Find the Form you want to view from this index. You may sort the table by Index, Title, or Owner by clicking on the table headings. Retired forms can be found in the disposition table.
| Index | Title | Owner | Download |
|---|---|---|---|
| 1-1 | Departmental Payroll Voucher | Payroll |  PDF  XLS |
| 1-2 | Check Distribution and Change of Address | Payroll/Accounting | PDF |
| 1-4 | W-5 Earned Income Credit Advance Pay Certificate | Payroll/IRS | PDF |
| 1-5A | Monthly Employee Time Record | Payroll | PDF |
| 1-5B | Hourly Employee Time Record | Payroll | PDF |
| 1-5C | Time Record Codes | Payroll | PDF |
| 1-6 | Departmental Vacation/Holiday Payroll Voucher | Payroll | PDF XLS |
| 1-7 | Salary Spread Request | Payroll | PDF |
| 1-8 | Authorization For Professional Services | Payroll/Accounting | PDF XLS |
| 1-9 | Payee Information Form | Payroll/Accounting | PDF XLS |
| 1-18 | Request for Taxpayer Identification Number and Certification | Payroll | PDF |
| 1-19 | W-4 Employees Withholding Allowance Certificate | Payroll/IRS | PDF |
| 2-1 | Account Profile & Request for New Account | Accounting Services | PDF XLS |
| 2-2 | Custodian and Working Fund Authorization | Accounting Services | PDF XLS |
| 2-5 | Texas Sales and Use Tax Exemption Certification | Accounting Services | PDF XLS |
| 2-6 | Payment Approval Voucher | Accounting Services | PDF XLS |
| 2-7 | Departmental Deposit | Accounting Services | PDF |
| 2-8 | Restrictive Payee Stamp | Accounting Services | PDF |
| 2-9 | Restrictive Endorsement Stamp | Accounting Services | PDF |
| 2-10 | Daily Check Log | Accounting Services | PDF XLS |
| 2-11 | Cash Receipt | Accounting Services | PDF |
| 2-12 | Statement of Accounts Reconciliation & Acknowledgement | Accounting Services | PDF XLS |
| 2-13 | Direct Deposit Form | Accounting/Bursar | PDF |
| 2-26 | Justification and Pro Forma Budget | Student Financial Services | XLS |
| 2-30 | Account Authorization Request Form & Instructions | DEFINE | PDF |
| 2-31 | Dean-VP Routing Form & Instructions | DEFINE | PDF |
| 2-32 | *DEFINE User Setup & Instructions | DEFINE | PDF |
| 2-34 | Electronic Signature Authorization Request | DEFINE | PDF |
| 2-45 | Inventory Transaction Form | Asset Management | PDF |
| 2-47 | Removal of Equipment from University Campus | Asset Management | PDF XLS |
| 2-48 | Central Receiving Work Request Form | Asset Management | PDF XLS |
| 2-49 | Asset Information Form | Asset Management | PDF |
| 2-50 | Document Destruction Request Form | Asset Management | PDF |
| 2-60 | Application for Nurse Faculty Exemption | Student Financial Services | PDF |
| 2-61 | Application for Preceptor Exemption | Student Financial Services | PDF |
| 2-62 | Nurse Faculty Loan Form | Student Financial Services | PDF |
| 2-63 | Perkins Loan Repayment Form | Student Financial Services | PDF |
| 2-91 | Request for Travel Authorization | Travel | PDF |
| 2-92 | Travel Voucher | Travel | PDF |
| 2-93 | Travel Advance Voucher | Travel | PDF |
| 2-94 | Texas Sales and Use Tax Exemption Certification | Travel | PDF |
| 2-95 | Texas Hotel Occupancy Tax Exemption Certificate | Travel | PDF |
| 2-96 | Metroplex Mileage Detailed Report | Travel | PDF |
| 2-97 | Travel Voucher Cover Sheet for Multiple Accts | Travel | PDF |
