| Below in alphabetical order is a list of University
administrative forms. If you are looking for a specific form,
please search this document using the Find functionality
in your browser and entering in the appropriate keyword(s).
To activate the Find feature in your browser,
use the following key combination:
The Find feature will show up in a small
window. Type in the keywords you'd like to search for in
the text field, and then press the Find Next
button. |
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| Academic Appointees EEO Survey |
PDF |
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| Please print as a 2-sided form. |
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Academic Multiple Action Form (MAF) - Page 1
Academic Multiple Action Form (MAF) - Page 2 |
Page 1 PDF
Page 2 PDF
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| Please print as a 2-sided form. |
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| Academic Termination |
PDF |
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| ACCTS New Department Setup Form |
PDF |
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| ACCTS New User Form |
PDF |
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| Access
to Confidential Information Authorization Form
NOTE: You may also need to fill out the Comptroller's Office
Online Security Update Request |
PDF
PDF |
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| Accounts Payable Coding Continuation Voucher |
PDF |
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| Accrual Form – See Monthly Absence
Report |
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| Alien Information – See W-8BEN-I, Certificate
of Foreign Status of Beneficial Owner for United States Withholding
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Alien Tax Information Request (Form UPP192)
Please read Tax Information
for International Visitors at the University of Chicago first. |
PDF |
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Benefit
Forms
Over 35 forms for health, illness, and retirement are available
from the Benefit
Forms page of University Human Resources Management. |
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| Biweekly Adjustment Form |
PDF |
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| Chicago One Card Moving Expense Reporting form |
PDF |
WORD |
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| Coded Log of Payments to Human Subjects |
PDF |
WORD |
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| Coding Continuation Voucher, Accounts Payable — See Accounts
Payable Coding Continuation Voucher |
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| Compensation
Forms are available
from the Forms section of University Human Resources Management. |
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| Comptroller's Office Online Security Update Request
But first you may have to fill out Access
to Confidential Information Authorization Form |
PDF |
WORD |
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| Contractor -- see Independent Contractor
forms. |
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| Debarred Vendors and Excluded Parties Screening Form |
PDF |
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| Dental
Forms are available
from the Forms section of University Human Resources Management. |
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Direct Payment Voucher (DPV) (Form 88R)
The DPV is not available in electronic format, but help
is available for filling it out. Before beginning, please read the
instructions. |
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| Domestic Partnership
Forms are available
from the Forms section of University Human Resources Management. |
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| Electronic (Wire Transfer) Payment Request Form |
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| Domestic |
PDF |
WORD |
| International |
PDF |
WORD |
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| Electronic Payments and Receipt Processing Agreement for Credit Cards and Other Forms |
PDF |
WORD |
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| Equipment Addition Form |
PDF |
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| Equipment Disposal Form |
PDF |
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| Federal Withholding Form — See W-4
Federal Employee's Withholding Form |
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| Flexible Spending
Forms are available
from the Forms section of University Human Resources Management. |
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| Form 62 — See Interdepartmental Order (Form
62) |
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| Health
Forms are available
from the Forms section of University Human Resources Management. |
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| Human Subjects — See Coded
Log of Payments to Human Subjects |
PDF |
WORD |
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| Human Subjects Log — See Log
of Payments to Human Subjects |
PDF |
WORD |
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| Illinois
Department of Revenue -- Illinois income tax forms and electronic
filing forms available from the official web site of the Illinois
Department of Revenue |
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| Illinois
Department of Revenue Electronic Filing Services |
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| Illinois Withholding — See W-4
Illinois Employee's Withholding Form |
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| Illness, Injury and Life Benefits
Forms are available
from the Forms section of University Human Resources Management. |
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| Independent Contractor Questionnaire (The Service Provider must
complete and submit this form along with an IRS Form
W-9, Request for Taxpayer Identification Number.) |
PDF |
WORD |
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| Integrated Reporting Facility (IRF) Enrollment Form |
PDF |
|
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| Interdepartmental Order (Form 62) is not
available in electronic format, but help
is available for filling it out. |
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| Internal Loan Application - See Request
for Capital Project Internal Loan |
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Justification for Sole Source Form
Help is available
for filling out this form. Please read the instructions
first. |
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WORD |
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| Late Cost Transfer — See
Request for Late Cost Transfer |
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| Log of Payments to Human Subjects |
PDF |
WORD |
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| Lump Sum Distribution — See Retirement
Income Plan for Employees Lump Sum Distribution from Defined Benefit
Portion Election Form |
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| Material
Transfer Agreement Form |
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| Monthly Absence Report |
PDF |
WORD |
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| Monthly Extra Service Payment Request Form (Form 172) |
PDF |
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| Monthly Salary/Vacation Advance Request
(Form 191) |
PDF |
WORD |
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| Moving Reimbursement Form |
PDF |
WORD |
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| Moving Expense Reporting Form |
PDF |
WORD |
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| One Time Payment — See Staff
One Time Payment Request Form (UPP 183OT) |
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| Online Security Update — See Comptroller's
Office Online Security Update Request |
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| Payroll Direct Deposit Form — active employees with a CNET ID may view and update information at the Employee Self-Service site at https://ess.uchicago.edu. |
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WORD |
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Payroll Expense Transfer Form (UPP103)
Please read the instructions
first. |
PDF |
WORD |
