Treasurer's Office, located in the Arkansas Union, Room 214 from 8:00 am to 5:00 pm Monday through Friday Department of Biomedical Engineering John A. Just remember to put the tax exemption code as “O.” BASIS (non-employee) Process a ‘PR’ type requisition in BASIS for non-employee reimbursements. White, Jr. Engineering Hall 790 W. Dickson St. Suite 120 Fayetteville, AR 72701 Phone: 479-575-4667 Fax: 479-575-5619 Human Resources 222 Administration Building Fayetteville, AR 72701 479-575-5351 Fax: 479-575-6971 B. Attendees: Attendee list should include state and non-state employees. Katherine E. Murray, Assistant Director of Benefits kem051@uark.edu. Notification of this cost center number will be sent to the agent and the contact person. (Note: May provide list as an attachment.) For each Official Function Form. ♦ Amounts for medical expenses that are not covered by your other insurance (such as deductibles or co-payments). Extra Compensation Form. On the Home/Shop screen of RazorBuy, click forms located under the search bar. 1. 2. Office of Financial Aid 114 Silas Hunt Hall 1 University of Arkansas Fayetteville, AR 72701. 1 0 obj <>/Metadata 142 0 R/ViewerPreferences 143 0 R>> Personal Reimbursement Form - Include the Workday Worktag in the appropriate field or the reimbursement will not be processed. To assist programs with the payment process, each unit is asked to utilize the following guidelines in their planning: In preparation for the visit, please email the Director of Curriculum Review and Program Assessment the contact information for the college representative that will be processing the costs related to the visit. How? If you need alternatives (written) documents or forms, contact Business Services at (479) 575-2551 or 4help@uark.edu. This form supplies the necessary agent information and includes the terms of the advance. Submit your approved TA request to the University of Arkansas Treasurer’s Office for processing (email to Cole Teaster at ncteaste@uark.edu and cc Jordan Campbell at jtcampbe@uark.edu, PDF format). This form should be signed by the person claiming reimbursement. Employee Reimbursement Form; Sole Source Justification Form; Additional Forms; Travel Forms Forms to be completed PRIOR to travel: Travel Authorization form – to be completed and turned into department rep prior to travel. A new Travel Claim process in BASIS is replacing the paper form, ‘Statement of Traveling Expenses’. By allowing you to pay for certain benefits such as: ♦ Employee contributions toward health insurance premiums. See Personal Reimbursement Procedures for additional information.) to B.S.N. Accounts payable will develop a database of the approved reimbursements that will include the employee name, employee title, budgetary unit, company cost center, departmental category, the term … Reimbursement for Meals that fall under the Official Function Policy (Not on Travel Status): This is in reference to meals being reimbursed primarily through the Purchasing Office unless you are an employee who has a Traveler TCard through the Travel Office. If a student is changing from a degree in one program into another degree program, they must submit a new admissions form. The University of Arkansas has partnered with BankMobile, a division of Customers Bank, to deliver financial aid and other school … Reimbursement forms should be turned in to Caitlin Gragg - acgragg@uark.edu; Requisition Form; Membership Justification Form; Payroll ♦ … Financial Aid Disbursement Spring 2021. 525 Old Main Click the Employee Reimbursement folder from the side menu. Travel Claim Worksheet (Excel)- Please complete and submit this form and expense receipts upon completion of travel. Mileage Log Worksheet Travel Claim Worksheet. TOTAL: (May not exceed $5000.00 without special authorization) I hereby certify that the items described herein were purchased for the University of … Reimbursement forms should be turned in to Caitlin Gragg - acgragg@uark.edu; Requisition Form; Membership Justification Form; Payroll Office Hours: M - F 8:00 a.m. – 5:00 p.m. Participants must submit a monthly Reimbursement Request Form to UMR. These are not adequate documentation without supporting itemization. PAYMENT CHECK: FOR: Reimbursement for emergency expenditure(s) as follows: DATE PURCHASED. DEPARTMENT: DATE: PAY TO: REMITTANCE ADDRESS FOR PAYMENT: FOR: Non-employee reimbursement claim as follows: DATE PURCHASED. Complete the non-employee … Member Reimbursement Claim Form . Personal Reimbursement Form - Complete and submit with receipts and Meals and Entertainment Justification Form if applicable. This is a calculated field which shows the difference between the Claim Total, Traveler Card purchases and Travel Advance. complete the employee reimbursement form be sure to enter the full amount being reimbursed (including tax) into the price do not mark the cart as taxable. 