| 2-98 | Official Occasion Expense Form | Travel | PDF |
| 2-99 | Official Occasions-Entertainment Exp (Memo) | Travel | PDF |
| 2-100 | Travel Voucher Cover Sheet | Travel | PDF |
| 2-101 | JPMorgan Chase Travel Cardholder Acct | Travel | PDF |
| 3-3 | Personnel Action Form | Human Resources | PDF |
| 3-5 | Record of FLSA (Overtime) Compensation Time Earned and Taken | Human Resources | PDF XLS |
| 3-7 | Form I-9, Employment Eligibility Verification | Human Resources | PDF |
| 3-8 | Notice of Voluntary Service | Human Resources | PDF XLS |
| 3-9 | Criminal Background Check | Human Resources | PDF |
| 3-13 | Employee Separation Form & Reason Codes | Human Resources | PDF |
| 3-14 | Employee Grievance Form | Human Resources | PDF XLS |
| 3-14A | Grievance Appeal Form | Human Resources | PDF XLS |
| 3-15 | Appeal of Disciplinary Action - First Step | Human Resources | PDF XLS |
| 3-15A | Disciplinary Action Appeal - Continuation | Human Resources | PDF XLS |
| 3-16A | Employee Clearance Form - Electronic Notification (PC Version) | Human Resources |  WEB |
| 3-16B | Employee Clearance Form - Electronic Notification (Mac Version) | Human Resources | WEB |
| 3-18 | Sick Leave Pool Application | Human Resources | PDF |
| 3-19 | Outside Employment | Human Resources | WEB |
| 3-23 | Family Medical Leave Application | Human Resources | PDF |
| 3-26 | High School Student Application | Human Resources | PDF |
| 3-27A | New Employee Packet | Human Resources | PDF |
| 3-27B | Instructions for Employee Packet | Human Resources | PDF |
| 3-28 | Employee Insurance Enrollment Application | Human Resources | PDF |
| 3-29 | Retiree Insurance Enrollment Application | Human Resources | PDF |
| 3-30 | Benefits Cost Worksheet | Human Resources | PDF |
| 3-31 | Dependent Enrollment and Status Change Form | Human Resources | PDF |
| 3-32 | UTFLEX Enrollment Form | Human Resources | PDF |
| 3-33 | Coverage for Incapacitated Child Form | Human Resources | PDF |
| 3-34 | Medco Pharmacy Home Delivery Order Form (UT Select) | Human Resources | PDF |
| 3-35 | Medco Prescription Drug Claim Form (UT Select) | Human Resources | PDF |
| 3-36 | Transitional Benefits Form | Human Resources | PDF |
| 3-37 | UT Select Dental Claim Form | Human Resources | PDF |
| 3-38 | Superior Vision Provider Nomination | Human Resources | PDF |
| 3-39 | UT FLEX Claim Form | Human Resources | PDF |
| 3-40 | UT FLEX Direct Deposit Form | Human Resources | PDF |
| 3-41 | UT FLEX Letter of Medical Necessity | Human Resources | PDF |
| 3-42 | Fort Dearborn Term Life Beneficiary Designation | Human Resources | PDF |
| 3-44 | Notice of Creditable Coverage for Medicare Part D | Human Resources | PDF |
| 3-45 | TRS Form 6 (Notice of Final Deposit and Request for Refund) | Human Resources | PDF |
| 3-46 | TRS Form 18 (Request for Estimate of Retirement Benefits) | Human Resources | WEB |
| 3-47 | Transfer Verification Form | Human Resources | PDF |
| 3-48 | TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program) | Human Resources | PDF |
| 3-49 | TRS Form 29 (Application for Refund) | Human Resources | PDF |
| 3-50 | Authorization for Reduction for Employee Contributions | Human Resources | PDF |
