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List of DMACC Forms
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Department
Form No.
Form Name
Version/Date
Form Type
Procedure
Campus
Policy Prefix
Policy Number
Business Office
P-23
Request for Conference & Meeting Approval
7/22
F-PDF
Procedure
BS
5811
Business Office
(no title)
Revenue & Expense Journal
10/6/11
Excel
Business Office
(no title)
Request for Payment (Not for employee reimbursements—see 'Employee Expense Report'
5/2016
Excel
Procedure
BS
5820
Business Office
(no title)
General (G) Invoice Template
12/9/11
Excel
Business Office
P-15
Agreement for Contracted Services (Certificate of Insurance Required)
8/1/96
F-PDF
Business Office
(no title)
Budget Adjustment Document
10/6/11
Excel
Business Office
(no title)
Request for Conference & Meeting Leave (URBAN In-State Only)
Dynamic
Urban
Business Office
(no title)
Employee Expense Report: Travel Dates after 1/1/23
01/2023
Excel
Procedure
All
BS
5812
Business Office
(no title)
Employee Expense Report: Travel Dates 1/1/22-6/30/22
2022
Excel
All
BS
5812
Business Office
(no title)
Employee Expense Report: Travel Dates 7/1/22-12/31/22
2022
Excel
All
BS
5812
Business Office/Purchasing
FE-1A
Documentation for College Business Meals
7/11-12/11
F-PDF
Procedure
BS
5813
Copy Center
(no title)
Copy Room Request
InfoPath
Curriculum Commission
(no title)
CurricUNET
Disability Services
(no title)
Digital Accessibility Review Form
2018
PDF
All
Disability Services
(no title)
WCAG 2.0 Digital Support checklist
2018
Excel
All
Faculty
(no title)
Blackboard Request Forms
Web
Faculty
(no title)
Syllabus Template
10/31/18
Word
Faculty
(no title)
Gradebook Template
Excel
Faculty
(no title)
Change of Grade Form
8/26/19
Dynamic
All
Foundation
(no title)
DMACC Foundation Gift-In-Kind Donation Form: General Goods or Services
12/7/12
PDF
Foundation
(no title)
DMACC Foundation Gift-In-Kind Donation Form: Motor Vehicle, Boat, or Aircraft
10/30/14
PDF
Foundation
(no title)
Foundation Payment Request/Authorization
09/20/19
Dynamic
All
Human Resources
P-31
Faculty Performance Appraisal (Supervisor Version)
F-PDF
Human Resources
(no title)
Classified Employees Evaluation (Supervisor Version)
F-PDF
Human Resources
(no title)
Administrative/Professional Evaluation (Supervisor Version)
InfoPath
Human Resources
No Title
Direct Deposit Authorization Agreement
Dynamic
All
Human Resources
I-9
I-9 Employment Eligibility Authorization
9/15/2021
F-PDF
All
Human Resources
W-4
Federal W-4
1/4/22
F-PDF
Human Resources
W-4
Iowa W-4
12/2022
F-PDF
All
Human Resources
(no title)
Request for Teaching Improvement Units (online)
Web
Human Resources
(no title)
457b RIC Salary Reduction Form (Online Version)
PDF
Human Resources
(no title)
403b RIC Salary Reduction Form (Online Version)
PDF
Human Resources
(no title)
I-9 – Tips for Completion
10/9/11
PDF
Human Resources
P-30
Discrimination Complaint Form for Employees & Applicants
7/9/11
PDF
Human Resources
P-61B
Background Check Release Form
F-PDF
Human Resources
P-64
Authorization to Mail Paychecks
6/8/11
PDF
Human Resources
P-69
Employee Timesheet
07/2008
Dynamic
All
Human Resources
P-21
Request for Leave (including extended leave)
7/8/11
F-PDF
Human Resources
P-47
Request to Bank Overload Pay
Dynamic
All
Human Resources
(no title)
IDP for Faculty
9/1/11
PDF
Human Resources
P-50
Dependent Child Tuition Remission
4/8/11
PDF
Human Resources
P-48
Request for Staff Enrollment (Tuition Waiver)
10/2/11
F-PDF
Human Resources
P-46
Complaint Form
7/9/11
PDF
Human Resources
P-42
Faculty Extended Day Schedule
11/6/11
F-PDF
Human Resources
P-41
SDU Work Experience Rationale
10/2/11
PDF
Human Resources
P-40
Staff Development Unit (SDU) Request
10/2/11
F-PDF
Human Resources
P-38
Work Schedule for Regular Employees
11/11/15
F-PDF
All
Human Resources
P-37
Request for Faculty Sabbatical Leave
Dynamic
All
Human Resources
P-33
Notice to Remedy
Dynamic
All
Human Resources
P-29
ESA Grievance Form
6/9/11
PDF
Human Resources
P-28
HEA Grievance Form
6/9/11
PDF
Human Resources
P-24
Course Approval for Instructors
8/9/11
F-PDF
Human Resources
P-22
Request for Professional Leave
7/8/11