1 University of Arkansas Fayetteville, AR 72701 Phone: 479-575-5451 Fax: 479-575-4651 Email: registra@uark.edu. White, Jr. Engineering Hall 790 W. Dickson St. Suite 120 Fayetteville, AR 72701 Phone: 479-575-4667 Fax: 479-575-5619 File a Reimbursement Request Form … Submit Health Care Claim form for services previously paid for. Federal Per Diem Rates; International Travel – Student request form– use this form to register travel through Office of Study Abroad for any … Documents must support claim that student may not be afforded the opportunity to attend the University of Arkansas because of extreme financial strain caused by the expense of living on campus, and that cost of living off campus is significantly less expensive than living on campus. Describe event and benefit to University of Arkansas: Business Services . You will also receive a system generated email regarding your payment once it has been processed. COST . Extra Compensation Companion Form. University of Arkansas 321 Administration Building Campus Mail Stop: ADMN 321 Fayetteville, Arkansas 72701; P 479-575-2551; uatravel@uark.edu; UNIVERSITY OF ARKANSAS. White, Jr. Engineering Hall 790 W. Dickson St. Suite 120 Fayetteville, AR 72701 Phone: 479-575-4667 Fax: 479-575-5619 Travel Related Affidavit of Lost Receipt- If you lost a receipt please complete and submit this form to SCEN 601. Contact Phone No. We want to hear from you! Time Sheet for Hourly Workers. College of Education and Health Professions. DEPARTMENT: DATE: PAY TO: VERIFICATION OF ADDRESS FOR PAYMENT: FOR: Reimbursement for emergency expenditure(s) as follows: DATE PURCHASED. Please note: It may take two business days before your payment is posted to your bank … ITEM DESCRIPTION. Member Information Full Name (Last, First, Mi) Member ID No. Business Services. Even though the Travel Claim is entered and submitted via TARGET for approval, a printed Travel Claim will need to be signed by the traveler. Travel Authorization Form (PDF)- Please complete and submit this form before travel begins. Fayetteville, Arkansas 72701479-575-4801 Out of Career; Graduate Credit for 3000-4000 Level Courses; Undergraduate Forms. To see the process of how an employee may request this reimbursement, go to How to Process a Request for Cell Phone Reimbursement. ; A Student Code of Conduct While Traveling form … Educational Technology. Admissions; Academics; Campus Life; … x���n�F�݀�a��"�9w�N�M�n����E�E�mn%˕����̐�H�Q�[��9g����_�6��t��?\�?NO2��Y��\K)�u�z'V����.NOο{o����D��zr�d����ۿ�����D��]��O�����޽�Ņ�|}��i?G�e�4���H�?q�}��vR��ilX�S%�'�{6�ac@ጁ�.+���� $�I�\h�Rc��mZ81����-�w�����T��@�j��g@�H�V�4W�@A ͧ�!��R9{u�����J����ū�#���ȅ5N\�J\� }�[/ :�1�����ə�L�3;�+93�er�&�˧DO�$����OO�\�_�9L%d��2*�] f�7���2) �'e�@ Membership Justification Form. ��DA�Z||Z%���idQ>l��&RM����vxg���#�iz��259���4.wx�V{�n���%�X�ѯ6��쾼��_.7�����/���Oӻ�a�����>n���r�)W��X�b��6u��!$� .�������W5Tp�[_����x�L���)9S���a?�Lq��J,p��%b��_ �ف_J��>���L{s�m��K*�b?�H`�O�>h]���. R.N. praborn@uark.edu. requirements only. P 479-575-3001 F 479-575-2775 E-mail: mmadams@uark.edu Travel Claim Form (PDF) Travel Claim: Third Party Reimbursement (PDF) Financial Resources. Affidavit of Lost Receipt. %PDF-1.7 career. ; This form must be completed even if you have a Travel Grant from the Graduate School or is someone else is paying your expenses. Contact HR at 479-575-5351 or hrbenf@uark.edu to request the form to convert your long-term disability insurance. tcdocs@uark.edu is the email address to send Admin TCard documentation ONLY ... Any time a membership is purchased in conjunction with a conference registration, this form must be attached with the other claim documentation. Once the traveler has returned from their trip, they need to organize all of their required receipts so they can obtain reimbursement for authorized expenses. ITEM DESCRIPTION. Lists for Locating Employee Reimbursement Requests; Below are helpful lists available for locating employee reimbursement requests: Lists Available in 3270 BASIS. Complete the employee section (pages 3 and 4) of the University of Arkansas Long-term Disability Conversion Insurance form. Once funds are received from Direct Loans and applied to the account, any surplus is returned to the parent in the form … Evaluation of Graduate Student Progress for Biology Graduate Students, Additional graduate student forms can be found at https://graduate-and-international.uark.edu/graduate/current-students/forms.php. Contact Us; Customer Satisfaction Survey; Additional Links; Financial Affairs ; Financial Aid; Registrar's Office; University Housing; Razorbuck$ Site Last Updated 1/11/2021 8:23:31 AM. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 756 576] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Official Function Form . QualChoice Medical Services Claim Form (PDF) Submit Prescription Drug Claim form for prescriptions paid for in full. Begin New Flexible Benefit Plan (requires- New eligibility or Qualified change) Flexible Benefit Plan Enrollment Form (PDF) Request … Department of Biomedical Engineering John A. Graduate Student Forms. career. UNIVERSITY OF ARKANSAS NON-EMPLOYEE REIMBURSEMENT CLAIM FORM. Patient … <> They help people accomplish tasks safely, quickly and … Personal Reimbursement Form - Complete and submit with receipts and Meals and Entertainment Justification Form if applicable. Cash Advance Agreement Form. The form and commodity code lets the system know it is non-taxable. %���� endobj Online. Any financial aid received in the form of a paper check with the student listed as a payee requires an endorsement after it is in the possession of the University Cashiers Office (ARKU 214) before it can be disbursed. Business Services. Careers are AgLaw, Law, Graduate and Undergraduate. R25Live Calendar Access for room reservations. In order to remain eligible to receive advance, each active agent must sign an agreement form each 12 month period. Please include Name, Title, and Company/Institution. Fulbright College of Arts & Sciences Complete all information under Part 1. Hourly Employee Application-Please complete and turn in at the main office in SCEN 601. Teacher Education. Fulbright College Writing Requirement Form, Override/Administrative Change of Registration Form. Per the University of Arkansas Cellular Communication Policy, if you are eligible to receive a cell phone reimbursement on a monthly basis, you will do so by requesting a Personal Reimbursement via webBASIS.Below is a Step by Step Guide for requesting a recurring monthly reimbursement. Monthly Time Sheet for Non-Exempt Employees. Wire Transfer Form . To establish a new imprest fund, submit a completed Request for Imprest Fund form to the Financial Affairs Compliance Office that includes the following information: Justification for intended use of the fund; Justification for the amount of money requested ; Dean or department head approval; All requests approved by the Financial Affairs Compliance Office will be then forwarded to the Chief Fiscal Officer … Beginning spring 2021, payments of all types will no longer be accepted in-person at the Treasurer's Office. (excluding co-pay) PharmaCare Pharmacy Claim Form (PDF) Flexible Benefit Plan. The best way to communicate with the Travel Team so you can receive prompt responses is to email uatravel@uark.edu.All members of the Travel Services team monitor the uatravel@uark.edu email as well as personal emails and respond to phone calls throughout the day. Department of Biological & Agricultural Engineering 203 Engineering Hall 1 University of Arkansas Fayetteville, AR 72701 Phone: (479) 575-2352 endobj Fulbright College Substitution and Exception Request Form, Out of Career Registration Instructions and Form, https://graduate-and-international.uark.edu/graduate/current-students/forms.php, Meals and Entertainment Justification Form, R25Live Calendar Access for room reservations. Your one stop for managing your student health insurance plan. College of Education and Health Professions. Travel Office Staff. Then click on the form name or View Form, this will open the form in a new window. COVID-19 Domestic Travel Appeal Form. E. EstimatedMeetingExpenses: Notes: … Access Workday through the Workday App Located at myapps.microsoft.com and login with your university credentials. Travel Services. (If you have an … If you have a positive test result, you will be reassigned to a temporary room where you can isolate until you have been released by your medical provider or the Arkansas Department of Health. COST. COVID-19 Travel Form; GENERAL UNIVERSITY RELATED UPDATES ON CORONAVIRUS (COVID-19) University Travel Restrictions; Workday Information. Do not … Street Address City State ZIP CAMPUS of Employee (PLease CheCk One) ASMSA UAM CES UAMS UAF UAPB UACCB WRI UALR PCCUA Other: Section II. The member/cardholder ID Number is located on your insurance card. The only form … Employees of OTHER CAMPUSES of the University of Arkansas System, including the Agricultural or Cooperative Extensions, YOU MUST complete your specific institution’s waiver form. Part 1: Member Information (to be completed by the member) 1. COST TOTAL: I hereby certify tha t the items described herein were purchased for the University of Arkansas and were paid for from persona l funds. Manage UARK Password Main Office: 1083 East Sain Ave. Campus Office: 146 Silas H. Hunt Hall . ADDRESS FOR PAYMENT CHECK: _____ FOR: Reimbursement for emergency expenditure(s) as follows: DATE PURCHASED ITEM DESCRIPTION COST TOTAL: (May not exceed $200.00 without special … Surplus Request Form - Inventory Accounting and Finance. An accounts receivable cost center number will be assigned to each new agent. Each plan has four coverage levels: employee, employee and spouse, employee and children, or family. 