| 3-51 | Authorization for Reduction for Employee Contributions for Employees returning to ORP | Human Resources | PDF |
| 3-52 | ORP Acknowledgement Form | Human Resources | PDF |
| 3-53 | Optional Retirement Program (ORP) Retirement Certification Form | Human Resources | PDF |
| 3-54 | Tax-Sheltered Annuity Disclosure | Human Resources | PDF |
| 3-55 | Purchase Change Agreement | Human Resources | PDF |
| 3-56 | Special Catch-Up Provision Disclosure | Human Resources | PDF |
| 3-57 | Short Term Disability Frequently Asked Questions | Human Resources | PDF |
| 3-58 | Long Term Care Brochure | Human Resources | PDF |
| 3-59 | COBRA Continuation Notice | Human Resources | PDF |
| 3-60 | HIPAA Privacy Information | Human Resources | WEB |
| 3-61 | Accidental Death and Dismemberment Benefits Guide | Human Resources | PDF |
| 3-62 | Assurant Dental HMO Benefits Guide | Human Resources | PDF |
| 3-63 | UT System Group Benefit Handbook for Employees | Human Resources | PDF |
| 3-64 | Group Term Life Benefits Guide | Human Resources | PDF |
| 3-66 | Long Term Disability Benefits Guide | Human Resources | PDF |
| 3-67 | Short Term Disability Benefits Guide | Human Resources | PDF |
| 3-68 | Superior Vision Benefits Guide | Human Resources | PDF |
| 3-69 | Teachers Retirement System (TRS) Handbook | Human Resources | PDF |
| 3-70 | UT FLEX Benefits Guide | Human Resources | PDF |
| 3-71 | UT Select Benefits Guide | Human Resources | PDF |
| 3-72 | UT Select Dental Benefits Guide | Human Resources | PDF |
| 3-73 | UT System Group Benefits Handbook for Retirees | Human Resources | PDF |
| 3-74 | UT System Retirement Programs Guide | Human Resources | WEB |
| 3-76 | Quest Release Time Form | Human Resources | PDF |
| 3-77 | Employee Tuition Certification Form | Human Resources | PDF |
| 3-82 | Performance Management Forms | Human Resources | PDF |
| 3-83 | Performance Management Form for New Employees | Human Resources | PDF |
| 3-84 | Sample Reference Check Form | Human Resources | PDF |
| 3-85 | On-Campus Summer Camp / Conference Employment Application | Human Resources | PDF |
| 3-201 | Personal Information Form | Human Resources | PDF |
| 3-202 | State Employment Verification Form | Human Resources | PDF |
| 3-203 | Selective Service Registration Verification Form | Human Resources | PDF |
| 3-204 | Sick Leave Pool Contribution Form | Human Resources | PDF |
| 4-1 | Request to Purchase - Standard Request | Procurement | PDF |
| 4-2 | Request to Purchase (Sample) - Split Accounts | Procurement | PDF |
| 4-3 | Request to Purchase (Sample) - Confirm Request | Procurement | PDF |
| 4-4 | Purchasing Card Reconciliation Log and Example | Procurement | PDF XLS |
| 4-5 | Purchasing Card Transaction Log and Example | Procurement | PDF XLS |
| 4-8 | Purchasing Card Application | Procurement | PDF XLS |
| 4-9 | Wireless Communication Device Allowance Request | Procurement | PDF XLS |
| 4-10 | Vendor Performance Form | Procurement | PDF XLS |
| 4-11 | Cardholder Agreement | Procurement | PDF XLS |
| 4-12 | Major Consulting Services Contract Approval Request | Procurement | PDF XLS |
| 4-13 | Emergency Justification | Procurement | PDF XLS |
| 4-14 | Sole-Source/Proprietary Justification for Services | Procurement | PDF XLS |
