Materials & Resource Management
Your Supply Chain & Logistics Specialists
 

forms & catalogs

Forms & Catalogs

By Department:

Employee Directory
Materials Management
Move Requests
Property Administration IC Forms
Records Retention
Surplus Property 
Value Analysis
Warehouse Catalogs

By Materials Form Number:

MM-1   -   Move Request
MM-2   -   Removal Request
MM-3   -   e-Portal Authorization - UCHC
MM-3P -   e-Portal Authorization - Pharmacy
MM-3B  -  Materials Management Report Request
MM-3Q -  Q-Sight Authorization
MM-4   -   Office Supply Request
MM-5   -   Inventory Certificate
MM-6   -   Inventory Count
MM-7   -   Product Request
MM-8   -   PAR Request
MM-9   -   Supply Alert
MM-10 -   Bill Only
MM-11 -   UCHC Fleet & Vehicle Requests
MM-11A - Request for Permission for Home Garaging On a Continuous Basis
MM-11B - Motor Vehicle Monthly Usage Report
MM-12 -   New Implantable Device(s) Instruments or Supplies for Procedures
MM-14 -   New Supply Transfer Voucher
                     (When transferring/borrowing supplies from other departments)
MM-15 -   MM Action Request Form

All Property IC Forms

Wednesday October 08, 2008

 

Please use the following forms and/or catalogs when conducting business with Materials Management:

• EMPLOYEE DIRECTORY FORM:
  For Changes to the On-Line Employee Directory:  OED

This form can also be found in shared folders.

• PROPERTY ADMINISTRATION FORMS:
  
  Forms Page  (Links to all of the Property & Inventory Forms)
   
• SURPLUS PROPERTY:
  Declaration of Excess Property - Removal Request:  MM-2
  MM-2 Can also be ordered from the Central Warehouse, #50567

1. Movable Assets 

2. Computer Software

3. Fixed/Building Service Systems Assets

• MOVE REQUESTS:
  Please complete the MM-1 form in full for all Move Requests.

1. Insurance is available for all moves, but must be requested prior to move date. 

2. Please help keep our asset inventory current, by supplying HC numbers on all forms, or by requesting a full inventory of your department after move is completed.

3. Boxes, labels and other packing supplies can be ordered through the Central Warehouse.

4. Always inform Telecommunications, Public Safety, Mail Room and Distributions Services ten (10) working days prior to your move.
   

• RECORDS RETENTION:
  The forms listed below can be located at:
  http://www.cslib.org/retstate.htm
  

1. The following documents will open in MS Word 97. You may fill in the information and follow the instructions on the form. The forms must be mailed to the
   UCHC Records Officer at MC 6170 for further processing.

Form - Records Disposal Authorization - RC-108
Form - Records Retention Schedule - RC-50
Form - Records Mgmt Liaison Officer Designation - RC-078

• MATERIALS MANAGEMENT FORMS:
  
  (Use SAVE AS  or SAVE THIS FILE TO DISK  feature)
  

  1. BILL ONLY FORM        (MM-10)
       

  2. INVENTORY COUNT FORM     (MM-6)
      

  3. MEDICAL PAR SUPPLY FORM  (MM-8)
      

  4. SUPPLY ALERT FORM              (MM-9)
      

  5. SUPPLY INVENTORY CERTIFICATE   (MM-5) 
     
      

• VALUE ANALYSIS FORMS
  
     
      1.  PAR Adjustments
  
      2.  PAR Project Requests
             Getting Started
             Project Check List
  
      3.  Product Deferral
  
      4.  Product Evaluation
  
      5.  Product Requests
   

• PROPERTY FORMS
  
  Record of Property Gifts and Donations: 

1. Equipment IC-1

2. Art IC-1A
 

Record of Constructed Equipment  IC-2
 

Record of Property:  IC-3

1. Loaned 
2. Leased
3. Consigned

Record of Transfers From:   IC-4

1. Other Agencies (State or Federal) 
2. Institutions
3. Organizations

Record of Property Transfers:   IC-5
IC-5 Can also be ordered from the Central Warehouse, #50563

1. Within Departments
2. Between Departments
3. Between Buildings
4. Off-Site Health Center Locations or Approved Storage Facilities
    

Record of Property Loaned:  IC-5A
IC-5A Can also be ordered from the Central Warehouse, #50564

1. Between Departments
2. Loaned to Another Institution
3. Loaned to an Individual
    

Record of Property Disposition:  IC-6
IC-6 Can also be ordered from the Central Warehouse, #50566

1. Transfer to Another Institution
2. Trade-In
3. Sell
4. Declare Surplus (Property Use Only)
5. Cannibalize
6. Other Approved Disposition

Departmental Materials Coordinator:   IC-8
 

Maintenance of Equipment Notice:   IC-9

Inventory Certificates:

1. Disposition    IC-10
2. Inventory      IC-11

 

Report of Loss or Damages to Real and Personal Property:  CO-853  &   IC-12
To be submitted by Inventory Control.  Please complete the IC-12 signature routing form and attach to the CO-853.  Signatures must be in order listed.

          Compliance and Risk Assessment Monitoring: (Internal Form Only)    IC-15
 

• WAREHOUSE CATALOGS:

1. Chemical Supply Catalog
   

2. Dental Supply Catalog
   

3. Lab Supply Catalog
   

4. Medical Warehouse Catalog
   

5. Medical Satellite Room - Catalog
   

6. Office & Housekeeping Supply Catalog
   

7. Photo Supply Catalog
   

8. Suture Supply Catalog

 

---

GENERAL INFORMATION

For assistance, please contact us at:

Help Desk:

Charlene Bilbo
860-679-1958

Megan MCreesh
860-69-1953

Resource Management & Value Analysis:
Karen Grady,  VAT & Resource Manager 
KGrady@uchc.edu

 

If you have any questions, please feel free to contact Karen Grady,
at 679-2283 or via e-mail.

 

 

  Materials Management Home Page