Forms Available for Download
for Financial Transactions

See the table below for a list of the forms available. Click on the name of the form for descriptions and files included in each download. If you experience difficulty saving the forms, right click on the downloadable format of your choice, and choose "Save Target As..." This will allow you to save the form on your computer.

General Accounting  

Link to Corporate Payroll Related Forms

Sponsored Programs Related

Purchasing Related Miscellaneous

The above are available for downloading to your computer. They are available in several formats as labeled. Some are Adobe Acrobat PDF documents. Use this link to obtain the Adobe Acrobat Reader if it is not already installed on your computer. For additional help installing the Adobe Acrobat Reader, please consult with your department's computer support staff.

* Access is reserved for the Duke Community

General Accounting Forms
 
  Accounting Systems & Procedures
 
    Cost Object Request Form
Last Modified: 06/21/07
Downloadable Formats: Word | Acrobat
     

This form is used to request the setup of a 0010 Duke University cost object. When trying to determine the first three digits of your cost object, please refer to the Accounting Code Overview.

 

    Health System Cost Object Request Form*
Last Modified: 08/04/03
Downloadable Formats: Word | Acrobat
     

This form is used to request the setup of a 0020-0080 Duke University Health System cost object. When trying to determine the first five digits of your cost object, please refer to the Accounting Code Overview.

 

    Project Request Form
Last Modified: 03/18/04
Downloadable Formats: Excel | Acrobat
Instructions: Project Procedure - Requesting Set Up of a New Project
     

This form is used to request the set up of a new Project to be used for capital and noncapital construction and maintenance projects.

 

    G/L Account Request Form
Last Modified: 08/29/2007
Downloadable Formats: Word | Acrobat
     

This form is used to request the setup of a new G/L account. In order to maintain the integrity of the coding system, your request will be evaluated against the coding structure maintained for the entire Duke System.

 


* Access is reserved for the Duke Community
  Accounting Services
 
    Establishing a Petty Cash or Change Fund
Last Revised: 06/29/05
Downloadable Formats: Word
Related GAPs: 200.030, Petty Cash and Change Funds
     

This form is used when you are requesting the set up of a Petty Cash Fund or a Change Fund.

 

    Change of the Fiduciary, Custodian, or Location of an Petty Cash or Change Fund
Last Revised: 06/29/05
Downloadable Formats: Word
Related GAPs: 200.030, Petty Cash and Change Funds
     

This form is used when you are requesting a change in the fiduciary, custodian or location of your Petty Cash Fund or Change Fund.

 

    Authorization to Increase/Decrease a Petty Cash or Change Fund
Last Revised: 06/29/05
Downloadable Formats: Word
Related GAPs: 200.030, Petty Cash and Change Funds
     

This form is used to request an increase or decrease in funds of your Petty Cash Fund or Change Fund.

 


* Access is reserved for the Duke Community
  Employee Travel & Reimbursement
 
    Department PARIS Setup Form*
Last Revised: 08/22/07
Downloadable Formats: Excel | Acrobat
     

This form should be used to set up a PARIS Administrator.

 

    Experimental Subject Payment Form*
Last Revised: 09/07/07
Downloadable Formats: Excel | Acrobat

Instructions: Excel | Acrobat
     

This form should be used to pay Experimental Subjects.

 

    Group Travel Form*
Last Revised: 11/19/04
Downloadable Formats: Excel | Acrobat

Related GAPs:  200.022, Travel Expenses - Employees & Students
     

This form is used to provide adequate supporting documentation related to a group travel event.

 

    Individual Corporate Cardholder Application*
Last Revised: 08/22/07
Downloadable Formats: Word | Acrobat
     

This form should be used for a individual rrequesting a Corporate Card.

 

    Lost Receipt Form*
Last Revised: 08/01/03
Downloadable Formats: Word | Acrobat

Related GAPs: 200.021, Miscellaneous Reimbursement Payments to Employees and Students
                  
200.022, Travel Expenses - Employees & Students
     

This form should be used to document both travel and miscellaneous expenses, when the original receipt has been lost. The use of this form is expected to be on an exception basis and not a common occurrence.

