AGRILIFE FORMS
updated 2/9/10
Note: these forms are in PDF format*, except as noted and require Adobe
Acrobat Reader to view, complete on-line (where applicable), and print.
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Series 100 - Contracts & Grants
For
problems/questions about these forms please contact Danielle Curtice
- AG-100 - Transmittal Memorandum
- AG-101 - Restricted Cash Gift Agreement
- AG-102 - Unrestricted Cash Contribution Agreement
- AG-103 - Non-Cash Gift Agreement
- AG-104 - Loan of Animals / Equipment
- AG-105 - Document Review and Approval Sheet
- AG-106 - Independent Contractor Determination/Agreement (Individuals Only not for a Business)
Twenty Factors in determining Independent Contractor - AG-108R - Land Use Agreement (AgriLife Research)
- AG-108E - Land Use Agreement (Extension)
- AG-110 - Testing Agreement
- AG-111R - Indirect Cost Waiver Request - Texas AgriLife Research
- AG-111E - Indirect Cost Waiver Request - Texas AgriLife Extension Service
- AG-112 - Interim Account Request
- AG-113 - Researcher Non-Disclosure Agreement
- AG-120 - Interagency Cooperation Contract
Series 200 - Fiscal
For problems/questions about these forms please contact Gwen Tucker
- AG-201PV
- Purchase/Travel Voucher Correction Request Form
PDF | Insert for Corrections - AG-201-PAV
- Payroll Voucher Correction Request Form
PDF | Excel
Insert for Corrections - AG-202
- Check Request
PDF - AG-203
- Purchase Voucher Cancellation Request
- AG-204 - Purchase Voucher
- AG-205 - Purchase Voucher and Travel Voucher Approver Signature Card
- AG-207
- Deposit Form Example
(PDF)
PDF | Excel | Word - AG-208
- Vendor ID Set up Form - Replaced by AG-217
- AG-209A
- Request for Accounts Receivable Invoice (Formally FO-2 - Extension
Specific)
PDF | Word Instructions PDF | Word - AG-209B
- Memorandum - Requests for Accounts Receivable (Extension Specific)
PDF | Word - AG-210
- Deduction from Income - DFI Example
(PDF)
PDF | Word |Excel - AG-211
- Deduction from Expenditure - DFE Example
(PDF)
PDF |Word | Excel - AG-212
- Wire Transfer (example -
PDF)
PDF | Word - AG-214 - Petty Cash Count
PDF | Word | Example - AG-216
- Working
Fund Reconciliation
Excel (Example - Excel format) - AG-217 - Substitute W-9
- AG-218 - Cardholder Information Security Agreement
PDF | Word - AG-219 - Requests for Accounts Receivable Write Offs (Example)
- AG-220 - Drop Box Key Log
- AG-221 - Equity Transfer Request (Conference Services)
- AG-222 - Extension of Credit (Example)
PDF | Word - AG-223A - Credit Card Authorization - Extension
- AG-223B - Credit Card Authorization - Research
- AG-227 - Livestock Revolving Fund Request for Funding Support
- AG-296 Personal Reimbursement
Series 300 - Inventory
For problems/questions about these forms please contact Gwen Tucker
- AG-300
- Capital Outlay
PDF | Word
- AG-301
- Property Transfer
PDF | Word | Excel - AG-302
- Inventory Deletion Request
PDF | Word - AG-303
- Request to Sell Inventory
PDF | Word - AG-304
- Sales Form
PDF | Word - AG-305
- Quarterly Livestock Inventory Report
PDF | Word - AG-306
- Request to Demolish Property
PDF | Word - AG-307
- Gifts & Reclassifications
PDF |Word - AG-308
- Missing or Stolen Property Report
PDF - AG-309
- Summary of Inventory of Supplies and Materials
PDF | Word - AG-310
- Summary of Farm Products for Fiscal Year
PDF | Word - AG-311 - Texas A&M AgriLIFE Property used away From assigned location
Word - AG-313 - Repair Receipt Form
PDF - AG-318 - Equipment Pick Up or Transfer Form
PDF - AG-319 - Preliminary Certification of Physical Inventory of Property
PDF - AG-320 - Annual Certification of Physical Inventory of Property
PDF
For problems/questions about these forms please contact Bob Hensz
- AG-401 - Statement of Selective Service Registration
- AG-402
- Deleted
- AG-405 - Deleted
- AG-406
- AgriLife Research, Extension, and College Request for Consulting and Outside Professional
Employment for Faculty and Extension Agents
PDF | WordPerfect - AG-408 - Interview Report Form
- AG-409 - Deleted
- AG-413 - Workers' Compensation Injury Report Log
- AG-414 - Summary and Acknowledgment of Employee Benefits and Responsibilities
- AG-415 - Employee Acknowledgement
- AG-416 - Minors Release
- AG-417 - Texas Government Code 556, Political Activity and Texas Government Code 572, Standards of Conduct
- AG-418 - Request to Employ Student Worker
- AG-419 - Interagency Employment Verification
- AG-420 - EEO Coordinators for the Agriculture Program
- AG-421 - New Employee Processing checklist
- AG-422 - Interview Question Guide
- AG-424 - Formal Complaint
- AG-425 - Voluntary Self Identification, EEO Form
- AG-426 - Faculty Development Leave Application
- AG-430 - Flexible Work Schedule Request
- Driver History - AG-431 - Deleted
- AG-433 -Sick Leave Pool Contribution Form
- AG-434 - Sick Leave Pool Application to Withdraw Hours
- AG-435 -
- AG-436 -
- AG-437 - Bank Draft Authorization Agreement
- AG-438 - Alternate Work Location Request
- AG-439 - Alternate Work Location Agreement
