Duke University
 

Forms Available for Download
for Financial Transactions

See the below for a list of the financial forms available. Click on the name of the form for descriptions and files included in each download. Many of our forms now require that you login using your NetID in order to 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.



 


Accounting Payments & Processing
Processing Payments
Experimental Subject Payment Form
This form should be used to pay Experimental Subjects.    (Last Modified: 09/07/07)
Available Format(s): * XLS | PDF
Instructions: PDF
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.    (Last Modified: 04/10/09)
Available Format(s): * XLS | PDF
Instructions: PDF
For more information, please see...
    GAP 200.135, Acquisition of Goods and Services Overview
    GAP 200.136, Accounts Payable Check Request
Service Center Rate Calculation Form: Service Components
This form will assist in the calculation of the appropriate service center rate for your department.    (Last Modified: 09/13/05)
Available Format(s): * XLS | PDF
Instructions: PDF
For more information, please see...
    GAP 200.300, Service Center Administration
Service Center Capital Equipment Detail Form
This form is used for either Service Component or Shared Resources; it will assist in the calculation of the appropriate rate for your department.    (Last Modified: 06/27/06)
Available Format(s): * XLS | PDF
For more information, please see...
    GAP 200.300, Service Center Administration
Service Center Rate Calculation Form: Shared Resources
This form will assist in the calculation of the appropriate service center rate for your department.    (Last Modified: 09/13/05)
Available Format(s): * XLS | PDF
Instructions: PDF
For more information, please see...
    GAP 200.300, Service Center Administration
Service Center Rate Calculation Form: Shared Resources Core Grants
This form will assist in the calculation of the appropriate service center rate for your department.    (Last Modified: 09/13/05)
Available Format(s): * XLS | PDF
Instructions: PDF
For more information, please see...
    GAP 200.300, Service Center Administration
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Foreign Nationals
Duke University Certificate of Foreign Status
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.    (Last Modified: 01/25/05)
Available Format(s): * DOC | PDF
For more information, please see...
    Payments to Foreign Nationals
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Accounts & Codes
Assigned JV Number: Add New
Request an Assigned JV number for your department. An Assigned JV number by design belongs to a department, not the contact person.    (Last Modified: 05/30/08)
Available Format(s): Electronic
For more information, please see...
    Assigned JV Numbers List
Assigned JV Number: Change Existing
Request an Assigned JV number for your department. An Assigned JV number by design belongs to a department, not the contact person. If the contact person associated with an Assigned JV number changes, a request to update the Assigned JV list is submitted.    (Last Modified: 05/30/08)
Available Format(s): Electronic
For more information, please see...
    Assigned JV Numbers List
G/L Account Request Form
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.    (Last Modified: 08/29/07)
Available Format(s): * DOC | PDF
Cost Object Request Form
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.    (Last Modified: 09/02/09)
Available Format(s): * DOC | PDF
For more information, please see...
    Accounting Code Overview
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Contractors & Outside Services
Compensation Agreement for Personnel Services (2009)
This agreement is required to reimburse entities of Duke University (DU) and Duke University Health System (DUHS) for professional services rendered by either partys primary appointed personnel.    (Last Modified: 06/11/08)
Available Format(s): * XLS | PDF
Employee Status Exception Request Form
Determination of an individual's status as an independent contractor or an employee is based on the relationship between that individual and Duke University/Duke University Health System. Once an individual has established an employment relationship, it is difficult to suggest that the employment relationship ceases to exist. Therefore, to help establish an independent contractor relationship additional documentation is required.    (Last Modified: 11/12/08)
Available Format(s): * DOC | PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Additional Forms
AP Invoice Copy Request
This form is used when you are requesting a copy of an accounts payable invoice.    (Last Modified: 05/17/04)
Available Format(s): * DOC | PDF
Financial Transactions Reconciliation Log
This monthly log is used to document the review of reconciliation of financial transactions.    (Last Modified: 06/21/04)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.012, Reconciliation of Financial Transactions
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Asset Management
Capital Project Request Form
This form is used to request the set up of a new Project to be used for capital and noncapital construction and maintenance projects.    (Last Modified: 09/04/09)
Available Format(s): XLS
Instructions: PDF
For more information, please see...
    Capital Project Procedures
Service Center Capital Equipment Detail Form
This form is used for either Service Component or Shared Resources; it will assist in the calculation of the appropriate rate for your department.    (Last Modified: 06/27/06)
Available Format(s): * XLS | PDF
For more information, please see...
    GAP 200.300, Service Center Administration
Working Capital Loan Form
If your department would like to request a loan equal to or less than $2.5 million from the University, please fill out this form with all required information. Forward the completed form to the Treasury Operations office for review and it will be circulated for the appropriate approvals.    (Last Modified: 08/27/08)
Available Format(s): * DOC
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Budgeting & Reporting
Capital Projects & Budgeting
Capital Project Request Form
This form is used to request the set up of a new Project to be used for capital and noncapital construction and maintenance projects.    (Last Modified: 09/04/09)
Available Format(s): XLS
Instructions: PDF
For more information, please see...
    Capital Project Procedures
Working Capital Loan Form
If your department would like to request a loan equal to or less than $2.5 million from the University, please fill out this form with all required information. Forward the completed form to the Treasury Operations office for review and it will be circulated for the appropriate approvals.    (Last Modified: 08/27/08)
Available Format(s): * DOC
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Additional Forms
Salary Setting Users Request
The initial setup of Salary Setting users involves each school, department or unit should complete the Salary Setting user spreadsheet Excel Template and forward to their cognizant Management Center for review and approval.
Available Format(s): * XLS
For more information, please see...