 

    Miscellaneous Reimbursement Form*
Last Revised:04/17/08
Downloadable Formats: Excel | Acrobat
Expense Types: Acrobat

Instructions: Word | Acrobat
Related GAPs: 200.021, Miscellaneous Reimbursement Payments to Employees and Students
     

This form is used to reimburse employees and students for miscellaneous Duke Business expenses, including miscellaneous mileage. Payments made via a Miscellaneous Reimbursement Form will show on financial reports with “YT” document type.

 

   

Mileage Logs*
Last Revised: 01/08/08
Downloadable Formats: Excel
Related GAPs: 200.021, Miscellaneous Reimbursement Payments to Employees and Students

     

These forms should be used to document local business mileage or mileage associated with one day business trips. The form should be submitted with a Miscellaneous Reimbursement form.

 

    Corporate Card Missing Receipt Form*
Last Revised: 12/29/05
Downloadable Formats: Word | Acrobat
Related GAPs: 200.024, Corporate Card Purchases
     

This form should be used to document Corporate Expenses when the original receipt has been lost. The use of this form is expected to be on an exception basis and not a common occurrence.

 

    Corporate Card Reinstatement Request*
Last Revised: 08/22/07
Downloadable Formats: Word | Acrobat
     

This form should be used to reinstate a card after suspension.

 

    Statement of Corporate Card Disputed Items*
Last Revised: 08/22/07
Downloadable Formats: Word | Acrobat
     

This form should be used to dispute an unauthorized or unrecognized charge appearing on your Corporate Card account. Transactions that are more than 60 days old are not eligible for dispute.

 

    Travel Expense Form*
Last Revised: 04/17/08
Downloadable Formats: Excel | Acrobat
Expense Types: Acrobat
Instructions: Word | Acrobat
Related GAPs: 200.022, Travel Expenses - Employees & Students
     

This form is used to reimburse employees and students for expenses incurred while traveling on official Duke Business. Payments made via a Travel Expense Form will show on financial reports with “YT” document type.

 

    Travel Advance Form*
Last Revised: 08/20/07
Downloadable Formats: Excel | Acrobat
Related GAPs: 200.023,Travel Advance
     

This form is used by students to request cash advances for business travel and other business expenses. The money received as an advance must be accounted for within 30 days of the trip's end by submitting a Travel Expense Form.

 


* Access is reserved for the Duke Community
  Other Forms
 
    Accounts Payable Check Request*
Last Revised:03/05/08
Downloadable Formats: Excel | Acrobat
Instructions: Excel | Acrobat

Related GAPs: 200.135, Acquisition of Goods and Services Overview
                        200.136, Accounts Payable Check Request
     

This form is used when you are requesting payment for goods or services that can not be paid on an Imprest Cash Requisition for Payment and do not require a Purchase Order. Payments made via an Accounts Payable Check Request will show on financial reports with a "JV" reference.

 

    Accounts Payable Invoice Copy Request Form*
Last Revised: 05/17/04
Downloadable Formats: Word | Acrobat
     

This form is used when you are requesting a copy of an accounts payable invoice.

 

    Change of the Fiduciary or Custodian or Location of an Imprest Cash Fund on Deposit
Last Revised: 01/05/05
Downloadable Formats: Word
Related GAPs: 200.031, Imprest Fund on Deposit
     

This form is used when you are requesting a change in the fiduciary, custodian or location of your Imprest Cash Fund on Deposit.

 

    2008 Compensation Agreement for Personnel Services*
Last Revised: 06/28/07
Downloadable Formats: Acrobat | Excel
     

This agreement is required to reimburse entities of Duke University (DU) and Duke University Health System (DUHS) for professional services rendered by either party's primary appointed personnel.

