Frequently Used Forms

2022 Form W-4

Capital Assets

Use this form to acquire and dispose of capital assets.

Change of Name and Address

Certification of Healthcare - Family

Family member’s serious health condition

Contract Routing Form

Use these template for the internal routing of a contract.

Contract Templates

Select the appropriate template and view instructions for contracts.

Contract Templates for Federal Assistance

For contracts requiring federal assistance only.

Direct Deposit Agreement Form

Employee Incident Report

Office of Risk Management section on HRD page has more info.

Exhibit B – Federal Contract Provisions — FEMA, Revised 4-27-2020

Additional provisions for contracts funded through federal assistance, including provisions for federal emergency management agency (fema) assistance, reimbursement contracts

Federal Contract Provisions for P-card Purchases

FMLA Request

FMLA section on HRD page has more info.

Form 2-1 A: Application For Donated Leave

Form 2-1 B: Leave Donation Form

IRS Form W-9

Who We Are section on BMD page has more info.

Medical Authorization and Physician

FMLA section on HRD page has more info.

Meeting Facilitator Request

To schedule a facilitator for your upcoming meeting.

Meeting Facilitator Post-Meeting Survey

Merchandise Invoice

Who We Are section on BMD page has more info.

Mileage Request

Use to record your local mileage.

P-Card Log sheet

Monthly record of all procurement card purchases.

Parental Leave Request

New addition to the family? For more information visit the HRD.

Petty Cash

Who We Are section on BMD page has more info.

Property Disposal Forms

Surplus property disposal and unclaimed property disposal.

PTF - Benefited Employee Salary and Position

(Print on Yellow paper)

PTF - Leave and Term

(Print on Yellow or Green paper)

PTF - Program Support Salary and Position

(Print on Green paper)

Public Records Request

Public Records section on CAPA page has more info.

Requisition Inventory Supply Form

Who We Are section on BMD page has more info.

Vehicle & Property Incident

Office of Risk Management section on HRD page has more info.

Vendor Application

Who We Are section on BMD page has more info.

Wage Adjustment Form

Who We Are section on BMD page has more info.

Vision Hardware Reimbursement Claim Form

For glasses, contacts and other vision hardware.