    Salary Setting New User Setup
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Bursar Student Accounts
TMS Budget Worksheet for Continuing Undergraduate Students
Tuition Management Systems Budget worksheet for continuing undergraduate students. This worksheet will help the student budget their monthly tuition balances.    (Last Modified: 06/11/09)
Available Format(s): * XLS
Bursar Duke Payroll Deduction Form
To request a Duke payroll deduction, complete the Payroll Deduction Form. For monthly payroll employees, all requests submitted by the 20th of the month will have the first deduction taken on the 25th of the following month. For bi-weekly paid employees, the deduction will be taken on the next paycheck three weeks after the form is submitted.    (Last Modified: 03/26/07)
Available Format(s): * Webpage
Canadian Tuition Fees and Education Amount Certificate - University Outside Canada
This form is used to certify eligibility for the tuition and education amounts of a student attending a university outside Canada, and to show the maximum tuition and education amounts a student can transfer to a designated individual.
Available Format(s): ~ PDF
Student Direct Deposit Authorization Form
If you wish to establish direct deposit for your refunds, please fill out a Direct Deposit Authorization Form and return it to the Bursar's Office.    (Last Modified: 09/22/09)
Available Format(s): PDF
Study Abroad Financial Aid Disbursement Request
Students in a Study Abroad program use this form to request an advance refund from pending financial aid. The excess funds may be forwarded to another school for a non-duke program or refunded directly to the student.    (Last Modified: 04/18/08)
Available Format(s): * XLS
TMS Budget Worksheet for First Year Undergraduates
Tuition Management Systems Budget worksheet for first year undergraduate students. This worksheet will help the student budget their monthly tuition balances.    (Last Modified: 06/11/09)
Available Format(s): * XLS
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Cash Management & Investments
Department Deposit SpeedType Request
To request a speed type, complete the SpeedType Request form and fax to the Bursar's Office.    (Last Modified: 03/28/05)
Available Format(s): * XLS
Department Deposit Slip: G/L Account
This deposit form is used by University departments to deposit money to general ledger accounts.    (Last Modified: 05/12/03)
Available Format(s): * XLS
Department Deposit Slip: Student
This deposit form used by University departments to deposit money directly to student accounts.    (Last Modified: 05/09/03)
Available Format(s): * XLS
Domestic Wire Request Form
Must be completed and be submitted with the corresponding Account Payable Check Request or Purchase Requisition form for payment processing. Wire requests received by 10 a.m. will be processed that day. Domestic wires are effective on the same day they are processed.    (Last Modified: 06/09/08)
Available Format(s): * DOC | PDF
International Wire Request Form
Must be completed and be submitted with the corresponding Account Payable Check Request or Purchase Requisition form for payment processing. Wire requests received by 10 a.m. will be processed that day. International wires require a minimum of 48 hours for settlement.    (Last Modified: 06/09/08)
Available Format(s): * DOC | PDF
Petty Cash or Change Fund - Add New
Establishment of a Petty Cash or Change Fund    (Last Modified: 06/29/05)
Available Format(s): * DOC
For more information, please see...
    GAP 200.030, Petty Cash and Change Funds
Petty Cash or Change Fund - Change
This form is used when you are requesting a change in the fiduciary, custodian or location of your Petty Cash Fund or Change Fund.    (Last Modified: 06/29/05)
Available Format(s): * DOC
For more information, please see...
    GAP 200.030, Petty Cash and Change Funds
Petty Cash or Change Fund - Increase / Decrease
This form is used to request an increase or decrease in funds of your Petty Cash Fund or Change Fund.    (Last Modified: 06/29/05)
Available Format(s): * DOC
For more information, please see...
    GAP 200.030, Petty Cash and Change Funds
Imprest Cash Fund on Deposit - Add New
This form is used when you are requesting the set up an Imprest Cash Fund on Deposit.    (Last Modified: 01/05/05)
Available Format(s): * DOC
For more information, please see...
    GAP 200.031, Imprest Fund on Deposit
Imprest Cash Fund on Deposit - Change
This form is used when you are requesting a change in the fiduciary, custodian or location of your Imprest Cash Fund on Deposit.    (Last Modified: 01/05/05)
Available Format(s): * DOC
For more information, please see...
    GAP 200.031, Imprest Fund on Deposit
Request to Establish a Short-Term Cash Fund
Request to Establish a Short-Term Cash Fund    (Last Modified: 02/28/08)
Available Format(s): * PDF
Request to Close Short-Term Cash Fund
Please ensure your Macro Security is set to "Medium" or "Low" within Microsoft Excel to use this file.    (Last Modified: 09/27/05)
Available Format(s): * XLS
Cash Fund Reconciliation Form
Department Cashiering Cash Fund Reconciliation Form    (Last Modified: 07/19/05)
Available Format(s): * XLS
ACH Payment Request Form
Must be completed and be submitted with the corresponding Account Payable Check Request or Purchase Requisition form for payment processing. ACH payments require a minimum of 24 hours for settlement. Requests received by 10 a.m. each business day will be processed that day but will not be effective until the next business day.    (Last Modified: 06/09/08)
Available Format(s): * DOC | PDF
Bankcard Merchant Request
Complete this form to be approved to accept credit card payments via a credit card terminal, computer, or the Web. After approval by a Dean or business manager, submit the form via fax to E-Commerce at (919) 684-8536.    (Last Modified: 08/16/07)
Available Format(s): * DOC
Banking Supplies Order Form
Use this for to order banking supplies (deposit tickets, bank bags, etc.).    (Last Modified: 09/08/04)
Available Format(s): * XLS
Foreign Draft Request Form
A foreign currency draft is a check written in a foreign currency. Must be completed and be submitted with the corresponding Account Payable Check Request or Purchase Requisition form for payment processing. Drafts cannot be made payable to a specific bank.    (Last Modified: 06/06/08)
Available Format(s): * DOC | PDF
Interest on Overdraft Reversal/Adjustment Form
Please read Interest on Overdraft: Calculation and Rate of Interest for more information on this form.    (Last Modified: 06/27/08)
Available Format(s): * DOC | PDF
For more information, please see...
    Interest on Overdraft: Calculation and Rate of Interest
Long Term Pool (LTP) Participation Form
Please read the Long Term Pool (LTP) Policy for more information on this form.    (Last Modified: 04/07/08)
Available Format(s): * DOC
For more information, please see...
