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Use this form to request funding for research equipment. The equipment may be part of a new or existing Core/Shared Service.
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Video produced in 2016 by the COM – Tucson Office of Faculty Affairs and the UAHS Office of Diversity & Inclusion to aid in faculty recruitment.
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The Liaison Committee on Medical Education (LCME) sets the standards for accredited medical schools in the U.S. and Canada.
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This overview provides highlights of the benefits available to residents and fellows employed by Banner – University Medical Group in programs at the University of Arizona College of Medicine – Tucson.
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This form may be used by residents in Graduate Medical Education programs at the University of Arizona – Tucson South to accept/consent to disciplinary actions, if said residents choose not to convene a hearing to challenge said action.
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This flowchart explains due process for residents who are receiving disciplinary action.
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This form must be used to notify residents in Graduate Medical Education programs at the University of Arizona – Tucson South of disciplinary actions.
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Residents in Graduate Medical Education programs at the University of Arizona – Tucson South who have not yet received a fingerprint clearance card can use this form to verify that they have not been convicted of (and are not awaiting trial for)...
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This form authorizes a Graduate Medical Education program at the University of Arizona – Tucson South to release a summative letter on behalf of a resident who has concluded/completed his or her training.
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Clinical Assistant Exception Pay (CAEP) consists of additional coverage for patient care, not covered by the institutional base salary and does not count toward an employee’s maximum Supplemental Compensation Authorized Earnings. Work is performed...
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In order for the Graduate Medical Education Committee (GMEC) at the College of Medicine – Tucson South to review requests for expansion or new residency training programs, this application must be completed and submitted to the GME Office at South...
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Sample (template) letter requesting an assessment of the competencies of a resident applying to a Graduate Medial Education program at the University of Arizona College of Medicine – Tucson South.
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This form must be submitted to the Office of Graduate Medial Education at the University of Arizona College of Medicine – Tucson South in order to initiate a change of program director.
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This spreadsheet is set up to aid in tracking duty hour exceptions for residents in Graduate Medical Education programs at the University of Arizona College of Medicine – Tucson South.
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Visiting residents interested in participating in elective rotations at the University of Arizona College of Medicine – Tucson South must complete the Visiting Resident Application.
Residents interested in rotations with a University Campus program...
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Applicants to Graduate Medical Education programs at the University of Arizona College of Medicine – Tucson South must complete this form.
Please download the form to your computer before opening it. Not all web browsers support fillable PDFs.
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This form is to be used by all University of Arizona employees to obtain approval prior to entering into any external professional commitments or outside employment as required in the University’s “Conflict of Commitment" policy.
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This Evaluation Plan details the procedures and process for the evaluation of the undergraduate medical education curriculum.
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Organization chart for the chief of staff/administrative affairs at the College of Medicine – Tucson.
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Teaching Portfolio
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Teaching Portfolio
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Teaching Portfolio
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Teaching Portfolio
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Exemplary Junior Faculty Mentoring Programs by Rachel Thomas
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Mentee evaluation form from University of Kansas School of Medicine, Department of Pediatrics
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Mentor evaluation form by University of Kansas School of Medicine, Department of Pediatrics
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Faculty Mentoring Agreement adapted from The Mentor's Guide by Lois J. Zachary
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The Arizona Health Sciences Center (AHSC) Contracting Office hosts the Outside Elective Request Form (for current residents to request an elective rotation at an external institution) and the Affiliate-Preceptor Request Form (for program...
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DocuWare Operations Manual section on extracting search results to an Excel spreadsheet.
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Cleaning instructions for the COM ITS Records Management document scanner (Fujitsu ScanSnap S1500)
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A resource guide and source of best practices on student records management for student affairs professionals. Developed and revised by the American Association of Medical Colleges (AAMC) Committee on Medical Licensure and National Committee on...
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Produced by the American Association of Medical Colleges (AAMC) Committee on Student Records in 2005.
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Guide to help employees estimate the scope of a records management project.
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DocuWare Operations Manual section on conducting cross-cabinet searches.
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DocuWare Operations Manual section on how to append documents and store them in their native format.
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This introductory guide to DocuWare for COM employees covers the system's interface, features and includes walkthroughs for many common tasks.
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Application to begin scanning documents in collaboration with COM ITS Records Management. Should be filled out and submitted to Mike Jean, mjean@medadmin.arizona.edu.
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Printable PDF directory of leadership personnel at the UA College of Medicine – Tucson and Banner – University Medicine.
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The Review Cycle Calculator is used to determine review cycles for faculty and used to prepare offer letters.
