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Available Formats Form Name Form # Instructions Department Homepage Last Updated   * Accessor ID (ACID) Request 182 Information Technology at Purdue * Additional Pay Request Form Payroll Aug 2007 * Agent Inventory Form (for users of HEPA filtered cabinets) Radiological and Environmental Management Radiological and Environmental Management Jan 2005 Jan 2005 * American Income Claim Form RM26 Risk Management Mar 2003 * Application for Approval of a Flexible Schedule 2 School of Liberal Arts Business Office * Application for Special Event Liability Coverage RM15 Risk Management Aug 2001 * Application for Staff Child/Spouse Fee Remission 15 Bursar Office Jul 2004 * Application for Use of Laser Facility (LU-1) LU-1 Radiological and Environmental Management Jan 2005 * Application for Waiver of TIAA/CREF Three-Year Waiting Period Human Resources Nov 2005 * Application System Access Form 183 Information Technology at Purdue * Appointment to the Faculty 19 Human Resources May 2007 * Biological Safety Awareness Certification Radiological and Environmental Management Jan 2005 * Bio-Materials Pickup & Treatment Certification Form Radiological and Environmental Management Radiological and Environmental Management Jan 2005 Jan 2005 * Biweekly Payroll Certification Payroll Jul 2007 * Bowl Travel Form Travel Dec 2007 * Building Emergency Plan Template Radiological and Environmental Management Jan 2005 * Business Card Form Printing Services * Business Services Expectations/Acknowledgement of Responsibility (for staff on HR/Fin Zone) BSC - HR/Fin Zone * Business Services Web Account Request Form BSC2 BSC - Business Services Computing Aug 2005 * Cancellation of Reciprocal Exemption from Withholding of Indiana Adjusted Gross Income Tax 52C Taxes * Capital Project Request For Assessment CPC-1 Physical Facilities Physical Facilities * Capital Projects Feasibility Assessment CPC-2 Physical Facilities Physical Facilities * Cash Acknowledgment UCO - University Collections Office Jan 2005 * Cash Advance Accounts Payable Apr 2008 * Cash Control Ledger UCO - Business Office for Student Organizations Sep 2006 * Cash Handling Expectations UCO - University Collections Office Nov 2007 * Cash Handling Manual UCO - University Collections Office Jul 2002 * * Cash Receipts Voucher (CRV) - NEW for SAP CRV Bursar Office Bursar Office Feb 2007 Feb 2007 * Central Files Request Freehafer Operations Apr 2005 * * Central Machine Shop Work Order 205 205 Physical Facilities Physical Facilities Jun 2007 Feb 2007 * Certificate of Residence (Neither work nor reside in Indiana) 52A Taxes May 2003 * Certificate of Residence (Reciprocal states of KY, MI, OH, PA, WI) 52 Taxes May 2003 * Certification for Missing Hospitality Receipt ECCO Nov 2003 * Certification Form for Dependents Over Age 19 Human Resources Nov 2005 * Change in Family Status CFS Human Resources Apr 2007 * Check Request for Immigration Paperwork International Students and Scholars Aug 2007 * Chemical Hygiene Plan Awareness Certification Radiological and Environmental Management Jan 2005 * Chemical Inventory Form HCP-4 Radiological and Environmental Management Radiological and Environmental Management Jan 2005 Jan 2005 * Claim for Damage to Personal Property RM16 Risk Management Aug 2001 * Classify or Reclassify a Position HR10 Human Resources Nov 2004 * Coeus Access Request Sponsored Program Services * Confined Space Entry Permit (CS-1) CS-1 Radiological and Environmental Management Jan 2005 * Contest - Tournament Prize Form UCO - Business Office for Student Organizations Sep 2006 * Contract Addendum UCO - Business Office for Student Organizations Sep 2006 * Contract Review Checklist (restricted to IPFW campus only) Indiana Purdue Fort Wayne Mar 2001 * Cooperative Extension Service Accident/Incident Report Form RM27 Risk Management Mar 2003 * Cost Distribution Form CD_01 Costing May 2007 * Cost Override for Additional Payments Human Resources Dec 2007 * Credit Memo 56A Accounts Payable Feb 2007 * Criminal Conviction Check UCO - University Collections Office Feb 2005 * Customer Security Listing Request 184 Information Technology at Purdue * Deferment/Partial Cancelation for Early Intervention Employment UCO - Student Loans Apr 2005 * Deferment/Partial Cancellation for Child/Family Services Agency Employment UCO - Student Loans Apr 2005 * Deferment/Partial Cancellation for Law Enforcement Employment UCO - Student Loans Apr 2005 * Deferment/Partial Cancellation for Military and Volunteer Service UCO - Student Loans Apr 2005 * Deferment/Partial Cancellation for Nurse and Medical Technician Employment UCO - Student Loans Feb 2005 * Deferment/Partial Cancellation for Teaching Services UCO - Student Loans Apr 2005 * * Dependent Care FSA Claim Form Human Resources Human Resources Jul 2008 Jul 2008 * Deposit Form – PRF Account Cash & Checks PRF Aug 2007 * Development and Career Planning Worksheet Human Resources * Direct Debit Journal Voucher Accounts Payable Feb 2007 * Direct Deposit Authorization 0003 Payroll Jul 2007 * Disabled Child Physician's Form Human Resources Nov 2005 * Disclosure of Relationships with Outside Organizations 35 School of Education Business Office * Discretionary Fund Request Form PRF Jul 2007 * Discretionary Signature Authorization Form PRF Jul 2007 * DSS Training Request Form School of Liberal Arts Business Office * Earned Income Credit Advance Payment Certificate W-5 Taxes Jan 2005 * Employee Exposure Information HCP-5 Radiological and Environmental Management Jan 2005 * Employee Information Form (Long) 13Long Human Resources May 2007 * Employee Information Form (Update) 13Update Human Resources May 2007 * Employee Right-to-Know Attendance Record HCP-8 Radiological and Environmental Management Jan 2005 * Expense Codes UCO - Business Office for Student Organizations Feb 2005 * F-1 Student Social Security Number Request TAX-SSN1 Taxes Dec 2004 * Family and Medical Leave Act (FMLA) Forms Human Resources Apr 2005 * Federal Perkins Deferment UCO - Student Loans Jan 2005 *