324 Graduate Education Building University of Arkansas Fayetteville, Arkansas 72701 +1-479-575-3208; coehp@uark.edu Department of Biomedical Engineering John A. UNIVERSITY OF ARKANSAS EMPLOYEE REIMBURSEMENT CLAIM FORM. Phone: 479-575-3806 FAX: 479-575-7790 finaid@uark.edu. Membership Justification Form: Any time a membership is purchased in conjunction with a conference registration, this form must be attached with the other claim documentation. Payments can be made online by e … fulbright@uark.edu, Links to important University of Arkansas pages. Apply. Department of Biological Sciences Science and Engineering, Room 601 University of Arkansas Fayetteville, AR 72701, P 479-575-3251 F 479-575-4010 E-mail: dmcnabb@uark.edu. The Health Insurance Claim Form (CMS 1500) HIPAA and Electronic Data Interchange (EDI) Review and practice coding Evaluation and Management (E&M) services; Review and practice coding from anesthesia, surgery, radiology, medicine, and the pathology/laboratory sections of the CPT CPT Modifiers, E and V Codes and Late Effects; Coding surgical and medical procedures for the cardiovascular, … DEPARTMENT: DATE: PAY TO: ADDRESS FOR . Travel Services. 2. View benefits, enroll, waive, or contact Customer Care. 8:00 a.m. - 5:00 p.m. ITEM DESCRIPTION. Once final approval has been granted for monetary reimbursement for an employee-owned device, the Cellular Communication Justification and Approval form must be forwarded to the accounts payable office. Parent Plus Loans (PPL) A Master Promissory Note (MPN) is required before funds can be disbursed. Claim forms without the required information cannot be processed and will be returned to sender. All payments received by mail during this time were processed on January 2, 2019 and will be included on the 2019 1098-T form. The University extends the employment benefit of a tuition waiver as established through Board Policy 440.1.The administration of this employee benefit at the Fayetteville campus is defined in Fayetteville Policies and Procedures 512.0.The Employee Tuition Waiver Chart provides a Definition of Terms regarding eligibility and details regarding waivers for Employees and … This includes Memberships purchased through personal funds, TCards or TRPOs. No reimbursement will be allowed to any traveler for personal entertainment, clothing, valet services (unless that is the only parking available at the hotel), flowers, alcoholic beverages, personal telephone calls, traveler's check service charges, laundry or cleaning, printing items, or any other items not considered to be official business expenses unless specifically authorized by the Travel Office and … If an applicant has difficulties with the doctorate online application form, please write Christy Reynolds. <> 3 0 obj Visit the Travel Services website for additional travel links and information ==> https://travel.uark.edu/. Submit claims within the filing … Follow Us on Facebook . The University of Arkansas was closed December 22, 2018 to January 2, 2019. Google+. ADMN 321 1 University of Arkansas Fayetteville, AR 72701. is CCNE-accredited and provides flexible degree plans for … Form W-9S Request for Student's TIN. Overview. Personal Reimbursement Form - Complete and submit with receipts and Meals and Entertainment Justification Form if applicable. Per the University of Arkansas Cellular Communication Policy, if you are eligible to receive a cell phone reimbursement on a monthly basis, you will do so by requesting a Personal Reimbursement via webBASIS.Below is a Step by Step Guide for requesting a recurring monthly reimbursement. Request for Change of Program Form (This fom is no longer in use. Visit the university's main page about quarantine and isolation procedures for the latest information.. Travel Guide: Things to know when traveling for the University of Arkansas. What items cannot be paid on a personal reimbursement? Direct Deposit Authorization Form. University of Arkansas Accounts Payable; University of Arkansas Travel Office; University of Arkansas Surplus ; University of Arkansas Procurement Card; University of Arkansas Student Tuition and Fees Information ; Fee Waivers for Employees, Spouses and Dependents; University Property. Login to webBASIS via the Employee/Affiliate login, using your UARK ID and UARK Password. C. Location: D. Dates of Event: (Note: It is recommended that this form be approved PRIOR to the event.) Graduate Student Employee Application-Please complete and turn in at the main office in SCEN 601. Industrial engineers are often called “big picture” engineers, because they look at systems as a whole and come up with ways to improve them. Department of History Old Main 416, University of Arkansas Fayetteville, AR 72701. 324 Graduate Education Building University of Arkansas Fayetteville, Arkansas 72701 +1-479-575-3208; coehp@uark.edu; UNIVERSITY OF ARKANSAS. Legal Review Form. 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