| 4-15 | Sole-Source/Proprietary Justification For Goods | Procurement | PDF XLS |
| 4-16 | Gift Certificate Expense Form | Procurement | PDF XLS |
| 4-17 | Comdata Corporation Dispute Processing Form | Procurement | PDF XLS |
| 4-18 | Summus/Staples Application | Procurement | PDF |
| 4-19 | eShipGlobal Access Request Form | Procurement | PDF |
| 5-4 | Vehicle Request Form | Facilities | PDF XLS |
| 5-5 | Operation of 15-Passenger Vans | Facilities | PDF XLS |
| 6-1 | GTA Parking Permit Decal Permission | Police | PDF XLS |
| 8-2 | Supervisor's Report of Employee Work - Related Injury or Occupational Disease | EH&S - WCI | PDF |
| 8-3 | Supplemental Report of Injury | EH&S - WCI | PDF |
| 8-4 | Request for Paid Leave Due to On-The-Job Injury | EH&S - WCI | PDF |
| 8-6 | Employees Report of Work-Related Injury or Occupational Disease | EH&S - WCI | PDF |
| 8-9 | Notification of Work-Related Injury or Occupational Disease | EH&S - WCI | PDF |
| 8-10 | Injured Employee Workers Compensation Guidelines | EH&S - WCI | PDF |
| 8-11 | Supervisors Workers Compensation Checklist | EH&S - WCI | PDF |
| 8-12 | Workers Compensation Injury/Incident Witness Statement | EH&S - WCI | PDF |
| 8-13 | Ergonomic Evaluation Request | EH&S - WCI | PDF |
| 8-15 | Work Status Report and Instructions | EH&S - WCI | PDF |
| 8-16 | Workers Compensation Insurance Employee Request for Reimbursement of Medical Expenses | EH&S - WCI | PDF |
| 8-17 | Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease | EH&S - WCI | PDF |
| 8-18 | Notice of Fatal Injury or Occupational Disease and Claim for Compensation for Death Benefits | EH&S - WCI | PDF |
| 8-19 | Employee's Request to Change Treating Doctor - Non Network | EH&S - WCI | PDF |
| 8-26 | Biosafety Lab Evaluation Form | EH&S - Biological | PDF |
| 8-28 | Request for Disposal Form - Biological Waste and Sharps | EH&S - Biological | PDF |
| 8-29 | Hepatitis B Vaccine Waiver | EH&S - Biological | PDF |
| 8-30 | Human Pathogen Registration | EH&S - Biological | PDF |
| 8-31 | Human Pathogen Registration Update | EH&S - Biological | PDF |
| 8-36 | Laboratory Safety Evaluation Checklist | EH&S - Chemical | PDF |
| 8-37 | Request for Disposal - Harzardous Chemicals | EH&S - Chemical | PDF |
| 8-46 | Hazard Reporting Form | EH&S - DSL | PDF |
| 8-56 | Application for Copy of Driver Record | EH&S - Driving | PDF |
| 8-61 | Hot Work Permit | EH&S - Fire | PDF |
| 8-66 | Lockout/Tagout Authorized Employee Training Form | EH&S - Occupational | PDF |
| 8-67 | Lockout/Tagout Request Form | EH&S - Occupational | PDF |
| 8-68 | Lockout/Tagout Master Index Form | EH&S - Occupational | PDF |
| 8-69 | Lockout/Tagout Periodic Inspection Form | EH&S - Occupational | PDF |
| 8-70 | First Aid Kit Supply Request Form | EH&S - Occupational | PDF |
| 8-71 | IAQ Occupant Interview Form | EH&S - Occupational | PDF |
| 8-72 | Injury/Illness Reporting Form for Students & Visitors | EH&S - Occupational | PDF |
| 8-81 | Application to Use Radioactive Materials - sublicense | EH&S - Radiation | PDF |
| 8-82 | Request for Radiation Dosimeter Form | EH&S - Radiation | PDF |
| 8-83 | Request to Purchase Radioactive Materials Form | EH&S - Radiation | PDF |
| 8-84A | Radiation Safety Evaluation - Radioactive Materials | EH&S - Radiation | PDF |
