDF file  (MRPClongformexample.pdf)

    MRPC - Long Form Therapeutic
    Microsoft Word file  (MRPClongformtherapeutic.doc)

    MRPC Additional External Radiation Form
    Microsoft Word file  (MRPCexternalform.doc)

    MRPC Additional Internal Radiation Form
    Microsoft Word file  (MRPCinternalform.doc)

    MRPC Short Form
    Microsoft Word file  (MRPCshortformdiagnostic.doc)

    Non-Doctoral Plan of Study Summary Sheet
  • link to Graduate College form  
  • O
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    Off Campus Use of Property  (instructions)
  • Acrobat E-form  (ocup.pdf)
  • OfficeMax Order Form
  • Acrobat E-forms version  (ceof.pdf)
  • P
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    Operations PPE Hazard Assessment
    Microsoft Word file  (operationsppechart.doc)

    PayCV Access Request Form
  • Acrobat E-forms  (PayCV_Request.pdf)
  • PayCV Retroactive Cost Transfer Justification for > 90 days - grant accounts
  • Acrobat E-forms  (PayCV_justification_grants.doc)
  • PayCV Retroactive Cost Transfer Justification for > 90 days – non-grant accounts
  • Acrobat E-forms  (PayCV_justification_nongrants.pdf)
  • Payment Authorization
  • Links to UI Foundation  
  • Payroll Voucher
  • Payroll Voucher  Acrobat E-forms version  (prvch.pdf)  (Instructions)
  • Compliance Statement  (REQUIRED if foreign visitor is coming in visa waiver (vw) or B visa status.)  Acrobat E-forms version  (links to Human Resources page)
  • W-8BEN "Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding" (REQUIRED for ALL foreign visitors.) link to IRS form   link to IRS instructions
  • Performance Review
  • All Performance Review documuments are now at the Human Resources Site (links to Human Resources site)
  • Personal Health Information Release Form
  • Acrobat E-forms version  (links to Human Resources site)
  • Personal Report Card
  • Personal Report Card.doc
  • Position Description Questionnaires
  • Merit Form Microsoft Word Document  (links to Human Resources site)
  • P and S Form Microsoft Word Document  (links to Human Resources site)
  • IT Form Microsoft Word Document  (links to Human Resources site)
  • PPE: Research Laboratory Hazard Assessment Tool
    PDF file  (labppetool.pdf)

    Pregnancy Declaration and Prenatal Radiation Exposure Form
    Microsoft Word file  (pregform.doc)

    Pre-Interview Report   (instructions)
  • MS Excel version  (Pre-Interview Report - Faculty)
  • MS Excel version  (Pre-Interview Report - P&S)
  • Procurement Card Purchase Documentation
  • Acrobat E-forms version  (kpcdoc.pdf)
  • Product Donation Forms
  • Product Donation under $5K  (ProductDonation_under5K.pdf)
  • Product Donation over $5K   (ProductDonation_over5K.pdf)
  • Professional Services Agreement
  • Microsoft Word version  (psa.docx)
  • Programming Request
  • Acrobat E-forms version  (prgmgreq.pdf)
  • Project Art Request Form
  • Acrobat E-forms version  (parf.pdf)
  • ProQuest Revised Publication Guide
  • link to Graduate College form  
  • ProTrav Acknowledgement of Expenses (NonUI Travelers)
  • Acrobat E-forms version  (NonUITrvlr.pdf)
  • ProTrav Web Application Access Request Form
  • Acrobat E-forms version  (FOdataAppl.pdf)
  • PSDSS Access Request Form
  • Acrobat E-forms  (psdss_request.pdf)
  • R
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    Radioactive Materials Transferred Off Campus
    PDF file  (RADshippingoffcampus.pdf)

    Radioactive Materials Transferred On Campus
    Microsoft Word file  (RADtransferoncampus.doc)

    Recombinant DNA Registration Document UIRIS Link
    link to registration

    Reimbursement of Cash Advance Form
  • Microsoft Word version  (cash_adv_reimb_form.doc)
  • Remote Access Application
  • Acrobat E-forms version  (Remote_Access_Form.pdf)
  • Request/Report for Final Examination: Advanced Degree
  • link to Graduate College form  All Ph.D and Master's candidates use this form
  • Request/Report for Doctoral Comprehensive Examination

    Report of Money Received
  • Acrobat E-forms version  (cashrcvd.pdf)
  • Request for approval of Change or Cash Advance
  • Microsoft Word version  (change_fund_request_form.doc)
  • Request for Building Renewal of Building or Fixed Equipment
  • Acrobat E-forms version  (renewal.pdf)
  • Request for Equipment Allocation
  • Acrobat E-forms version  (allocation.pdf)
  • Request for General Ledger Chartfields & WhoKeys (formerly ‘Request for New Element Value’)
  • Acrobat E-forms  (reqelem.pdf)  (instructions)
  • Request for Payment of Health Insurance Contributions for a Temporary Employee
  • Acrobat E-forms version  (links to Human Resources Page)
  • Request for a Procurement Card Monthly Credit Limit Increase
  • Acrobat E-forms version  (MonthlyCreditLimit.pdf)
  • Request for a Procurement Card Single Transaction Limit Increase
  • Acrobat E-forms version  (SingleTransLimit.pdf)
  • Request for Pickup of Chemical Waste
    PDF file  (hazreq.pdf)