F-PDF
Human Resources
P-115
Request for Accommodation
7/8/11
PDF
Human Resources
P-5
Telephone Employment Reference
6/3/11
PDF
Human Resources
(no title)
Hiring Handbook
8/19/16
PDF
Human Resources
(no title)
Hiring Checklist
8/19/16
PDF
Human Resources
P-65
Request for Fitness/Exercise Center Membership Reimbursement
2014
PDF
Human Resources
P-32
Faculty Performance Appraisal (Employee Version)
PDF
Human Resources
P-13
Data Record for Regular Employees
Dynamic
Human Resources
(no title)
Counselor Performance Evaluation
10/17/06
PDF
Human Resources
(no title)
Support Staff Evaluation (Employee Version)
F-PDF
Human Resources
(no title)
Administrative/Professional Evaluation (Employee Version)
10/7/11
F-PDF
Human Resources
(no title)
Adjunct Faculty Performance Review
5/9/08
PDF
Human Resources
(no title)
Request for Rate Variance
9/15/2021
InfoPath
All
Human Resources
(no title)
D Award
F-PDF
Human Resources
P-71
Request for Employee to Teach Courses
Dynamic
All
Human Resources
(no title)
Instructor Pay Form (Cont.Ed/DBR)
2014
InfoPath
Human Resources
(no title)
Early Alert Referral
F-PDF
Human Resources
P-59
Job Evaluation Committee Request for Review
2/3/14
F-PDF
Human Resources
(no title)
Instructor Substitute Pay Form
InfoPath
Human Resources
(no title)
Overload Pay Authorization
InfoPath
Human Resources
(no title)
Additional Pay Form - Regular Employment
Dynamic
All
Human Resources
(no title)
Pay for Adjunct Orientation/Training/Meeting
Dynamic
All
Human Resources
(no title)
Separation of Employment
Dynamic
All
Info Solutions
(no title)
Application Tracking
N/A
Info Solutions
(no title)
Fax Libraries
N/A
Info Solutions
(no title)
DMACC Technical Orientation
N/A
Info Solutions
(no title)
Request Assistance
N/A
Info Solutions
(no title)
DMACC Username Lookup
InfoPath
Info Solutions
(no title)
Reset Your Password
Web
Info Solutions
(no title)
DMACC ID Lookup
InfoPath
Info Solutions
(no title)
Hardware and Software Request Form
InfoPath
Marketing
(no title)
General Authorization & Release Form (Media)
PDF
Marketing
(no title)
DMACC Letterhead
F-Word
Marketing
(no title)
Business Card Request
Web
Misc/Other
(no title)
Beverage Cooler Checkout - Southridge Center
5/2014
F-PDF
Misc/Other
No Title
Urban Campus Event Form
Dynamic
Urban
Physical Plant
(no title)
Incident Report
5/21/13
InfoPath
Physical Plant
(no title)
Parking Ticket Appeals Form (Urban)
4/5/19
PDF
Urban
Physical Plant
(no title)
Parking Ticket Appeals Forms (Ankeny)
4/5/19
PDF
Ankeny
Physical Plant
(no title)
Contract and Permit for use of DMACC Facilities
9/1/96
PDF
Physical Plant
(no title)
Crimes Against Persons Incident
InfoPath
Physical Plant
(no title)
Crimes Against Property or Damage to Property (no crime) Incident
InfoPath
Physical Plant
(no title)
Personal Injury / Accident / Illness Incident
InfoPath
Physical Plant
(no title)
Misconduct Incident (Academic, Behavioral & Tobacco)
InfoPath
Physical Plant
(no title)
Request to Drive a DMACC Vehicle for Students
5/23/2022
PDF
All
Physical Plant
(no title)
Request to Drive a DMACC Vehicle for Employees
5/25/2022
Web
All
Physical Plant
(no title)
Request a DMACC Vehicle Reservation
4/15/17
Web
Ankeny
Presidents Office
(no title)
Request for Wine/Beer/Liquor
4/8/11
FS-Word
Procedure
BS
5182
Presidents Office
(no title)
Continuous Improvement Final Project Report
Dynamic
All
Presidents Office
(no title)
Academic Affairs Advisory Committee Input Form
04/21/2020
Dynamic
All
Purchasing
(no title)
Replacement Receipt
Word
Purchasing
(no title)
Purchasing Card Application
08/01/2017
Dynamic
All
Purchasing
(no title)
Cell Phone Questionnaire 2023
Dynamic
All
Purchasing
(no title)
Photocopy Paper Order
Dynamic
All
Purchasing
(no title)
Sole Source No Subs
08/01/2017
Dynamic
All
Purchasing
(no title)
(Copier) Toner Request Order Form
07/24/2017
Dynamic
All
Security
(no title)
Safety Awareness Form
InfoPath
Security
(no title)
Auto Accident Incident Report Form
InfoPath
Student Services
(no title)
Placement Registration Information
Web
Student Services
(no title)
Exam Proctor
InfoPath
Student Services
(no title)
Faculty Load NOT Assigned a CRN Number
11/1/11
