Form – Division of Business Services

Intellectual Property Rights – Sole Source Form (Schedule A)

Posted on December 13, 2022

Complete this form if there are any intellectual property ownership issues associated with an agreement or contract. Return to Purchasing Services.

Download the Intellectual Property Rights – Sole Source Form (Schedule A) PDF

Related materials, policies, and procedures

Pre-hire Driver Authorization Check Form

Posted on June 17, 2022

This form is used by departments to request driving records (for Wisconsin drivers) in pre-employment or post-offer situations. Risk Management cannot access out-of-state driving records.

This form is used by departments needing to check an applicant’s driving record in pre-employment or post-offer situations.

You can request up to four (4) driver authorization checks per form submission.

Please note:

Pre-hire driver authorization checks can take up to five (5) business days to complete.
Risk Management cannot access out-of-state driving records.

Requester Name(Required)

First Last

Requester email(Required)

Requester phone number

Department name(Required)

Department ID/UDDS Code

Format: UA-######

Out of state licenses and requests

Please note: Risk Management does not have access to obtain out-of-state driver abstracts.

Out-of-state license holders: To request a pre-hire review, please submit a copy of the Out of State Driving Record/Abstract and a picture of the current driver's license to driverauth@bussvc.wisc.edu.

Request 1

Pre-hire driver name(Required)

Wisconsin Driver's License Number(Required)

The letter at the beginning of the license number must match the first letter of the person's last name. Formatting will look like: [Letter]###-####-####-##

Would you like to add another another Wisconsin driver to check?

Yes

Request 2

Pre-hire driver name(Required)

Wisconsin Driver's License Number(Required)

The letter at the beginning of the license number must match the first letter of the person's last name. Formatting will look like: [Letter]###-####-####-##

Would you like to add another Wisconsin driver to check?

Yes

Request 3

Pre-hire driver name(Required)

Wisconsin Driver's License Number(Required)

The letter at the beginning of the license number must match the first letter of the person's last name. Formatting will look like: [Letter]###-####-####-##

Would you like to add another Wisconsin driver to check?

You may only request up to four driver checks per form submission.

Yes

Request 4

Pre-hire driver name(Required)

Wisconsin Driver's License Number(Required)

The letter at the beginning of the license number must match the first letter of the person's last name. Formatting will look like: [Letter]###-####-####-##

UW–Madison Field Trip Guidance

Posted on June 15, 2022

Risk Management guidance for University sponsored field trips occurring as part of a UW–Madison course, program, or event. Includes Field Trip Participation and Emergency Contact Form and Alternative Transportation Waiver for Campus Field Trip.

The Office of Risk Management has created guidance for University sponsored field trips occurring as part of a UW–Madison course, program, or event.

The guidance includes these form templates:

Field Trip Participation and Emergency Contact Form
Alternative Transportation Waiver for Campus Field Trip

ORM UW–Madison Field Trip Guidance (PDF)

Use the “Download” option in Box (button in upper right) to download the PDF. You will then be able to see the fillable form fields on pages 3 and 4.

If you have specific questions related to this document, please email us at riskmgmt@bussvc.wisc.edu.

Purchasing Card Post-System Close Reconciliation Form

Posted on January 31, 2022

The Purchasing Card Post-System Close reconciliation form is used to document purchasing card reconciliation when a transaction was not reconciled within 30 days and then posted to the general ledger without required cardholder verification and site manager approval. Please complete as instructed below within 14 days of receipt of this memo.

The Purchasing Card Post-System Close Reconciliation form is used to document purchasing card (P-card) reconciliation when a transaction was not reconciled within 30 days and then posted to the general ledger without required cardholder verification and site manager approval. Please complete the form within 14 days of receipt of the memo.

Download the Purchasing Card Post-System Close Reconciliation Form (PDF)

Other Charges Item Type Request Form

Posted on December 21, 2021

This is the form used for payment of various "other" charges for item types.

Download Other Charges Item Type Request Form

Key Deposit Form

Posted on August 24, 2021

This is the form for departments to upload key deposits and key returns to a student's account. This also includes instructions on how fill out and upload this form.

Use this form to submit key deposits, key returns, and key forfeitures.

Download the Key Deposit Form (Excel)

Instructions

On the form, select the transaction type: Key Deposit, Forfeit of Key Deposit or Refund of Key Deposit. A separate form for each type of transaction is required.
Enter Department ID.
Complete Campus ID, Name, and Amount.
Upload the form to the Bursar’s Office secure website.

How to upload this form

Use the Bursar’s Office secure website.
Login with your NetID.
Add the name of your department in the first entry box.
Select the “Key Deposits” button.
Attach the file.
Select “Upload File.”

The Bursar’s Office will receive notification once your upload is complete, and you will receive an email with the upload information. If you’re contacting our office regarding an upload file please reference the file ID number.

Merchandise Pick-Up Request Form

Posted on April 21, 2021

Merchandise Pick-Up Request Form

"*" indicates required fields

Contact Person Name:*

First Last

Phone Number:*

Email:*

Vendor*

Return Authorization Number or Invoice Number:*

Department Name:*

Building Name:*

Building Street Address:*

PO Number (if known):

Total Number Of Packages To Be Picked Up:*

UPS Shipping Request Form

Posted on April 21, 2021

UPS Shipping Request Form

"*" indicates required fields

Your Information

This information will be used for questions and contact information on the shipping label

Name*

First Last

Phone

Email*

Funding String*

Account

Fund

Department

Program

Project

Department or Building Name*

Building Address*

Who are you shipping to?

Company or Name of Person*

Address Type*

Residential

Commercial

Address*

NOTE: Cannot ship to a P.O. Box or International Addresses (excluding Canada and Puerto Rico)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Package Shipping Information

Number of items/boxes being sent to this address*

NOTE: If you have additional packages going to a different address, please submit a separate form.

Delivery Method*

UPS

Freight

UPS Service*

Insurance Required*

Up to $100 (No additional charge)

Over $100 (Additional charge will be applied)

The MDS shipping department will shop for the best rate when using freight. We will contact you with the freight cost prior to shipping.

Core Stock Return Form

Posted on April 20, 2021

Core Stock Return Form

MDS Inventory Adjustment Authorization Form

Posted on April 15, 2021

MDS Inventory Adjustment Authorization Form