    Long Term Pool (LTP) Policy
Cash Management Fund (CMF) Participation
Please read the Cash Management Fund (CMF) Policy for more information on this form.    (Last Modified: 01/01/09)
Available Format(s): * PDF
For more information, please see...
    Cash Management Fund Policy
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Corporate Card
Department Corporate Card/WORKS Setup Form
This form should be used to set up a Departmental Works Administrator.    (Last Modified: 03/13/09)
Available Format(s): * XLS | PDF
Individual Corporate Cardholder Application
This form should be used for a individual requesting a Corporate Card.    (Last Modified: 03/13/09)
Available Format(s): * DOC | PDF
Corporate Card Reinstatement Request
This form should be used to reinstate a card after suspension.    (Last Modified: 08/22/07)
Available Format(s): * DOC | PDF
Statement of Corporate Card Disputed Items
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.    (Last Modified: 06/12/09)
Available Format(s): * PDF
Corporate Card Missing Receipt
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.    (Last Modified: 12/29/05)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.024, Corporate Card Purchases
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


eCommerce
DukePay Application
Submit your DukePay application online! You must have a valid DukeNet ID to access.
Available Format(s): ^ Webpage
For more information, please see...
    Credit Card Merchant Guide & Terms of Use Agreement^
    E-Commerce Checklist^
DukePay "HELP" Form
Submit a "trouble" ticket to report a suspected Duke e-Commerce credit card security problem. Be sure to reference your department name to ensure proper handling.
Available Format(s): Webpage
Bankcard Merchant Request
Complete this form to be approved to accept credit card payments via a credit card terminal, computer, or the Web. After approval by a Dean or business manager, submit the form via fax to E-Commerce at (919) 684-8536.    (Last Modified: 08/16/07)
Available Format(s): * DOC
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Endowments
Faculty Support Templates
Post-Doctoral Fellow - Planned Giving or Future Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 09/01/06)
Available Format(s): * DOT
Instructions: PDF
Post-Doctoral Fellow - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 09/01/06)
Available Format(s): * DOT
Instructions: PDF
TDE Strategic Faculty Initiative Challenge Professorship - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 03/04/08)
Available Format(s): * DOT
Instructions: PDF
Professorship Endowment - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Professorship Endowment - Planned Giving or Future Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
University Professorship Endowment - Planned Giving or Future Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 02/03/06)
Available Format(s): * DOT
Instructions: PDF
University Professorship Endowment - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 02/03/06)
Available Format(s): * DOT
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Financial Aid Templates
Financial Aid Initiative Challenge for Undergraduate Students - Current Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 04/19/07)
Available Format(s): * DOT
Instructions: PDF
Financial Aid Initiative Challenge for Graduate Students - Current Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 04/19/07)
Available Format(s): * DOT
Instructions: PDF
Scholarship Endowment for Undergraduate Students - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Scholarship Endowment for Undergraduate Students - Planned Giving or Future Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Scholarship Endowment for Athletics Undergraduate Students - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Scholarship Endowment for Graduate Students - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Scholarship Endowment for Graduate Students - Planned Giving or Future Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Operational Templates
Operational Endowment - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/18/06)
Available Format(s): * DOT
Instructions: PDF
Operational Endowment - Planned Giving or Future Gift
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/18/06)
Available Format(s): * DOT
Instructions: PDF
Internal Endowment Established with a Bequest - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Internal Endowment Established with Gifts from Multiple Donors - Current Gift or Pledge
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Amendments & Restatements Templates
General Amendment and Restatement - Current
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
Professorship Amendment and Restatement - Current
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 07/01/05)
Available Format(s): * DOT
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Quasi Approval Forms Templates
Request for Quasi Endowment Fund - Greater Than $1M
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/25/08)
Available Format(s): * DOT
For more information, please see...
    Quasi Fund Information
Request for Quasi Endowment Fund - Less Than $1M
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/25/08)
Available Format(s): * DOT
For more information, please see...
    Quasi Fund Information
Medical Center Professorship Request for Quasi Endowment Fund - Greater Than $1M
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/25/08)
Available Format(s): * DOT
For more information, please see...
    Quasi Fund Information
Medical Center Professorship Request for Quasi Endowment Fund - Less Than $1M
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/25/08)
Available Format(s): * DOT
For more information, please see...
    Quasi Fund Information
Professorship Request for Quasi Endowment Fund - Greater Than $1M
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/02/07)
Available Format(s): * DOT
For more information, please see...
    Quasi Fund Information
Professorship Request for Quasi Endowment Fund - Less Than $1M
Microsoft® Word template for the above listed endowment agreement.    (Last Modified: 08/02/07)
Available Format(s): * DOT
For more information, please see...
    Quasi Fund Information
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Additional Forms
Schedule A
   (Last Modified: 04/11/06)
Available Format(s): * DOT
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


iForms
Cost Distribution iForm
Use the Cost Distribution Form for recording information when the employee is transferring from one department to another or for changes in the employee's funding source. The period covered by this form must include a current or future period and can also include a retroactive period. If you are moving a payroll expense that covers only a past period (no current of future change is involved), use the Cost Transfer Only form.
Available Format(s): ^ ~ Webpage
Hire iForm
Form used to supply all information in regards to a newly hired employee.
Available Format(s): ^ ~ Webpage
Personal Data Change iForm
The personal data change form is used by managers to update employee demographic data such as names, addresses, and date of birth.
Available Format(s): ^ ~ Webpage
Rate & Schedule Change iForm
The Rate and Schedule Change iForm is used to change the work schedule or pay rate of an employee including Clinical Ladder changes. In addition this form can be used to change the employee subgroup for biweekly employees.
Available Format(s): ^ ~ Webpage
Termination iForm
Form that has all required data elements and signatures for taking someone off the payroll. Form prompts department to notify secondary departments.
