Popular Forms (formerly Non-Clinical Forms)

This is a list of commonly used forms provided for quick access to these key resources. Please be aware that this is not an all-inclusive list of forms, if the form you are looking for is not listed below please use the search function in the top right corner to help you find it.

HRM  ::  Payroll  ::  Information Services (HS) & Security  ::  Staff Development  ::   Clinical Engineering 
Transportation, Parking & Traffic  ::  Purchasing  ::  Social Services  ::  Emergency Management Services ::   Other

Human Resource Management (HRM)

• Employment Separation Notice: All Entities
• Separation Checklist: MC  |  CH  |  BMC  |  UHC  |  LLU  |  USS

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Payroll

• Payroll Adjustment Form:  MC  |  BMC  |  CH  |  UHC  |  LLU  |  USS  |  HEC
• Request to Donate Paid Time Off:  MC  |  BMC  |  CH  |  LLU  |  USS
• Request for Duplicate Copies of W-2    MC  |  BMC  |  CH  |  UHC  |  LLU  |  USS  |  HEC
• Request to Hold Employee's Paycheck:  MC  |  BMC  |  CH  |  UHC  |  LLU  |  USS  |  HEC
• Authorization to Release Employee's Paycheck
• Cafeteria Deduction Authorization Form
• Gift Shop Deduction Authorization Form:  MC  |  BMC  |  CH  |  UHC  |  LLU  |  USS

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Information Services (HS) & Security

• Analysis and Service Request Form  
• Business Associate Agreement
• Computer Access Request/Delete Form: New Employee  |  All Others (pdf form)
• Data Request Form  (FAQ - for support questions)
• LLU Access Request Form (LLU Information Systems)
• Non-Disclosure Agreement

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Staff Development

• New OWL# / Master Requirement Request
• Continuing Education Application
• Speaker Vitaes: Registered Nurse Instructor Vitae  |  Non-Nurse Instructor Vitae 
• Speaker Disclosure and Verification Form

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Clinical Engineering

• Clinical Engineering Medical Equipment Service Request Form

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Transportation, Parking and Traffic

• Online Parking System - Create an account, update account or vehicle information, apply / renew a permit, submit a request for parking citation appeal
• Rideshare Regulations

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Purchasing

• Request to Return Goods

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Social Services

• APS Reporting Form
• CPS Reporting Form

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Emergency Management Services

• Disaster Condition Assessment Form
• Emergency Management Forms

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Other

• Data Request Form (FAQ - for support questions)
• Expense Report:  MC  |  UHC
• Gift Shop Payroll Deducation Form:  MC  |  BMC  |  CH  |  UHC  |  LLU  |  USS
• New Product Request Form once completed please email to VACagenda@llu.edu
• Respirator Medical Evaluation
• Research Administration
• Request for Legal Consultation 
  The Request for Legal Consultation form is to be submitted to the Office of General Counsel for each item for which a department is seeking legal support. This form can also be used to submit requests for contract review. Please email, fax, or intercampus mail the completed form to:

  Office of General Counsel
  ATTN: Jackie Aguilar
  Tulip House - 11234 Anderson St.
  Fax: 558-2655, x22655

• W-9 Form

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Questions?

For questions about a department website, please contact the owner listed at the bottom of that website's homepage.
For questions about One Portal in general, please contact Support.