    Request for Pickup of Radioactive Waste
    PDF file  (radrequest.pdf)

    Request for Technology Allowance Form
  • Acrobat E-forms version  (Request_for_Technology_Allowance.pdf)
  • Technology Allowance Policy FAQ’s
  • Technology Policy Exception Request
  • Request for Volunteer Funds
  • Acrobat E-forms version  (reqfds.pdf)
  • Request for Waiver of Deferred Payment Fee
  • Acrobat E-forms version  (dwaiv.pdf)
  • Request for Waiver of Reinstatement Fee
  • Acrobat E-forms version  (rwaiv.pdf)
  • Request to Test Unknown Chemicals
    Microsoft Word file  (testunknowns.doc)

    Requisition/Recruitment Plan
  • Form has moved to Human Resources Self-Service Website. See note.
  • Return Goods Authorization
  • Acrobat E-forms version  (rga.pdf)
  • Return of Cash Advance Form
  • Microsoft Word version  (Return_of_cash_advance_form.doc)
  • S
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    Search and Selection Summary
  • Acrobat E-forms version  (Recruitment Summary March 2005.pdf)
  • Select Agent Toxin Exemption Declaration
    PDF file  (PIexemptquantdeclaration.pdf)

    Select Agent Toxin Inventory Record
    PDF file  (SAToxinInventoryRecord.pdf)

    Sole Source Purchase Justification
  • Acrobat E-forms version  (solesrc.pdf)
  • Subaward Sole Source Purchase Justification
  • Acrobat E-forms version  (SubawardSoleSource.pdf)
  • Special Departmental E-Mail Application Form
  • Acrobat E-forms version  (sdeaf.pdf)
  • Spending Accounts Direct Deposit Form (Payroll/Benefits/Travel)
  • Acrobat E-forms version  (links to Human Resources page)
  • Spending Account Request For Reimbursement
  • Dependent Care  Acrobat E-forms version  (links to Human Resources page)
  • Health Care  Acrobat E-forms version  (links to Human Resources page)
  • Sub-contractor's Invoice  (instructions)
  • Acrobat E-forms version  (GAOEI.pdf)
  • Statement of Government-Owned Equipment Status (federal assets only)  (instructions)
  • Acrobat E-form  (srrf.pdf)
  • Surplus Removal Request Form  (instructions)
  • Acrobat E-form  (srrf.pdf)
  • Survey of Earned Doctorates
  • link to Graduate College form  All Ph.D. and DMA thesis candidates please complete this
  • T
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    Tax Exempt Form
  • Link to Iowa Sales Tax Exempt Form  (iowa_sales_tax_exempt.pdf)
  • Thesis First Deposit Checklist
  • link to Graduate College form  
  • Title Transfer of University Equipment  (instructions)
  • Acrobat E-form  (ttue.pdf)
  • U
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    UIHC Computer/Peripheral Disposal Form  UIHC USE ONLY
  • Acrobat E-form  (cpdf.pdf)
  • UIHC Electronic Equipment Disposal Form  UIHC USE ONLY
  • Acrobat E-form  (eedf.pdf)
  • User ID Application
  • Acrobat E-forms version  (useridap.pdf)
  • V
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    U.S. Army Medical Research and Material Command (USAMRMC) Safety Requirements and Grant Application Assistance
    Microsoft Word file  (uiusamrmc.doc)

    Vaccinia Vaccination Form
    PDF file  (uiusamrmc.doc)

    Vendor Application Form (VAF)
  • Acrobat PDF version  (UIVAF.pdf)
  • Vendor Evaluation Form
  • Acrobat E-forms version  (vendorsur.pdf)
  • Vendor-Owned Inventory Agreement (Consignment Form)
  • Acrobat E-forms version  (UIConsignmntInventoryPolicy.pdf)
  • W
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    W-4 Withholding Forms
  • Federal W-4 Withholding Form  link to IRS publication  
  • Iowa W-4 Withholding Form  link to IRS publication  
  • Illinois W-4 Withholding Form (Illinois residents MUST also file an "Employee's Statement of Nonresidence in Iowa") link to IRS publication  
  • Employee's Statement of Nonresidence in Iowa (Illinois residents only)  link to IRS publication  
  • W-5 Earned Income Credit Advanced Payment Certificate
  • link to IRS publication  
  • WebCV Access Request Form
  • Acrobat E-forms  (WebCV_Request.pdf)
  • Wire Transfer Payment Form
  • Acrobat E-forms version  (WireTransForm08.pdf)


  • Please e-mail any questions to eforms.