 

    Establishment of an Imprest Cash on Deposit
Last Revised: 01/05/05
Downloadable Formats: Word
Related GAPs: 200.031, Imprest Fund on Deposit
     

This form is used when you are requesting the set up an Imprest Cash Fund on Deposit.

 

    Financial Transactions Reconciliation Log
Last Revised: 06/21/04
Downloadable Formats: Word | Acrobat

Related GAPs: 200.012, Reconciliation of Financial Transactions
     

This log is used to document the review of reconciliation of financial transactions.

 

    Journal Voucher R/3 Template*
Last Revised: 10/25/02
Downloadable Formats: Excel | Acrobat
Instructions: Excel | Acrobat
     

This template was developed to help facilitate the input of Journal Vouchers into R/3. This form matches the input variant ZJVF in R/3. This template is a tool to assist in the development of the Journal Voucher, to ensure all the information is on hand when the Journal Voucher is being keyed into R/3. This form is NOT to be submitted. If you have access to R/3 you need to key the Journal Voucher directly into R/3. If you need assistance with Journal Vouchers, contact either Accounting Services at 684-3123 or Accounting Systems and Procedures at 684-2752

 

    Service Center Rate Calculation Form*
Last Revised: 09/13/05
Downloadable Formats: Service Component: Excel | Acrobat
                                       Shared Resources: Excel | Acrobat
                                       Shared Resources Core Grants: Excel | Acrobat
Instructions: Service Component: Acrobat
                     Shared Resources: Acrobat

                     Shared Resources Core Grants: Acrobat
Related GAPs: 200.300, Service Center Administration
     

This form is used for either Service Component or Shared Resources; it will assist in the calculation of the appropriate rate for your department.

 

    Service Center Capital Equipment Detail Form*
Last Revised: 06/27/06
Downloadable Formats: Excel | Acrobat

Related GAPs: 200.300, Service Center Administration
     

This form is used for either Service Component or Shared Resources; it will assist in the calculation of the appropriate rate for your department.

 


* Access is reserved for the Duke Community
Sponsored Programs Related Forms
   
Direct Cost Exception Form I: Administrative and Clerical Expenses Salaries
Last Revised: 03/03/08
Downloadable Formats: Word | Acrobat

Instructions: Acrobat
Related GAPs: 200.320, Direct Costing on Sponsored Projects
                        200.330, Facilities and Administrative (Indirect) Costs on Sponsored Projects
   

Specific examples of selected items of cost and whether they should be treated as direct costs or F&A costs can be found by viewing the above mentioned related GAPs.The form should accompany an award by a Federal Sponsor or awards involving Federal flow through monies.

 

  Direct Cost Exception Form II: Non-Labor Direct Costs
Last Revised: 03/03/08
Downloadable Formats: Word | Acrobat
Instructions: Acrobat
Related GAPs: 200.320, Direct Costing on Sponsored Projects
                        200.330, Facilities and Administrative (Indirect) Costs on Sponsored Projects
   

This Form pertains to costs normally considered to be administrative and included in the Facilities and Administrative costs.The form should accompany an award by a Federal Sponsor or awards involving Federal flow through monies.

 

   
Equipment Screening Certification Form, $5000-$19,999
Last Revised: 02/14/03
Downloadable Formats: Word | Acrobat

Related GAPs: 200.080, Equipment Screening & Shared Use on Sponsored Projects
   

An equipment screening form is required when purchasing capital equipment on governmental grants and contracts (Project series 3xx - 35x). It is required by the federal government to ensure they are not funding equipment which is already available for use at the University. Use this form for purchases at least $5000, but not more than $19,999. The screening form should be sent along with the Purchase Requisition to Sponsored Programs. Sponsored Programs will approve and send to Purchasing.

 

  Equipment Screening Certification Form, $20,000 and Over
Last Revised: 02/14/03
Downloadable Formats: Word | Acrobat

Related GAPs: 200.080, Equipment Screening & Shared Use on Sponsored Projects
   

An equipment screening form is required when purchasing capital equipment on governmental grants and contracts (Project series 3xx - 35x). It is required by the federal government to ensure they are not funding equipment which is already available for use at the University. Use this form if equipment is $20,000 and over. The screening form should be sent along with the Purchase Requisition to Sponsored Programs. Sponsored Programs will approve and send to Purchasing.