| 8-84B | Radiation Safety Evaluation - X-Ray Producing Machines | EH&S - Radiation | PDF |
| 8-84C | Radiation Safety Evaluation - Lasers | EH&S - Radiation | PDF |
| 8-85 | Pregnancy Declaration | EH&S - Radiation | PDF |
| 8-86 | Pregnancy Declaration Withdrawal | EH&S - Radiation | PDF |
| 8-87 | Biosafety Level 2 (BSL-2) Commissioning Checklist | EH&S - Biological | PDF |
| 8-88 | Laser Registration Form | EH&S - Radiation | PDF |
| 11-1 | Paper Order Request | Maverick Print | PDF |
| 11-2 | Forms Order Request | Maverick Print | PDF |
| 11-3 | Print Order Request | Maverick Print | PDF |
| 13-1 | Faculty or Staff Organization Registration | Administration and Campus Operations | PDF XLS |
| 13-3 | Request for Authority to Dispose of State Records | Business Affairs and Controller | PDF |
| 13-4 | Fiscal Procedure Exhibit Template | Business Affairs and Controller | PDF |
| 13-6 | Records Disposition Log | Records and Information Management | PDF |
| 13-7 | Request for Authority to Dispose of Unscheduled University Records | Records and Information Management | PDF |
| 13-8 | Records Retention Schedule Departmental Records Amendment | Records and Information Management | PDF |
| 13-9 | Preliminary Summary Report of Tort Claims and Possible Tort Claims | Business Affairs and Controller | PDF |
| 15-1 | Summer Conference Statement on Insurance | UC Conference | PDF |
| 15-2 | Summer Conference Admission Presentation Request Form | UC Conference | PDF |
| 15-4 | Summer Conference Housing Reservation Form | UC Conference | PDF |
| 15-5 | Summer Conference Dining Reservation Form | UC Conference | PDF |
| 15-6 | Summer Conference E.H. Hereford University Center Facility Reservation Form | UC Conference | PDF |
| 15-7 | Summer Conference Activities Building Rental Application | UC Conference | PDF |
| 15-9 | Summer Conference Housing Equipment Issuance Authorization | UC Conference | PDF |
| 15-10 | Alcoholic Beverage Request Form | UC Dining | PDF |
| 20-1 | Gift Records Form | Accounting/Development | PDF |
| 20-2 | UT Arlington Payroll Deduction Gift Form | Payroll/Development | PDF |
| 21-1 | Request for Disbursement of Scholarship / Fellowship Award | Accounting/Financial Aid | PDF |
| 22-1 | Complaint Form | Equal Opportunity Services | PDF |
| 22-2 | Request to Initiate H-1B | Equal Opportunity Services | PDF |
| 22-3 | H-1 Foreign Employee Questions | Equal Opportunity Services | PDF |
| 22-4 | Departmental Request to Initiate Legal Permanent Resident | Equal Opportunity Services | PDF |
| 23-1 | Life Safety Addendum | Housing - Residence Hall | PDF |
| 23-2 | Move-in Checklist | Housing - Residence Hall | PDF |
| 23-3 | Moving Checklist | Housing - Residence Hall | PDF |
| 23-4 | Roommate Agreement | Housing - Residence Hall | PDF |
| 23-5 | Transfer Application Packet | Housing - Apartments | PDF |
| 23-6 | Apartment Move In Guide | Housing - Apartments | PDF |
| 23-7 | Carpet Evaluation Request | Housing - Apartments | PDF |
| 23-8 | Cleaning and Sanitation Inspection | Housing - Apartments | PDF |
| 23-9 | Lease Assumption Application Packet | Housing - Apartments | PDF |
| 23-10 | Move Out Guide | Housing - Apartments | PDF |
| 23-11 | Occupant Termination Notice | Housing - Apartments | PDF |