Advancing Veteran and public health
through innovative research

Forms

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Purchasing

Drug Request Form
This form must accompany any requisition for drugs, whether for use in animals or human subjects.

drug-request-order-formupdated.pdf
MTA Request Form

This form captures the information required to have a Material Transfer Agreement signed by VAPAHCS.

https://pavir.org/public/docs/MTARequestForm6.24.22.pdf
Purchase Requisition - Fillable
Preferred method to initiate a purchase for those researchers not utilizing PAVIR's online procurement software, ReQlogic.  This is the form to fill out for any items you would like PAVIR to order for you, or for vendors requiring a purchase order before performing a service.
fillablerequisition.pdf
Purchase Requisition - To Print and Write on
This version of the form is only for those who do not wish to use the electronic, auto-calculating, version above.
reqtoprintandwriteon1.pdf
Request for Electronic and Communication Devices & Services
Must accompany a Purchase Requisition for any data storing devices.
Electronic Device form20
Sole Source Justification Form

This form is used to explain the circumstances when a large purchase is requested utilizing a sole source vendor.

https://pavir.org/public/docs/solesourcejustificationform.pdf
Accounting
Travel Reimbursement

To be submitted with all required receipts and documentation for local and out of town travel.

https://pavir.org/public/docs/...

Non-Exempt Travel Approval
Required for all Non-Exempt PAVIR employees who travel for business.

non-exempt-travel-approval-form-fillable-version.pdf
Business Meeting Expense

This form is to be used to request reimbursement for business meetings.  The form includes space for listing attendees and topics to justify business meeting expenses.

businessmeetingexpense.pdf
Check Request
Purchases using PAVIR administered funds should be initiated in ReQlogic or by a Purchase Requisition.  In rare cases where advance placement of a requisition is not possible, check request forms may be used to request reimbursements of money spent.
checkrequestform.pdf
Justification for Late Submission

This form must accompany travel and/or miscellaneous expense reimbursement requests submitted more than sixty days after completing travel or incurring expense.

justification-for-late-submissionfillable.pdf
Payment for Services

This form is used to initiate payments to Independent Contractors or Speakers.

payment-for-services.pdf
Request for Prior Approval of Travel

While not required, it is in a traveler's best interest to use this form to gain approval of travel expenditures before the trip.

Note that this form functions better in pdf software than in Edge!

Fillable.Request.prior.approval.travel.pdf
Subject Payment Request

Used for requesting payments to research subjects.

https://pavir.org/public/docs/...

W-9
This IRS form certifies the SSN or TIN of a potential PAVIR payee.

IRS Form W9.Oct.2018.pdf
Contracts & Grants

Indirect Cost Rate Waiver Request

For approval to submit an application to a sponsoring agency providing less than PAVIR's standard rate.

indirectcostratewaiverrequestform.pdf

Cost Transfer Justification
Use this form to explain why expenses need to move from one PAVIR Account to another.

pavir-cost-transfer-formfillable.pdf
Education Activity Request

This form documents approval or disapproval of an educational activity to be administered by PAVIR.

edu-request-form.pdf
Principal Investigator Certifications and Assurances

This form is to be completed by the P.I. when submitting a proposal unless the submission is for an already active project from the same sponsor. 

pi-certificationsandassurances.docx
Bid and Proposal Request  Bid and Proposal Request.10.3.19.pdf
VAPAHCS Principal Investigator Eligibility Requesthttps://pavir.org/public/docs/...
Human Resources/Payroll
Conflict of Interest Questionnaire & Affirmation

This form is to be completed upon hiring and whenever a potential COI arises

COI-Questionnaire-and-Affirmation.pdf

Telecommuting / Remote Work Agreement

Please see the Telecommuting Policy for more information

Telecommuting.Agmt.pdf
Mobile Phone / Internet Allowance Requestallowancerequestfillable.pdf
Bonus / Special Contribution Award Requesthttps://pavir.org/public/docs/...


Last Modified: January 19, 2024 12:53pm
NAVREF 2021-2022 Membership