 

  In-Kind Cost Sharing Report
Last Revised:06/20/03
Downloadable Formats: Word | Acrobat

Related GAPs: 200.140, Cost Sharing on Sponsored Projects
   

The Principal Investigator is responsible for accumulating the data necessary to provide proof of any cost sharing which is received in-kind. The report should include the value of in-kind contributions. These reports should be prepared each month and sent to the Office of Sponsored Programs for inclusion in the financial reports and billings.

 

  NIH Salary Cap Worksheet
Last Revised:01/22/08
Downloadable Formats: Excel
   

This is a multi-tab spreadsheet that will assist in the calculation of salary to be cost shared because it exceeds the NIH cap. The three tabs represent: a 12-month appointment, 9-month appointment, and 9-month summer supplement.

 

  Post Award Closeout Procedures & Checklist
Last Revised: 06/14/07
Downloadable Formats: Excel | Acrobat
   

To support the timely and accurate close-out of sponsored projects and submission of applicable bills and reports, the department should reconcile their financial statements monthly, ensure the timely and accurate submission of effort reports, and follow all applicable policies and procedures regarding allowability of expenditures.

 

  Request for Local Service Charges
Last Revised: 03/23/04
Downloadable Formats: Word | Excel | Acrobat
   

Local service telephone charges (pagers, modem lines and fax lines) are part of Duke's negotiated Indirect Cost Rate Agreement. Therefore, charges for these expenses should not be made to any Federal Governmental (30X-35X) or Research (3X3) project. There may, however, be some instances when these costs may be charged to these projects. Exceptions must be approved by the pre-award office and by the Office of Sponsored Programs using a "Request for Local Service Charges" form. A form is required for each WBS Element for which an exception is requested. Refer to the Post Award Administration Manual, Section 5 for more information.

 

  Request for Rebudgeting of Grant Funds
Last Revised: 09/15/05
Downloadable Formats: Excel | Acrobat

Related GAPs: 200.160, Rebudgeting Funds on Grants and Contracts
   

This form is used when the rebudgeting desired does not require the prior approval of the awarding agency, and the University is authorized to approve or disapprove the rebudgeting.

 

  Shared Usage Agreement
Last Revised: 02/14/03
Downloadable Formats: Word | Acrobat

Related GAPs: 200.080, Equipment Screening & Shared Use on Sponsored Projects
   

This agreement is used to document when equipment is suitable and available for shared use.

 

  Subrecipient Monitoring Form I: Subrecipient Checklist*
Last Revised: 04/17/08
Downloadable Formats: HTML
Instructions: Acrobat
Related GAP: 200.280, Monitoring Subrecipients - Federal Funds
   

This form is used by the departments to obtain certification documentation and signatures from Duke University subrecipients.

 

  Subrecipient Monitoring Form II: Subrecipient Risk Assessment*
This form is currently being revised. Please check back again later.
Related GAP: 200.280, Monitoring Subrecipients - Federal Funds
   

To be completed by pre-award officer a time of award and submitted to PI for review and signature.

 

  Subrecipient Monitoring Form III: Subrecipient Performance Monitoring and Modification Request*
This form is currently being revised. Please check back again later.
Related GAP: 200.280, Monitoring Subrecipients - Federal Funds
   

At time of funding increment, this form must be sent to the Duke PI by the pre-award office, completed and returned by the PI before the next subaward modification will be issued.

 

  Untimely Cost Transfer Justification - Payroll Retros
Last Revised: 10/06/03
Downloadable Formats: Word | Acrobat

Related GAPs: 200.150, Cost Transfers On Sponsored Projects
   

For a cost transfer entry made on a Staff Change Form or a Cost Distribution Form, if the retroactive period is untimely, complete the Untimely Cost Transfer Justification - Payroll Retros. Submit the Untimely Cost Transfer Justification – Payroll Retros, to the Office of Sponsored Programs, Box 90491, 705 Broad Street, Lower Level Room 01.