- AG-440 - Inventory of Equipment (for Alternate Work Location)
- AG-441 - Alternate Work Location Safety Checklist
- AG-442 - Employee Termination Checklist
- AG-443 - New Employee Training Checklist
- AG-446 - Telephone Reference Check
- AG-449 - Transitions
- AG-450 - Deleted
- AG-451-
Resident Director Review Questionnaire
PDF | WordPerfect -
AG-452 -
Faculty Achievement Report
-
AG-453 -
Annual Plan of Work
-
AG-454 -
Documentation of Faculty Evaluation, Suggested Format
- AG-465 - New Employee Worksheet
- AG-470 - Intellectual Property Agreement
- AG-472 - Status Acknowledgement Form
- AG-473 - Background Check Disclosure Notice - Authorization Form- APPLICANT ONLY
- AG-475 - Search Committee Identification Form - Texas AgriLife Research
- AG-476 - Faculty Recruiting Plan Checklist - Texas AgriLife Research
- AG-478 - Specialists, Program Specialists, Extension Assistants and Associates Performance Evaluation
- AG-479 - Performance Evaluation for Extension Administrative and Managerial Personnel
- AG-481 - Waiver of Liability and Hold Harmless Agreement
- AG-482 Request for Participation in the Salary Enhancement Program
- AG-483 Certificate of Service for Monthly Employees
- AG-484 Modified Notification of Employment Termination
Series 500 - Payroll
For problems/questions about these forms please contact Bob Hensz
- AG-501 - Direct Deposit Authorization, Payroll
- AG-502 - Change of Address, Phone Number, or Name
- AG-503 - Supplemental Hourly Preparation Report
- AG-504 -
Supplemental Monthly Budget Verification Document
- Supplemental Pay Codes
- AG-505 - Bi-Weekly Time Sheet
- AG-509, Agreement for Dual Employment of an Employee Resulting in Multiple Payments
- AG-510 - Calculation of Lump Sum Annual Leave Payment
- AG-511 - Request for Form 500
- AG-512 - Request for Temporary ID Number
- AG-513 - SSO/Leave Traq/Time Traq & UIN Manager Access Application
- AG-514 - Communication Equipment Allowance Enrollment Form
Communication Allowance Procedures - AG-515 - Monthly Communication Plan Allowance Enrollment
Communication Allowance Procedures - AG-516 - Communication Allowances Certification
Communication Allowance Procedures - AG-517 - Request for Tax
Withholding on Non-SalaryCompensation Items
- Emolument Codes - AG-519 - Request for Compensation for Contribution to a Continuing Education or other Extra Curricular Activity
Series 600 Purchasing
For problems/questions about these forms please contact Gwen Tucker- AG-601 - Sole Source/Proprietary Justification for Commodities Attachment A
- AG-602 Sole Source/Proprietary Justification for Services Attachment B
- AG-603 - Emergency Justification Attachment C
- AG-604
Printing Bid Request
PDF | Word - AG-605
Vehicle Replacement Notification
PDF | WordPerfect | Word | Excel - AG-606
Conflict of Interest
PDF | WordPerfect | Word - AG-607
Purchasing Card Cardholder Charges/Usage
- AG-608
Documentation in Lieu of Purchasing Card Receipt
- AG-610
- Departmental Purchase Request
- AG-613
- Purchasing
Card Internal Order Transaction Log (AKA Transaction Log)
Excel | PDF - AG-614
- Reconciliation of Purchasing Card Statement to Internal Order
Transaction Log
- AG-615 - Pathway Net User/Supervisor Statement of Responsibility
- AG-616 - Purchasing Card Cardholder Application/Approval Form
- AG-617 - Purchasing Card Check Out/Check In Log
- AG-618 - Certificate of Destroyed/Lost/Stolen Purchasing Card
- AG-625E - Supplemental Information of Agency Tax Status (Extension)
- AG-625R - Supplemental Information of Agency Tax Status (Research)
- AG-625V - Supplemental Information of Agency Tax Status (TVMDL)
- Requisition for Purchase over $25,000 - AG-626
Series 700 - Security for Computers
For problems/questions about these forms please contact Gwen Tucker
- AG-701-FAMIS Access Request (for AgriLife Research and Extension employees)
- AG-702 - FAMIS Electronic Office Request
PDF | Word | Example (PDF)
Series 800 Travel
For problems/questions about these forms please contact Gwen Tucker
- AG-801
- Travel Voucher
AG-801 | Instructions - | Sample Voucher
TIP: the back of the voucher for meals and lodging must be completed first and then the total of meals and lodging will automatically be entered on the first page
- AG-802
- Travel Request (Instructions
for Completing AG-802)
PDF | Word
- AG-803 - Chase Corp Card Acknowledgement Form
PDF | Word - AG-805 - Unassigned
- AG-806
- Certification Form Contract Travel Vendor Exceptions
- AG-808
- Mileage Log
PDF |WordPerfect | Word - AG-809
- Travel Advance Request (print on pink paper)
PDF | Word - AG-810 - Multi-Payee Voucher Detail (MVD)
- Fly America Act Exception Form
Series 900 - General Administration
- AG-901 - Records Destruction Form
- AG-902 - Document Management System-User Access Form
- AG-903 - Records Coordinator Designation
- AG-904 - College of Agriculture and Life Sciences Faculty Workstation Program Report
For problems/questions about these forms please contact Bob Hensz
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