Available Format(s): ^ ~ Webpage
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Payroll & Time Reporting
Employment
Hire Form
Form to establish a NEW employee (Faculty, Casual, Temporary and Student) with their initial deductions. This hire form, along with the appropriate tax forms, I-9 Form and Certification Form goes directly to the Human Resources Information Center (HRIC) then on to Payroll to generate the hire in SAP. All other hiring processes should be completed using the Applicant Referral Process online.    (Last Modified: 07/19/05)
Available Format(s): * DOC | PDF
Instructions: PDF
Checklist for New Hires
A checklist for new hires.    (Last Modified: 11/13/07)
Available Format(s): * PDF
Terminated Employee/Student Address Change
Terminated employees and former student employee or noncompensatory recipients should complete this form to update their address in Duke's payroll system. This is critical to ensure that IRS tax documentation is distributed appropriately. Return signed forms to Corporate Payroll Services, Box 90484, Durham, NC 27708-0484. Please do not email the completed form.    (Last Modified: 04/20/09)
Available Format(s): DOC | PDF
Checklist for Terminations
Checklist for Terminations    (Last Modified: 05/11/09)
Available Format(s): * PDF
Leave of Absence Form
Form must be used to establish all LOA leave periods and for Sabbatical and Research leaves that begin on or after September 1, 2009. This form should not be confused with the Human Resources' Leave of Absence Request Form.    (Last Modified: 10/02/09)
Available Format(s): * DOC | PDF
Instructions: PDF
Foreign National Form
Use this form along with the Hire/Noncompensatory Payment forms to establish a NEW Foreign National employee/payee with Visa History and Tax Treaty information.    (Last Modified: 01/31/07)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    Foreign Nationals Tax Treaty Form Search
Staff Change Form
Use the Staff Change form for faculty, casual labor (DTS) and students. Use for changes in campus address, reclassification, change in work schedule or pay.    (Last Modified: 02/19/07)
Available Format(s): * DOC | PDF
Instructions: PDF
Independent Contractor Checklist (ICC)
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.    (Last Modified: 09/16/09)
Available Format(s): * XLS | PDF
For more information, please see...
    Procedures for Engaging & Paying Consultants
I-9, Employment Eligibility Verification Form
Employment Eligibility Verification Form (federal). The purpose of this form is to document that each new employee (both citizen and non-citizen) hired after November 6, 1986 is authorized to work in the United States. Forms that do not bear an original signature will not be accepted. The I-9 Form, along with appropriate tax forms, the hire form, and Certification Form should be sent to the HR Information Center at 705 Broad Street (Box 90496), Durham, NC 27705 (fax number 919-668-0386).    (Last Modified: 04/09)
Available Format(s): ~ PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Compensation
Direct Deposit Authorization Agreement
Agreement stating Duke has permission to deposit directly into bank account.    (Last Modified: 08/16/07)
Available Format(s): * DOC | PDF
Faculty/Staff Pay Exception
Use the Pay Exception Form to do a specific change in pay.    (Last Modified: 11/04/09)
Available Format(s): * DOC | PDF
Instructions: PDF
Supplemental Payment Form
This form used for exempt employees to issue supplemental payments in addition to the base salary. This form should be used for EXEMPT employees only.    (Last Modified: 02/19/07)
Available Format(s): * DOC | PDF
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Foreign Nationals
Foreign National Form
Use this form along with the Hire/Noncompensatory Payment forms to establish a NEW Foreign National employee/payee with Visa History and Tax Treaty information.    (Last Modified: 01/31/07)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    Foreign Nationals Tax Treaty Form Search
W-8BEN, Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding
Form W-8BEN is to be used by foreign persons who are beneficial owners of an amount subject to U.S. withholding.    (Last Modified: 02/06)
Available Format(s): ~ PDF
For more information, please see...
    Foreign Nationals Tax Treaty Form Search
W-8ECI, Certificate of Foreign Person's Claim That Income...
Form W-8ECI is to be used by foreign persons who are claiming U.S. sourced income is effectively connected with the conduct of a trade or business within the U.S.    (Last Modified: 02/06)
Available Format(s): ~ PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Non-Compensatory Payments
Foreign National Form
Use this form along with the Hire/Noncompensatory Payment forms to establish a NEW Foreign National employee/payee with Visa History and Tax Treaty information.    (Last Modified: 01/31/07)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    Foreign Nationals Tax Treaty Form Search
Noncompensatory Payment - Add New
For Noncompensatory Use Only. The current form used to establish new, or reinstate award payments. For University and Medical Center scholarship/fellowship recipients only.    (Last Modified: 08/21/09)
Available Format(s): * DOC | PDF
For more information, please see...
    Processing Noncompensatory Payments
Noncompensatory Payment - Change
For Noncompensatory Use Only. The current form used to change payments. For University and Medical Center scholarship/fellowship recipients only.    (Last Modified: 08/21/09)
Available Format(s): * DOC | PDF
For more information, please see...
