Forms

Administration

• Cell Phone Usage – Individual Certification
• Cell Phone Usage – Division Annual Report

Budget Office

501-686-7589

• Budget Revision Form
• Capital Project Request

General Accounting and Financial Reporting

501-686-6813
501-686-6831

• Chart of Accounts
• IDT Form

Grants Accounting

501-686-6843

• Advance Account Setup Form
• ACHRI Account Setup Request Form
• Amended Payroll Certification Form (See 2nd tab for instructions)
• Budget Modification Request Form
• Center Maintenance Form
• Center Maintenance Form Instructions
• Certified Cost Summary Report
• Certified Cost Summary Report Instructions
• Certified Cost Summary Report – Short Form
• Certified Cost Summary Report – Short Form Instructions
• Certified Cost Summary Report – Multiple Sub-accounts
• Certified Cost Summary Report – Multiple Sub-accounts Instructions
• Certified Cost Summary Report – Up to 20 Sub-accounts
• Clinical Trial Cost Summary Report
• Clinical Trial Cost Summary Report Instructions
• Direct Payment Request Form
• Revenue Reconciliation Form
• VA MOU Template and Instructions

Treasurer’s Office

501-686-6126

• Customer Maintenance Request Form
• Petty Cash Action Form
• Petty Cash Fund Reconciliation – Cash Account
• Petty Cash Fund Reconciliation – Gift Cards
• Petty Cash SSN Waiver Request
• Record of Deposit Form
• Record of Deposit Instructions
• Research Subject Payment Form
• Research Subject Payment Voucher
• Statement of Petty Cash Custodian’s Responsibility

Travel Forms

• Justification for Late Airfare Purchase
• Justification for Excessive Airfare Purchase
• Justification for Car Rental
• Lodging Rate Exception
• Lost Receipt Affidavit
• Mileage Log and Reimbursement
• Driving vs. Flying Worksheet
• Travel Advance Worksheet
• VISA Account Holder Agreement
• Department VISA Account Application
• VISA Travel Card Program Presentation