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The Schema Review Memo, along with the reviewed protocol schema, is required prior to Banner and UA IRB review. The Memo provides documentation of the schema review process by the Principal Investigator and the Epic Charge Validator. If there is no...
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This document is used by faculty for their retention, promotion and/or tenure packets. It lists what each section in the dossier is for, and what it should contain.
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This application is the first step in requesting access (as a consultant/outsourcer) to Epic software and related information for the purpose of supporting internal UAHN customers.
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2014 Institutional Fee Schedule of the Western Institutional Review Board (WIRB).
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A list of common start-up fees and other costs associated with clinical trials.
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This worksheet in Excel format will help you calculate start-up costs for a clinical trial/study at the College of Medicine – Tucson. Also includes a completed example budget on Sheet 2.
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Lists typical pharmacy fees associated with clinical trials/studies, and includes contact information for studies at various UAMC locations.
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A list of invoiceable items for clinical trials/studies. Useful for clinical study budgeting.
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A list of common personnel costs for clinical studies/trials. Useful for estimating time and effort on specific tasks when constructing a clinical trial/study budget.
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Billing grid templates and sample data for budgeting clinical trials/studies.
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Template worksheet and sample budget for industry-sponsored clinical trials. Useful for budgeting clinical trials/studies.
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Mentoring plan and workload assignment for junior faculty, ensuring that they will fulfill requirements for promotion and tenure.
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Administrative organization chart of finance and information technology offices at the College of Medicine – Tucson.
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Administrative organization chart for the Office of the Dean of the College of Medicine – Tucson.
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Administrative organization chart of clinical affairs, continuing medical education and faculty affairs at the College of Medicine – Tucson.
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Must be submitted every three years or if contact information for the monitor or coordinator changes. Submit this form no sooner than one week prior to the day that monitor access will be needed.Monitors who do not have a signed and current UAHN...
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Presentation by Francisco Moreno, MD, Deputy Dean, Diversity and Inclusion
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Contact hours verification form for the title approval process.
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This form is required as part of the clinical research contract review process when the contract type is a Material Transfer Agreement (MTA).
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A template letter claiming exemption from the Arizona Board of Regents Intellectual Property Policy, based on meeting the criteria outlined here. Relevant to the clinical research contract review process.
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This document lists the criteria which must be met to qualify for an exemption from the Arizona Board of Regents Intellectual Property Policy. Relevant to the clinical research contract review process.
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Flyer advertising Resident Excellence and Leadership Scholarship
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Link to Above and Beyond Relocation Service, a college partner in recruitment/relocation efforts.
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This flowchart explains the routing process for administrative subunit budget requests. Find the relevant form here.
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This flowchart explains the routing process for new hire requests. Find the relevant form here.
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This flowchart explains the routing process for personnel recruitment requests. Find the relevant form here.
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This flowchart explains the routing process for requests to change an employee's title, salary, or position type. Applies to classified, appointed and student staff members. Find the relevant form here.
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The Human Subjects Protection Program oversees policies and processes related to the conduct of human research at the University of Arizona.
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The Collaborative Institutional Training Initiative (CITI) offers training on research ethics, practices, and compliance to member organizations. CITI training is required for many research-related positions.
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Website of the Office of the Senior Vice President for Research at the University of Arizona.
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The University of Arizona Cancer Center Scientific Review Committee reviews interventional treatment of diagnostic or therapeutic nature as well as long term population-based studies involving patients or patient samples.
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Yearly promotion review schedule for tenure-track faculty. Updated 2/17/2015.
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Yearly promotion review schedule for non-tenure-track faculty. Updated 2/17/2015.
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Guidelines for evaluating teaching and advising per the University of Arizona, with annotations for College of Medicine faculty.
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Format for NIH grants as a component of your promotion and tenure documentation.
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Cover sheet with checklist for associate faculty promotion packets.
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Request a joint appointment using this form.
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This guide offers advice on the promotion processes for continuing-status professionals and tenure and non-tenure-track faculty.
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Website of the UA Associate Provost for Faculty Affairs.
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If a department or center cannot meet space needs with current allocation, the department head or center director should submit this form to the Space Committee. It provides detailed information regarding how much and what type of space is needed,...
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Administrative organization chart of educational programs at the College of Medicine – Tucson.
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Annual and post-tenure review attachment C (Peer Committee).
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Annual and post-tenure review form for department heads to fill out.
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Organizational chart for the College of Medicine – Tucson, including departments (clinical and basic science), Centers of Excellence, and administrative offices and subunits.
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Explains the responsibilities and relationship between the GME Office and individual ACGME-accredited programs.
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A guide to the J-1 Visa application process for GME program coordinators.