    Processing Noncompensatory Payments
Noncompensatory Personal Data Change Form
For Noncompensatory Use Only. Form designed for changes to data such as name changes, educational level, marital status, citizenship status, or home address changes. Some of these require documentation authorization before changes can be made in SAP.    (Last Modified: 02/19/07)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    Processing Noncompensatory Payments
8233, Exemption From Withholding on Compensation for Personal Services of a Nonresident Alien Individual
Use this form if you are a nonresident alien individual who is receiving compensation for independent personal services performed in the United States, compensation for dependent personal services performed in the United States, or Noncompensatory scholarship or fellowship income and personal services income from the same withholding agent.    (Last Modified: 12/01)
Available Format(s): ~ PDF
Instructions: PDF
Noncompensatory Termination Form
For Noncompensatory and Layoff Use Only. Form that has all required data elements and signatures for taking someone off the payroll. Form prompts department to notify secondary departments.    (Last Modified: 02/19/07)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    Processing Noncompensatory Payments
Terminated Employee/Student Address Change
Terminated employees and former student employee or noncompensatory recipients should complete this form to update their address in Duke's payroll system. This is critical to ensure that IRS tax documentation is distributed appropriately. Return signed forms to Corporate Payroll Services, Box 90484, Durham, NC 27708-0484. Please do not email the completed form.    (Last Modified: 04/20/09)
Available Format(s): DOC | PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Tax
W-2, Tax Document Request Form for Employees
An employee is required to complete a Tax Document Request Form to request a replacement of a lost or misplaced W-2 form. Please visit the W-2 FAQs for additional information regarding this form. Former employees can call the Corporate Payroll office at 919-684-2642 and request the form be faxed or emailed to them.    (Last Modified: 01/26/09)
Available Format(s): DOC | PDF
W-2, Tax Document Request Form for Employers
Please visit the W-2 FAQs for additional information regarding this form. Former employees can call the Corporate Payroll office at 919-684-2642 and request the form be faxed or emailed to them.    (Last Modified: 01/26/09)
Available Format(s): DOC | PDF
W-4, Employee's Withholding Allowance Certificate
The W-4 form is used by employers to ascertain the correct amount of federal taxes to withhold from an employee's pay.    (Last Modified: 2009)
Available Format(s): ~ PDF
NC-4, Employee's Withholding Allowance Certificate
The NC-4 form is used by employers to ascertain the correct amount of state taxes to withhold from an employee's pay.    (Last Modified: 07/06)
Available Format(s): ~ PDF
W-5, Earned Income Credit Advance Payment Certificate
Use Form W-5 if you are eligible to get part of the earned income credit (EIC) in advance with your pay and choose to do so.    (Last Modified: 01/09)
Available Format(s): ~ PDF
Terminated Employee/Student Address Change
Terminated employees and former student employee or noncompensatory recipients should complete this form to update their address in Duke's payroll system. This is critical to ensure that IRS tax documentation is distributed appropriately. Return signed forms to Corporate Payroll Services, Box 90484, Durham, NC 27708-0484. Please do not email the completed form.    (Last Modified: 04/20/09)
Available Format(s): DOC | PDF
8233, Exemption From Withholding on Compensation for Personal Services of a Nonresident Alien Individual
Use this form if you are a nonresident alien individual who is receiving compensation for independent personal services performed in the United States, compensation for dependent personal services performed in the United States, or Noncompensatory scholarship or fellowship income and personal services income from the same withholding agent.    (Last Modified: 12/01)
Available Format(s): ~ PDF
Instructions: PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Additional Forms
Cost Transfers Only
Use the Cost Transfer Only form when moving payroll expenses from one cost object to another that cover a PAST period. This form cannot be used to make payroll changes for a future payroll period.    (Last Modified: 02/19/07)
Available Format(s): * DOC | PDF
Instructions: PDF
Delivery Log
You may complete the delivery log and fasten to your Corporate Payroll delivery instead of completing the log once you or your representative has arrived at the Corporate Payroll office front desk.    (Last Modified: 05/23/01)
Available Format(s): * XLS | PDF
Discontinuation of Paper Pay Statements Form
Use this form to discontinue paper pay statements. Departments can choose to discontinue paper pay statements at the Organizational Unit or at the Personnel Subarea.    (Last Modified: 03/12/08)
Available Format(s): * DOC | PDF
Leave of Absence Form
Form must be used to establish all LOA leave periods and for Sabbatical and Research leaves that begin on or after September 1, 2009. This form should not be confused with the Human Resources' Leave of Absence Request Form.    (Last Modified: 10/02/09)
Available Format(s): * DOC | PDF
Instructions: PDF
Secondary Positions Form
Use the Secondary Positions Form for recording information when employees divide their time among two or more positions in the Duke system. All secondary positions must be authorized by both primary and secondary departments.    (Last Modified: 11/18/09)
Available Format(s): * XLS | PDF
Instructions: PDF
...Report Xpress Forms
Review a listing of ReportXpress forms.
Available Format(s): * Webpage
...Financial Transaction & Accounting Forms
Review a listing of Financial Transaction & Accounting forms.
Available Format(s): * Webpage
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Duke Human Resources
Human Resources Leave of Absence Request Form
The Leave of Absence Request form is completed by the employee requesting a leave of absence and submitted to their departmental representative. This form is to be maintained in a confidential file in the employee's department and should not be submitted to Corporate Payroll.
Available Format(s): ~ DOC | PDF
For more information, please see...
    Duke Work Absences Website
Duke Take Home Pay Calculator
The Duke-specific Take Home Pay Calculator is an estimate of your net income based upon criteria that you provide, and your paycheck may differ slightly from the calculator results.
Available Format(s): ~ Webpage
HR Data Request Form
In order to maintain the integrity of Duke employee data, please use the HR Data Request Form to request creation and/or distribution of HR and Payroll Data reports. For policy details see HR/Payroll Data Policy)
Available Format(s): ~ Webpage
...Additional Human Resources Forms
Additional Human Resources forms such as Health, Dental, and Vision Benefits, Disability, Educational Benefits, Health and Wellness Forms, Life Insurance, Reimbursement Accounts, Retirement, Same Sex Spousal Equivalency, and others can be found on the Human Resources website.
Available Format(s): ~ Webpage
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Payroll/HR Use Only Forms
Internal Personal Data Change Form
For Use by Corporate Payroll Services and Human Resources Staff only.    (Last Modified: 06/05/06)
Available Format(s): * DOC
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Procurement & Purchasing
Contractors & Outside Services
Employee Status Exception Request Form
Determination of an individual's status as an independent contractor or an employee is based on the relationship between that individual and Duke University/Duke University Health System. Once an individual has established an employment relationship, it is difficult to suggest that the employment relationship ceases to exist. Therefore, to help establish an independent contractor relationship additional documentation is required.    (Last Modified: 11/12/08)
Available Format(s): * DOC | PDF
Insurance Requirements for Independent Contractors
Vendors and contractors working for Duke University must maintain certain minimum amounts of insurance. These requirements vary, depending on the type and hazard of work being performed, as well as other factors specific to some operations.    (Last Modified: 09/13/04)
Available Format(s): Webpage
Vendor Representative Visitation Policy Sign-In Form
Sample sign-in sheet when visiting a DUHS facility.    (Last Modified: 07/28/09)
Available Format(s): PDF
Compensation Agreement for Personnel Services (2009)
This agreement is required to reimburse entities of Duke University (DU) and Duke University Health System (DUHS) for professional services rendered by either partys primary appointed personnel.    (Last Modified: 06/11/08)
Available Format(s): * XLS | PDF
Independent Contractor Checklist (ICC)
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.    (Last Modified: 09/16/09)
Available Format(s): * XLS | PDF
For more information, please see...