 

  ZF114 - Analysis of Transactions After the End Date Report
Last Revised:07/20/07
Downloadable Formats: Excel | Acrobat
   

This report is used to support the timely and accurate close-out of a sponsored project and the timely submittal of the final billing / financial status report (FSR). Instructions are provided on how the department can execute, complete, and submit the ZF114 report. For 302 Training projects, the Obligation for Training Grants Worksheet is also provided.

 


* Access is reserved for the Duke Community
Purchasing Related Forms
   
Duke University Certificate of Foreign Status
Last Revised: 01/25/2005
Downloadable Formats: Word | Acrobat

Related GAPs: Payments to Foreign Nationals
   

This form is used for non-resident alien payments of other than substantiated expenses.
Completed form must be attached to an Accounts Payable Check Request when requesting payment or it must be attached to a Purchase Requisition when you are requesting a Purchase Order.

 

  Independent Contractor Checklist (ICC)
Last Revised: 01/08/2008
Downloadable Formats: Excel | Acrobat

Related GAPs: 200.130, Engaging and Paying Guest Speakers And Conference Participants
                        200.131, Architects, Engineers, Contractors, Attorneys and Auditors
                        200.132, Engaging and Paying for Consulting Services Received from Corporations or Partnerships
                        200.133, Engaging and Paying Instructors or Lecturers (Non-Faculty)
                        200.134, All Other Payments to Individuals for Services
                        Reference Chart for Obtaining and Paying for Outside Services
   

This form is used to determine if an individual performing services for the University qualifies (per the IRS) as an Independent Contractor or must be paid as a Duke employee.
Completed form must be attached to an Accounts Payable Check Request when requesting payment for individual services, or it must be attached to a Purchase Requisition when you are requesting a Purchase Order.

 

  Outside Services Agreement (OSA)
Last Revised: 12/17/07
Downloadable Formats: Word | Acrobat

Related GAPs: 200.132, Engaging and Paying for Consulting Services Received from Corporations or Partnerships
                        200.134, All Other Payments to Individuals for Services
                        Reference Chart for Obtaining and Paying for Outside Services
   
An OSA must be completed when engaging individuals or companies to perform certain outside services. It is a contract between Duke and the contractor.

* Access is reserved for the Duke Community
Miscellaneous Forms
   
Interdepartmental Request and Invoice Form (IRI)*
Last Revised: 05/06/04
Downloadable Formats: Excel | Acrobat
Instructions: Word | Acrobat
   

The IRI form is used to order supplies or services from another department. The form is used both as a request form and as a priced invoice. Some service areas have their own form so that they can get additional information needed (for example, Duke Publications Group).
The IRI you download will have a space for the number. You should assign a number for tracking purposes. IRI transactions show on financial reports with a "JV" reference. The number will be referenced in the description field.

 

 

Request For Taxpayer Identification and Certification (W-9)*
Last Revised: 02/14/08
Entity For Which Requesting TIN:
                        Duke University
                        Duke University Health System, Inc .
                        Duke University Hospital
                        Durham Regional Hospital
                        Duke Raleigh Hospital
                        Duke University Affiliated Physicians (DUAP)
                        Duke Hospice
                        Duke Home Health
                        Duke Home Infusion
                        Duke Integrative Medicine

Related GAPs: 200.028, Request for Taxpayer Identification Number and Certification (W-9)

    Requests for a Taxpayer Identification Number (TIN) are made by payers to properly report tax information from miscellaneous payments made to either, Duke University (for grants, contracts, interest, etc.) or Duke University Health System (for medical services, interest, etc.). Donors may also request a Taxpayer Identification Number to enable them to claim tax deductions for gifts or donations.

* Access is reserved for the Duke Community