Documents Page

Key Deposit Form

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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

  1. 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.
  2. Enter Department ID.
  3. Complete Campus ID, Name, and Amount.
  4. Upload the form to the Bursar’s Office secure website.

How to upload this form

  1. Use the Bursar’s Office secure website.
  2. Login with your NetID.
  3. Add the name of your department in the first entry box.
  4. Select the “Key Deposits” button.
  5. Attach the file.
  6. 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.

Law School Enrollment Deposit Form

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Use this form to submit an enrollment deposit or forfeiture to the Bursar's Office for posting to a student's account in the Student Information System (SIS).

This form is specific to the Law School.

Use this form to submit an enrollment deposit or forfeiture to the Bursar’s Office for posting to a student’s account in the Student Information System (SIS).

This form is specific to the Law School.

Download the Law School Enrollment Deposit Form (Excel)

Instructions

  1. On the form, select the transaction type: Credit Card, Check or Forfeitures. A separate form for each type of transaction is required.
  2. Enter Term Code.
  3. Complete Campus ID, Name, and Amount.
  4. Save the form to a folder on your computer. You may assign any file name desired.
  5. Upload the form to the Bursar’s Office Secure Website.

Lightning Losses Affidavit Form

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Lighting Losses Affidavit document

This form must be completed for property claims of damages caused by lightning to UW–Madison owned property, equipment, or other contents. Learn more about filing property damage claims

The Lightning Losses Affidavit form must be completed by a repair firm/person and signed by the department representative. Submit the completed form to Risk Management (propertyclaims@bussvc.wisc.edu).

Download Lightning Losses Affidavit Form (PDF)

MDS Inventory Adjustment Authorization Form

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MDS Inventory Adjustment Authorization Form

MM slash DD slash YYYY
ADJUSTMENT DETAILS(Required)
Location Code
Item Number
Item Descp
Physical Count
System Qty
Adjustment
Count Verified By
 
This field is for validation purposes and should be left unchanged.

Merchandise Pick-up Request Form

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A request form used when returning merchandise purchased through ShopUW+.

"*" indicates required fields

Contact Person Name:*
This field is for validation purposes and should be left unchanged.

Minority Business Enterprise Direct Payment Purchases Form

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This form is used to report dollars spent with MBE’s through Direct Payments and Open Vendor Purchases.

Please use the form below to report your Direct Payments to State Certified MBE’s.

"*" indicates required fields

Your name*
Please select a month
This field is for validation purposes and should be left unchanged.

Near Miss – Unsafe Act – Unsafe Condition Report

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UW-MADISON NEAR MISS / UNSAFE ACT / UNSAFE CONDITION REPORT

Download Near Miss Report 1018

Near Miss (sometimes described as near hit) describes incidents where no property was damaged and no personal injury sustained, but where, given a slight shift in time or position, damage and/or injury easily could have occurred. This report is intended to help document these situations with the goal of prevention of future similar events. This form can also be used to report general unsafe acts and/or conditions. Anyone of the campus community may complete and submit. It is everyone’s responsibility to report and/or correct these potential accidents/incidents immediately.

The completed report is to be given to one’s supervisor/chair/faculty/building manager or other responsible individual for review and action. If necessary immediate corrective action shall occur to either eliminate the hazard or implement temporarily solutions until long term resolution is completed. This may include writing a work order to Facility Services for repairs. Attach pictures, additional sheets, and other documentation if available.

Contact Supervisor for assistance in evaluation of these events. Supervisor may contact Environment, Health and Safety for evaluation assistance as necessary at (608) 265-5000.