    Procedures for Engaging & Paying Consultants
Outside Services Agreement (OSA)
An OSA must be completed when engaging individuals or companies to perform certain outside services. It is a contract between Duke and the contractor.    (Last Modified: 05/29/09)
Available Format(s): * DOC | PDF
For more information, please see...
    Procedures for Engaging & Paying Consultants
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Tax
W-9 for Duke University
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
IRS Tax Exemption Letters - 501(c)(3)
IRS Tax Exemption Letters - 501(c)(3) for Duke University and Duke University Health System, Inc.
Available Format(s): * Webpage
W-9 for Duke University Health System, Inc.
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke University Hospital
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Durham Regional Hospital
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Raleigh Hospital
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke University Affiliated Physicians (DUAP)
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Hospice
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Home Health
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Home Infusion
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Integrative Medicine
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Foreign Nationals
Duke University Certificate of Foreign Status
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.    (Last Modified: 01/25/05)
Available Format(s): * DOC | PDF
For more information, please see...
    Payments to Foreign Nationals
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Purchasing & Rentals
Duke Order Form for National Welders
To place an order save the Duke Order Form to you PC, fill it out, and email it to National Welders.    (Last Modified: 08/28/09)
Available Format(s): * XLS
National Car Rental Emerald Club Application Request
To enroll as an Emerald Club member, please call the 888 Toll-Free number on the application to immediately enroll. You will need to have the application, your drivers license and credit card numbers in order to enroll. Once your phone call is complete, sign and fax the application with your signature to 612-893-6041 and your Emerald Club Number will be active within 48 hours. Use the temporary card at the bottom of the application until your permanent card comes in the mail in 4-6 weeks.    (Last Modified: 07/22/09)
Available Format(s): Webpage
PERT Product & Equipment Request
All product requests for trial or purchase must be approved by Duke Medicine's Product and Equipment Review Team (PERT) prior to bringing the product into the hospital.    (Last Modified: 07/22/09)
Available Format(s): PDF
Funeral Floral Request Request Form
In the event of the death of an employee or member of the employee's immediate family, the department designee should complete a Funeral Request Form and call an approved florist.    (Last Modified: 07/22/09)
Available Format(s): DOC | PDF
For more information, please see...
    About Floral Arrangement Orders & Delivery
Sympathy Floral Request Request Form
In the event the visitation was missed or if there is no service, a sympathy plant can be delivered to the employee’s local home address or the employee’s Duke address. Complete a Floral Request Form and call an approved florist to have flowers sent in the name of Duke University and Health System and the department.    (Last Modified: 07/22/09)
Available Format(s): DOC | PDF
For more information, please see...
    About Floral Arrangement Orders & Delivery
Hospital Stay Floral Request Request Form
In the event an employee is hospitalized, the department designee should complete a Hospital Request Form and call an approved florist.    (Last Modified: 07/22/09)
Available Format(s): DOC | PDF
For more information, please see...
    About Floral Arrangement Orders & Delivery
Eway Online Ordering Registration Form
To use Eway - the online ordering system for Corporate Express already widely used for office supplies, you must register with Corporate Express. You will need a separate Eway account to order forms even if you are already using Eway to order office supplies.    (Last Modified: 07/22/09)
Available Format(s): ~ Webpage | DOC
Corporate Express Order Form
Fax Version of Corporate Express order form.    (Last Modified: 07/22/09)
Available Format(s): XLS | PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Additional Forms
Interdepartmental Request & Invoice Form (IRI)
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.    (Last Modified: 05/06/04)
Available Format(s): * XLS | PDF
Instructions: PDF
Lost Receipt Form for Reimbursements
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.    (Last Modified: 08/01/03)
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Research Compliance & Reporting
Pre-Award
Subrecipient Monitoring Form I: Subrecipient Checklist
This form is used by the departments to obtain certification documentation and signatures from Duke University subrecipients. Create this form for each of the subcontractors listed on a proposal in SPS* and send it to them. Upon creation, it will automatically populate the subcontrator's institutional information and the SPS information. Request that the project specific information be filled in by each subcontractor and signed by the subcontrator's authorized official. It should then be returned to the PI or Grant Manager and submitted to ORS with the subcontractor's statement of work, budget and budget justification.
Available Format(s): ^ ~ Webpage
Instructions: PDF
For more information, please see...
    GAP 200.280, Monitoring Subrecipients - Federal Funds
Request for Cost-Sharing
This is a required form if a proposal includes cost sharing or matching funds from the University. It documents who has committed to provide the funds at the time of proposal submission.
Available Format(s): ~ DOC
WBS Element Request for a Miscellaneous Code
Use this form to request an account code for external funds that require no financial reporting and are received through mechanisms other than the standard proposal and award process.
Available Format(s): ~ DOC
WBS Element Request for Pre-award Spending
Use this form if you wish to begin incurring expenses on a sponsored project prior to the start date of the award. Depending on the sponsor, this request may only require ORS* approval or it may require approval from the sponsor.
Available Format(s): ~ DOC
WBS Element Request in Advance of an Award
Use this form to request an account code if a PI has been told of a pending award but has not received the official Notice of Award. The start-up stage of a project can be facilitated if a code is in place on the start date of the project.
Available Format(s): ~ DOC
Checklist for Proposal Preparation
This checklist creates a list of the forms and documents required to submit a proposal, who is responsible for completing them, and when. Feel free to modify the form to meet your needs.
Available Format(s): ~ XLS
Checklist for Sponsor Guidelines
This checklist is used first in proposal preparation. It assists in finding and documenting all the requirements found in a sponsor's RFP, RFA, or Guidelines. Feel free to modify the form to meet your needs.
