forms &
catalogs

Local Weather
By Department:
-
Materials Management
-
Property
Administration
-
Records Retention
-
Warehouse Catalogs
By Materials Form Number:
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MM-1
- Move Request
-
MM-2
- Removal Request
Movable Assets, Computer Software,
Fixed/Building Service Systems Assets
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MM-3 - e-Portal Authorization
- UCHC
MM-3P - e-Portal Authorization
- Pharmacy
MM-3B - Materials
Management Report Request
MM-3Q - Q-Sight Authorization
MM-3R - Materials Return Form
(To Materials Management)
MM-3S -
Surplus Property Authorization
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MM-4 - Office Supply Request
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MM-5
- Inventory Certificate
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MM-6
- Inventory Count
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MM-7
- Product Request
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MM-7A -
Product Evaluation
MM-7B -
Product Approval
MM-7C -
Product Deferral
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MM-8
- PAR Request
MM-8A - PAR:
Getting Started
MM-8B - PAR:
Project Check List
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MM-9 - Supply Alert
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MM-10
- Bill Only
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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
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MM-12
- New Implantable Device(s) Instruments
or Supplies for
Procedures
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MM-14 - New Supply
Transfer Voucher
(When transferring/borrowing supplies from other departments)
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MM-15 - MM Action Request Form
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MM-16 -
Materials Logistics Distribution Form (Sample)
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All
Property IC Forms
PROPERTY ADMINISTRATION FORMS
IC-1
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Equipment IC-1
IC-1A -
Art IC-1A
Record
of Constructed Equipment
IC-2
Record
of Property: Loaned, Leased, Consigned
IC-3
Record
of Transfers From: Other Agencies (State or Federal), Institutions, Organizations
IC-4
Record
of Property Transfers: Within Departments, Between Departments, Between Buildings, Off-Site Health Center Locations or Approved Storage
Facilities
IC-5
Record
of Property Loaned: Between Departments, Loaned to Another Institution, Loaned to an Individual
IC-5A
Record
of Property Disposition: Transfer to Another Institution, Trade-In, Sell, Declare Surplus (Property Use Only), Cannibalize, Other Approved Disposition
IC-6
Departmental Materials Coordinator
IC-8
Maintenance of Equipment Notice
IC-9
Inventory Certificates:
IC-10
-
Disposition
IC-11 -
Inventory
Report
of Loss or Damages to Real and Personal Property:
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.
CO-853
including
IC-12
Compliance and
Risk Assessment Monitoring:
(Internal Form Only)
IC-15
SURPLUS PROPERTY:
MM-2
Declaration of Excess Property - Removal
Request:
Removal Request
Movable Assets, Computer Software,
Fixed/Building Service Systems Assets
MOVE REQUESTS:
MM-1 Please complete the
MM-1 form in full for
all Move Requests.
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Insurance is available for all moves, but must be requested prior to
move date.
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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.
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Boxes, labels and other packing supplies can be ordered through the
Central Warehouse.
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Always inform Telecommunications, Public Safety, Mail Room and
Distributions Services ten (10) working days prior to your move.
Health Information:
Health Information
Management
Records and Case Files Cover Letter
Records Retention
Policy for Hospital Closures,
Mergers, and Consolidations
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
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Chemical
Supply Catalog
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Dental Supply
Catalog
-
Lab Supply
Catalog
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Medical Warehouse
Catalog
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Medical Suture Catalog
-
Office
& Housekeeping 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.
Thank You for Visiting Our
Web Site!!
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