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Common terms, acronyms and concepts related to graduate medical education.
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Fill out and return to the University Campus Office of Graduate Medical Education. Can be submitted anonymously.
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This affidavit on prior criminal convictions is a required condition of employment for prospective residents.
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Application form for College of Medicine – Tucson residencies and fellowships at our University of Arizona Medical Center – University Campus location.
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This form explains the reasoning behind disciplinary action taken against a resident, and details the consequences/plan that has been drafted in response.
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Application form for a Resident Excellence and Leadership Scholarship.
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Visiting residents interested in participating in elective rotations at the University of Arizona College of Medicine must complete the Visiting Resident Application.Please download the form to your computer before opening it. Not all web browsers...
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Research, advice and resources about academic mentorship from the UA Programs for Inclusive Excellence.
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Mentorship program template for departments.
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Mentorship Program Questions for Departments (COM)
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Mentorship Best Practices
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A self-assessment form for academic mentors, published by the journal Nature.
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Advice and resources from the Office of the Associate Provost for Faculty Affairs.
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"Unconscious Bias: What it is and what to do about it," presented by Anne L. Wright, PhD, senior associate dean for Faculty Affairs.
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Top 10 Quality of Life Initiatives (COM)
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Form letter to request transfer to another faculty track.
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Workload Statement Template (COM)
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Worksheet for Outside Evaluators (COM)
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Qualified Tuition Reduction and Application for Domestic Partner Tuition Program are now fully online in UAccess.
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Benefits Forms (UA)
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Templates and web-based letter creators from UA Human Resources.
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A list of print and online advertising venues, as well as cost (if any).
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Research on the subject of unconscious bias in hiring and evaluation.
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Online form.
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"All U.S. employers must complete and retain a Form I-9 for each individual they hire for employment in the United States."
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Affiliates (also called Designated Campus Colleagues) are select individuals from outside agencies, institutions and hospitals that have been afforded contractual “affiliate” status by the University’s Office of the Provost.
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Affiliate Data and CV Attestation and Release Form (COM)
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Title Approval or Track Change Cover Sheet Template (COM)
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Annual and Post-Tenure Review Attachment A (Faculty Member) (COM)
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UA faculty and staff have conducted critical research on diversity issues that enlighten our University community as well as other academicians across the nation.
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Guide to Successful Searches website from UA Human Resources.
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Questions to ask and avoid.
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A form stating the standards of ethical and professional conduct for search committee members.
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A complete list of all committees at the College of Medicine – Tucson for 2018 - 2019, including membership and information about duties and activities.
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Use this form to request new computing hardware, software or accessories. You may download and fill the form out online, then print it out and bring it to the Service Desk, or email it to servicedesk@medicine.arizona.edu.
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This document defines the standard configurations for desktops, laptops and other computing devices or software which are available for purchase through Information Technology Services.
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Adding New Hire Request, Recruitment Request, or Status Change Request. Submit to Rebecca Howlett.
See the routing process flowchart for this form here.
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This form requests permission to hire a new employee.
See the routing process flowchart for this form here.
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This form lets you request recruitment for a specific position.
See the routing process flowchart for this form here.
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Complete this form to request a change in status for a current classified, appointed or student staff member.
See the routing process flowchart for this form here.
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This form is required in the event that University property is located and used off-campus.
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This form is required when the University provides a communication device (mobile phone, pager, etc.) to an employee for the purpose of performing job duties.
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This form should be filled out by prospective independent contractors.
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Required form to authorize travel expenses.
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Template to request funding for a new commitment and recruitment.
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Use this form for departmental purchases from the UA Bookstores.
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Complete this form to request reimbursement for authorized travel expenses.
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Request online access/removal of access to a UA Foundation account.
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UA Foundation form.
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UA Foundation form.
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UA Foundation form.
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Federal Taxpayer Identification Number Request. To obtain a Taxpayer Identification Number (SSN or EIN) from vendor to whom the University will pay.
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Current department numbers, at the website of the University of Arizona Financial Services Office.
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The official building code indices from the University of Arizona.
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Banner University Medical Group Physician Compensation Plan effective August 1, 2017
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UPRT Tracker (updated regularly)
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Required form for International Travel
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Complete this form to request reimbursement for UA employee’s university related expenses
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Complete this form when processing a Purchasing card (P-card) transaction
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This overview provides highlights of the benefits available to residents and fellows employed by Banner – University Medical Group in programs at the University of Arizona College of Medicine – Tucson.
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Sample current resident contract.
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Organizational chart for the Office of Diversity and Inclusion at the College of Medicine – Tucson.