Available Format(s): ~ XLS
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Post-Award
Direct Cost Exception Form I: Administrative and Clerical Expenses Salaries
The inclusion of salaries for clerical or administrative staff in a federally funded project requires careful justification and documentation. This form is used whenever new funding is received and such personnel will be paid by the grant. 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.    (Last Modified: 07/31/08)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    GAP 200.320, Direct Costing on Sponsored Projects
    GAP 200.330, Facilities and Administrative (Indirect) Costs on Sponsored Projects
Direct Cost Exception Form II: Non-Labor Direct Costs
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.    (Last Modified: 03/23/09)
Available Format(s): * DOC | PDF
Instructions: PDF
For more information, please see...
    GAP 200.320, Direct Costing on Sponsored Projects
    GAP 200.330, Facilities and Administrative (Indirect) Costs on Sponsored Projects
Equipment Screening Certification ($5k-$19,999)
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.    (Last Modified: 02/14/03)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.080, Equipment Screening and Shared Use on Federal Sponsored Projects
Equipment Screening Certification (>$20k)
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.    (Last Modified: 02/14/03)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.080, Equipment Screening and Shared Use on Federal Sponsored Projects
In-Kind Cost Sharing Report
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.    (Last Modified: 06/20/03)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.140, Cost Sharing on Sponsored Projects
Post Award Close-Out Procedures & Checklist
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.    (Last Modified: 06/14/07)
Available Format(s): * XLS | PDF
Request for Rebudgeting of Funds
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.    (Last Modified: 11/04/09)
Available Format(s): * XLS | PDF
For more information, please see...
    GAP 200.160, Rebudgeting Funds on Grants and Contracts
Untimely Cost Transfer Justification - Payroll Retros
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.    (Last Modified: 10/06/03)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.150, Cost Transfers On Sponsored Projects
Independent Contractor Checklist (ICC)
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.    (Last Modified: 09/16/09)
Available Format(s): * XLS | PDF
For more information, please see...
    Procedures for Engaging & Paying Consultants
Outside Services Agreement (OSA)
An OSA must be completed when engaging individuals or companies to perform certain outside services. It is a contract between Duke and the contractor.    (Last Modified: 05/29/09)
Available Format(s): * DOC | PDF
For more information, please see...
    Procedures for Engaging & Paying Consultants
Grant Management Monthly Checklist
A monthly checklist for Grant Managers on the various SAP reports to run, how to run them, and what to look for.    (Last Modified: 08/08/08)
Available Format(s): * DOC
Subrecipient Progress Report
When a new increment of funding is received, this form is sent to the Duke PI by the pre-award office to be completed and returned by the PI before the next subaward modification can be issued.
Available Format(s): ~ DOC
Cost Sharing Calculator
   (Last Modified: 04/15/09)
Available Format(s): * XLS
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Additional Forms
Tuition Remission Salary Worksheet
Use this worksheet to calculate NIH Maximum Allowed and Salary Payment Calculation for Basic Medical Science & Nursing Departments for 10 or 12 months, Arts & Sciences and Nicholas School Departments, and Engineering Departments for 10 or 12 months. Please see the handout for more information regarding Tuition Remission effective July 1, 2009.    (Last Modified: 11/04/09)
Available Format(s): * XLS
For more information, please see...
    GAP 200.310, Compensation of Graduate Students on Sponsored Research Project
NIH Salary Cap Worksheet
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.    (Last Modified: 11/04/09)
Available Format(s): * XLS
Shared Usage Agreement
This agreement is used to document when equipment is suitable and available for shared use.    (Last Modified: 02/14/03)
Available Format(s): * DOC | PDF
For more information, please see...
    GAP 200.080, Equipment Screening and Shared Use on Federal Sponsored Projects
ZF114 - Analysis of Transactions After the End Date Report
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.    (Last Modified: 07/20/07)
Available Format(s): * XLS | PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Risk Management & Insurance
Insurance Application For Computer Equipment
Coverage is on a fiscal year basis, is the same as provided for all other business property, and is subject to the same terms, conditions and exclusions. For overseas coverage, there is an additional $50.00 charge per system per year. Please notify Corporate Risk Management as soon as possible in the event of loss or damage.    (Last Modified: 06/06/05)
Available Format(s): * DOC | PDF
International SOS Card
The International SOS membership card includes the telephone numbers of the three major worldwide International SOS Alarm Centers. In the event of an emergency while traveling internationally, call one of the emergency phone numbers listed on the card.    (Last Modified: 02/27/08)
Available Format(s): * PDF
For more information, please see...
    International SOS Program
Participation Agreement
The purpose of the Participation Agreement is to educate participants about the potential hazards involved in certain activities.For all student groups organizing or participating in a field trip, or departments sponsoring a special event off-campus, the Duke University Participation Agreement should be completed. Prior to the distribution of the participation agreement, the sponsoring department or campus group should send a copy of the participation agreement, accompanied by a description of the activity, to Corporate Risk Management. Corporate Risk Management will approve the form, and notify the appropriate department. All participating students or department members should sign the form. The signed forms should be maintained by the department or the sponsoring campus group.    (Last Modified: 06/09/05)
Available Format(s): * DOC | PDF
Request For Certificate Of Insurance
Used to request proof of insurance coverage.    (Last Modified: 05/16/08)
Available Format(s): * DOC | PDF
Request For Insurance Coverage For Exhibits
Departments featuring exhibits must complete the Request for Insurance Coverage and submit to Corporate Risk Management, Box 104143 . Corporate Risk Management monitors and provides coverage when needed.    (Last Modified: 09/08/04)
Available Format(s): * DOC | PDF
Sports Camps Audit & Premium Report
The Sports Camps accident and liability insurance policy is effective for 12 months, beginning June 1st. In order to activate coverage for a particular sports camp, an audit premium report must be completed immediately following the conclusion of each camp session. Coverage information is included on the Audit and Premium Report.    (Last Modified: 08/10/07)
Available Format(s): * XLS | PDF
Insurance Requirements for Independent Contractors
Vendors and contractors working for Duke University must maintain certain minimum amounts of insurance. These requirements vary, depending on the type and hazard of work being performed, as well as other factors specific to some operations.    (Last Modified: 09/13/04)
Available Format(s): Webpage
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Tax Related
DU Contractor STR Form
In order for a contractor to receive a separate sales tax reimbursement, the contractor shall provide the University with a detailed listing, from each subcontractor or other purchaser of materials, of North Carolina sales taxes paid on eligible purchases during each month on the DU Purchaser STR Form. The general contractor will then aggregate the subcontractor, or purchaser, statements by county on the DU Contractor STR Forms. Forms must be signed and notarized.    (Last Modified: 09/09/09)
Available Format(s): XLS
DU Purchaser STR Form
In order for a contractor to receive a separate sales tax reimbursement, the contractor shall provide the University with a detailed listing, from each subcontractor or other purchaser of materials, of North Carolina sales taxes paid on eligible purchases during each month on the DU Purchaser STR Form. Form must be signed and notarized.    (Last Modified: 09/09/09)
Available Format(s): XLS
IRS Tax Exemption Letters - 501(c)(3)
IRS Tax Exemption Letters - 501(c)(3) for Duke University and Duke University Health System, Inc.