InfoPath
Student Services
Credit
Address/Name Change (Credit)
3-9-21
Dynamic
Procedure
All
Student Services
(no title)
Change of Program Data Form
4/2020
Dynamic
All
Student Services
ES4760
Library Gift Acceptance -Gift-In-Kind
8/1/03
PDF
Procedure
All
ES
4760
Student Services
ES4650
Petition for Policy Waiver
5/8/11
PDF
Procedure
All
ES
4650
Student Services
ES4645
Discrimination Complaint Form for Students
PDF
Procedure
All
ES
4645
Student Services
ES4640
General Complaint Form
PDF
Procedure
All
ES
4640
Student Services
ES4630
Student Conduct / Discipline Report Form
PDF
ES
4630
Student Services
ES4610
Application for Accommodation
9/2018
Web
Procedure
ES
4610
Student Services
ES4600
Notification of Retention of Directory Information
8/8/11
PDF
ES
4600
Student Services
ES4562
Incomplete Grade Contract
PDF
Procedure
All
ES
4562
Student Services
ES4547
Contract for Directed Study
12/14/21
Dynamic
Procedure
All
ES
4547
Student Services
ES4544
Non-Credit to Credit Conversion Approval Form
09/2020
PDF
ES
4544
Student Services
ES4541
Contract for Independent Study
9/7/11
PDF
Procedure
All
ES
4541
Student Services
ES4140
Vocational-Technical Special Admission
5/4/11
PDF
Procedure
All
ES
4140
Student Services
ES4077
Online Course Development Grant / Application Form
PDF
ES
4077
Student Services
ES4070
Faculty Program Grant / Application Form
PDF
ES
4070
Student Services
ES4030-A
Field Trip Approval
PDF
ES
4030
Student Services
(no title)
Interpreting Request Form
InfoPath
Student Services
(no title)
Transcript Request Form
12/16
F-PDF
All
Student Services
(no title)
Drop/Add Form
3/09
Word
All
Student Services
(no title)
Learning Communities Application
PDF
Student Services
(no title)
Residency Request Form
PDF
Student Services
ES4549
Course Substitution Form
1/1/19
InfoPath
ES
4549
Student Services
(no title)
Request for Work Study Position
5/1/19
InfoPath
Student Services
(no title)
Counseling Referral
InfoPath
Student Services
(no title)
DMACC Graduation Application
10/2/2022
Web InfoSys
Student Services
P-43
Non-Credit Instructor Input/Revision Form
7/18
InfoPath
Procedure
All
Student Services
Form C
Load Averaging Request
9/2/11
Word
All
Student Services
(no title)
Instructor Room Change Form
4/15/2015
Word
All
Student Services
(no title)
Credit Class Revision form
12/20/20
F-Word
All
Student Services
(no title)
Credit Class Input
12/20/20
F-Word
All
Student Services
(no title)
Non-Credit Input Document
08/31/21
F-Word
Student Services
(no title)
Non-Credit Course Master
08/31/21
F-Word
Student Services
(no title)
Room Scheduling
Web
All
Student Services
(no title)
Challenge Test Request Form
Dynamic
All
Student Services
ES4670
Academic Misconduct Report Form
InfoPath
Policy
All
ES
4670
Student Services
ES4610
Animal In Residence Agreement ES4610 Form
PDF
Procedure
Boone, Carroll
ES
4610
Student Services
ES4610
Appeal of Accommodation Decision ES4610 Form
PDF
Procedure
All
ES
4610
Student Services
(no title)
Verification of Enrollment Request Form
8/10
PDF
All
Student Services
(no title)
Release of Information
7/11
F-PDF
All
Student Services
(no title)
Class Schedule/Registration Form
3/17
All
Student Services
(no title)
Request for Residency Status
7/10
F-Word
All
Student Services
(no title)
High School Permission From
12/17
F-Word
All
Student Services
ES4562
Incomplete Grade-Extension of Time
9/07
PDF
Procedure
All
ES
4562
Student Services
(no title)
Course End Date Extension For Courses Spring 2020
04/15/2020
Dynamic
All
Student Services
(no title)
Non-Credit Address/Name Change
3/25/21
Dynamic
All
Student Services
Non-Credit
Address/Name Change (Non-Credit Only)
3/25/21
Dynamic
Procedure
All
Student Services
ES4100
Change of Program Data Form
10/2016
PDF
Procedure
All
ES
4100
Student Services
ES4592
Request for Late Application Award Conferral
01/2013
PDF
Procedure
All
ES
4592
Student Services
(no title)
Credit by Experience Application/Non-Credit Portfolio/Skill Demonstration
10/25/21
Dynamic
All
Student Services
ES4660
Appeal of Final Grades
2022
F-PDF
Appeal of Final Grades Procedure
All
ES
4660
Compliance Details
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