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| Personnel forms: please see http://hr.uchicago.edu/forms/ |
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| Petty Cash, How to Close Account |
PDF |
WORD |
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| Petty Cash Change of Custodian |
PDF |
WORD |
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| Petty Cash Fund, Request of |
PDF |
WORD |
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| Petty Cash Reimbursement — See Request
for Reimbursement of Petty Cash Fund (Form 41R) |
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Petty Cash Receipt (Form 47R)
Help
is available for filling it out. Please read the instructions
first. |
PDF |
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| Proposal Transmittal Form |
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Purchase Order (Form 100)
The Purchase Order (Form 100) is not available in electronic
format,
but help
is available for filling it out. Before beginning, please read the[Supplement
to Purchase Order] |
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| Purchase Order Request — See Request
for Departmental Purchase Orders (DPO) |
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| Registrar's
Office - Course Rosters and Student-list Request Forms (requires
special userID and password) |
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| Related Project Certification Form |
PDF |
WORD |
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| Report of Money Received (Form 133) |
IN PROGRESS |
IN PROGRESS |
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| Request for Alien Information – See W-8BEN-I,
Certificate of Foreign Status of Beneficial Owner for United States
Withholding |
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| Request for a Grant, Contract or Cooperative Agreement Advance Account - Ledgers 5 and 6 (Form 70B). |
PDF |
WORD |
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| Request for Capital Project Internal
Loan |
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| Request for Late Cost Transfer |
PDF |
WORD |
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Request for Reimbursement of Petty
Cash Fund (Form 41R)
Help
is available for filling it out. Please read the instructions
first. |
PDF |
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| Request for Restricted Funds Account (Ledgers
5 and 6) (Form 70) |
PDF |
WORD |
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| Request for Unrestricted/Restricted Account
(Ledgers 2, 4, 7, 8 and 9) (Form 70A) |
PDF |
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| Request for Taxpayer Identification Number and Certification —
See W-9 Request for Taxpayer Identification Number
and Certification |
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| Request of Petty Cash Fund — See Petty
Cash, Request of |
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| Retirement
Forms are available
from the Forms section of University Human Resources Management. |
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| Restricted Funds Account — See Request
for Restricted Funds Account (Ledgers 5 and 6) (Form 70) |
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| Salary/Vacation Advance — See Monthly
Salary/Vacation Advance Request (Form 191) |
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| Screening Statement (for equipment costing over $5000) |
PDF |
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| Sole Source Form — See Justification
for Sole Source Form |
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| Special Event Profile Form |
PDF |
WORD |
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| Sponsored
Consultant Invoice |
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| Sponsored
Project Account Cost Transfer Explanation Check-Off List |
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WORD |
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Staff One Time Payment Request Form (UPP
183OT)
Instructions:
Please read this first |
PDF |
WORD |
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Student Casual Payment Request Form (UPP183S)
Instructions:
Please read this first |
PDF |
WORD |
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| Subrecipient Payment Authorization |
PDF |
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| Taxpayer Identification Number and Certification (Form W9) —
See Request for Taxpayer Identification Number and
Certification (Form W9) |
PDF |
WORD |
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Travel Advance (Form 95)
The Travel Advance Form 95 is not available in electronic
format, but help
is available for filling it out. Please read the instructions
first. |
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Travel Expense Envelope (Form PF3.381.31-1198)
Please read the instructions
first. |
PDF |
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Travel Expense Voucher (Form 97)
Help is available for filling out this form. Please read the instructions
first. |
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WEB FORM |
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Traveler Expense Short Form (PF3.381.3-1198)
Please read the instructions
first. |
PDF |
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| Traveler Profile Form |
PDF |
WORD |
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| Tuition Assistance
Forms are available
from the Forms section of University Human Resources Management. |
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| U.S.
Internal Revenue Service -- forms and publications available
online from the official web site of the U.S. Treasury Department |
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| UChicago-Argonne
Collaborative Grants |
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| Unrestricted/Restricted Account — See Request
for Unrestricted/Restricted Account (Ledgers 2, 4, 7, 8 and 9) (Form
70A) |
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|
UPP192 Form (Alien Tax Information Request)
Please read Tax Information
for International Visitors at the University of Chicago first. |
PDF |
|
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Vendor Complaint Report (Form PF5-305.1297)
|
PDF |
WORD |
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| Vendor Verification Form ("pink form") |
|
WORD |
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| Visiting Scholars Agreement |
PDF |
WORD |
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| W-4 Federal Employee's Withholding Form — active employees with a CNET ID may view and update information at the Employee Self-Service site at https://ess.uchicago.edu. |
PDF |
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| W-4 For Non-Resident Alien Employees |
PDF |
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| W-4 Illinois Employee's Withholding Form |
PDF |
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| W-8BEN-I, Certificate of Foreign Status of Beneficial
Owner for United States Withholding |
PDF |
WORD |
|
| W-8BEN-S, Certificate of Foreign Status of Beneficial
Owner for United States Withholding |
PDF |
|
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| W-9 Request for Taxpayer Identification Number
and Certification |
PDF |
WORD |
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| W-9A Attachment Form to W-9 (Tax Treaty Claim By A US Person) |
PDF |
WORD |
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| Wire Transfer Request Form |
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| Domestic |
PDF |
WORD |
| International |
PDF |
WORD |
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| Z Order — See Departmental
Form ZDPO 100 |
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| |
| Forms are listed alphabetically by title. The
forms marked with an asterisk have built-in help. Some forms are
sample images, but an increasing number are available in downloadable
versions, or can be filled out online using Adobe Acrobat,
then printed and submitted. Our goal is to make as many
forms as possible available directly from the Web. However, at
this time numbered University forms cannot be downloaded.
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