Available Format(s): * Webpage
W-2, Tax Document Request Form for Employees
An employee is required to complete a Tax Document Request Form to request a replacement of a lost or misplaced W-2 form. Please visit the W-2 FAQs for additional information regarding this form. Former employees can call the Corporate Payroll office at 919-684-2642 and request the form be faxed or emailed to them.    (Last Modified: 01/26/09)
Available Format(s): DOC | PDF
W-2, Tax Document Request Form for Employers
Please visit the W-2 FAQs for additional information regarding this form. Former employees can call the Corporate Payroll office at 919-684-2642 and request the form be faxed or emailed to them.    (Last Modified: 01/26/09)
Available Format(s): DOC | PDF
Sample IRS W-2, Wage and Tax Statement
The IRS Form W-2 is used by employers to tabulate payments for services performed by employees. The IRS Form W-2 must be provided to the employee by the employer by the last day of January for activity in the prior calendar year. This form is provided for informational purposes only.
Available Format(s): ~ PDF
Instructions: PDF
W-4, Employee's Withholding Allowance Certificate
The W-4 form is used by employers to ascertain the correct amount of federal taxes to withhold from an employee's pay.    (Last Modified: 2009)
Available Format(s): ~ PDF
NC-4, Employee's Withholding Allowance Certificate
The NC-4 form is used by employers to ascertain the correct amount of state taxes to withhold from an employee's pay.    (Last Modified: 07/06)
Available Format(s): ~ PDF
W-5, Earned Income Credit Advance Payment Certificate
Use Form W-5 if you are eligible to get part of the earned income credit (EIC) in advance with your pay and choose to do so.    (Last Modified: 01/09)
Available Format(s): ~ PDF
W-9 for Duke University Health System, Inc.
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke University Hospital
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Durham Regional Hospital
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Raleigh Hospital
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke University Affiliated Physicians (DUAP)
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Hospice
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Home Health
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Home Infusion
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke Integrative Medicine
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-9 for Duke University
IRS Form W-9, Request For Taxpayer Identification and Certification is used 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.    (Last Modified: 02/14/08)
Available Format(s): * PDF
For more information, please see...
    GAP 200.028, Request for Taxpayer Identification Number and Certification (W-9)
W-8BEN, Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding
Form W-8BEN is to be used by foreign persons who are beneficial owners of an amount subject to U.S. withholding.    (Last Modified: 02/06)
Available Format(s): ~ PDF
For more information, please see...
    Foreign Nationals Tax Treaty Form Search
W-8ECI, Certificate of Foreign Person's Claim That Income...
Form W-8ECI is to be used by foreign persons who are claiming U.S. sourced income is effectively connected with the conduct of a trade or business within the U.S.    (Last Modified: 02/06)
Available Format(s): ~ PDF
W-8EXP, Certificate of Foreign...US Tax Witholding
Form W-8EXP is to be used by foreign governments, international organizations, foreign central banks of issue, foreign tax-exempt organizations, foreign private oundations, and governments of U.S. possessions.    (Last Modified: 02/06)
Available Format(s): ~ PDF
W-8IMY, Certificate of Foreign...US Tax Witholding
Form W-8IMY is to be used by foreign intermediary, foreign flow-through entity, or certain U.S. branches.    (Last Modified: 02/06)
Available Format(s): ~ PDF
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


Travel & Reimbursement
International SOS Card
The International SOS membership card includes the telephone numbers of the three major worldwide International SOS Alarm Centers. In the event of an emergency while traveling internationally, call one of the emergency phone numbers listed on the card.    (Last Modified: 02/27/08)
Available Format(s): * PDF
For more information, please see...
    International SOS Program
Travel Advance Form
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 trips end by submitting a Travel Expense Form.    (Last Modified: 02/13/09)
Available Format(s): * XLS | PDF
For more information, please see...
    GAP 200.023,Travel Advance
Travel Expense Form
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 document type.    (Last Modified: 02/13/09)
Available Format(s): * XLS | PDF
Instructions: PDF
For more information, please see...
    Expense Types
    GAP 200.022, Travel Expenses - Employees & Student
Group Travel Schedule
This form is used to provide adequate supporting documentation related to a group travel event.    (Last Modified: 11/19/04)
Available Format(s): * XLS | DOC
For more information, please see...
    GAP 200.022, Travel Expenses - Employees & Students
Mileage Log
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.    (Last Modified: 01/06/09)
Available Format(s): * XLS
For more information, please see...
    GAP 200.021, Miscellaneous Reimbursement Payments to Employees and Students
Lost Receipt Form for Reimbursements
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.    (Last Modified: 08/01/03)
Miscellaneous Reimbursement Form
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 document type.    (Last Modified: 02/13/09)
Available Format(s): * XLS | PDF
Instructions: PDF
For more information, please see...
    Expense Types
    GAP 200.021, Miscellaneous Reimbursement Payments to Employees and Students
____________________________________________
* : Requires Duke IP address or Valid NET ID.
^ : Requires valid NET ID.
~ : Located outside of the Financial Services domain.


 

 

 

 

 

 

 
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