All Forms

Operational Approval of Research

File Type File Name Revision Date Word PDF
Guidance Note Guideline for Obtaining Approval to Conduct Research at Vancouver Coastal Health Jun 27, 2011 - http://vps-1003880-1026.clients.robsoninc.com/sites/default/files/Guideline%20-%20Guidelines%20for%20Obtaining%20Approval%20to%20Conduct%20Research_27JUNE2011%20%281%29_0.pdf
Guidance Note VCHRI Research Study E-broadcast Feb 16, 2010 - /sites/default/files/Guidelines_VCHRI_Ebroadcast.pdf
Guidance Note Best Practices Regarding Privacy & Researchers Feb 1, 2011 - /sites/default/files/Guidelines_BestPractices_01Feb2011.pdf
Guidance Notes Laboratory Costing List Jun 20, 2012 - /sites/default/files/Laboratory%20research%20fee%20guidelines%20June%202012.pdf
Guidance Notes Pharmacy Costing List Sept 4, 2012 - Pharmacy Costing List
Guidance Notes Radiology Costing List Coming Soon - -
Guidance Notes Pathology Costing List Nov, 2011 - Pathology Costing List
Policy VCH Privacy & Confidentiality Policy Sep 11, 2010 - /sites/default/files/Policy%20-%20VCH_PrivacyConfidentiality_11Sept2010.pdf
Ethics Guidance Note When Does Your Project Warrant Review by a Research Ethics Board? Oct 16, 2012 - /sites/default/files/Guideline%20-%20Guidance_ResearchEthicsBoard_Jan2012.pdf
Form VCHRI Request for Approval to Conduct Research Application Aug 18, 2011 /sites/default/files/Form%20-%20Request%20for%20Approval%20to%20Conduct%20Research%20Form_18AUG2011_0.doc /sites/default/files/Form_VCHRI_ReqApprCondRes_18Aug2011.pdf
Form Confidentiality Undertaking for Research Projects Mar 22, 2010 /sites/default/files/Form%20-%20Confidentiality%20Undertaking%20for%20Research%20Projects%2022March2010FINAL.doc /sites/default/files/Confidentiality_Undertaking_for_Research_Projects_22March2010.pdf
Form PCIS Training Registration Form for Research Personnel Jun 3, 2010 - /sites/default/files/Form%20-%20PCIS_TrainingRegistration_Research_03June2010.pdf
Form Data Access for Research Project Applicationtd> Nov 4, 2009 /sites/default/files/Form%20-%20Database%20Access%20Application%20Form%20for%20Research%20Purposes%2004November2009%28FINAL%29.doc /sites/default/files/DataAccess_ResearchProject.pdf
Form Radiology Research Mar 5, 2007   /sites/default/files/Form%20-%20Radiology%20Research%20Approval%20Form%20Mar%2013.DOCX
Form Operating Room Research Form Apr 8, 2010 /sites/default/files/Form%20-%20Operating%20Room%20Research%20-%2008Apr2010.doc /sites/default/files/ORResearch_08Apr2010.pdf
Form Anatomic Pathology Laboratory Resource Utilization Jul 18, 2006 /sites/default/files/Form%20-%20Anatomic%20Pathology%20Laboratory%20Resource%20Utilization.doc /sites/default/files/anatomicpathlabutilization2.pdf
Form Specimen Collection for Research - Special Handling Instructions Apr 5, 2011 /sites/default/files/Form%20-%20Specimen%20Collection%20for%20Research%20-%20Special%20Handling%20Instructions%20-%20Green%20Sheet_05APR2011.doc /sites/default/files/SpecimenCollection_05Apr2011.pdf
Form VCHA - Richmond Impact Analysis Aug 31, 2011 /sites/default/files/FORM%20-%20RICHMOND%20IMPACT%20ANALYSIS.doc /sites/default/files/Richmond_Impact_Analysis_31Aug2011.pdf
Form Request for Renewal to Conduct Research Jun 4, 2010 /sites/default/files/Form%20-%20Request%20for%20Renewal%20to%20Conduct%20Research.doc /sites/default/files/Renewal_ConductResearch_Form_04June2010.pdf
Form Notification of Study Completion or Termination   /sites/default/files/Form%20-%20NOTIFICATION%20OF%20STUDY%20COMPLETION.doc /sites/default/files/Completion_Termination_Form.pdf
Form Request to Post Study Information on the VCHRI Website Mar 5, 2010 /sites/default/files/Form%20-%20Request%20to%20Post%20Study%20Information%20on%20the%20VCHRI%20Website.doc /sites/default/files/CTA_RequestPostStudy_Mar052010.pdf
Form Clinical Trial Recruitment Sponsor Approval Oct 30, 2009 /sites/default/files/Clinical%20Trial%20Recruitment%20Sponsor%20Approval.doc /sites/default/files/CTA_SponsorApproval_Oct302009.pdf
Form VCHRI Research Study E-broadcast Mar 14, 2012 /sites/default/files/VCHRI%20Research%20Study%20E-broadcast.doc -

Clinical Trials Administration

File Type File Name Revision Date Word PDF
Form Sponsored Research Information Form - - Sponsored Research Information Form
Form Clinical Trials Synopsis Form Jun 17, 2010 /sites/default/files/Form%20-%20Clinical%20Trials%20Synopsis%20Form.DOC -

Funding Opportunities

Investigator Awards

File Type File Name Revision Date Word PDF
Guidance Note Guidelines - - Guidelines
Form Registration Form - Registration Form -
Form Statement of Understanding - Statement of Understanding -
Form Research Module - Research Module -
Template MCS Mentorship Plan template - MCS Mentorship Plan template -
Form CV Module - CV Module -
Form Faculty of Medicine (FoM) Cover Sheet - Faculty of Medicine (FoM) Cover Sheet -

Team Grants

File Type File Name Revision Date Word PDF
Guidance Note 2013 Competition Guidelines - - 2013 Competition Guidelines
Form Registration Form - Registration Form -
Form Research Module - Research Module -
Form VCH Program/Dept Manager Statement of Support - VCH Program/Dept Manager Statement of Support -
Form VCH Research CV Module - VCH Research CV Module -
Form VCH Research Cover Sheet for VCH Staff - VCH Research Cover Sheet for VCH Staff -
Form Faculty of Medicine (FoM) Cover Sheet - Faculty of Medicine (FoM) Cover Sheet -

Research Challenge

File Type File Name Revision Date Word PDF
Guidance Note VCH Research Challenge Guidelines - - VCH Research Challenge Guidelines
Form VCH Research Challenge Letter of Intent - VCH Research Challenge Letter of Intent -
Form VCH Research Challenge Application Form - VCH Research Challenge Application Form -
Template Printable Poster - - Printable Poster Form
Form Mentor Guidelines - - Mentor Guidelines
Guidance Note Frequently Asked Questions (FAQs) - - Frequently Asked Questions (FAQs)

Clinical Research Unit

General Forms

File Type File Name Revision Date PDF
Form Service Request Form - Service Request Form

New Researcher Orientation

General Forms

File Type File Name Revision Date PDF
Form VCH Research Photo ID, Card Access, & Key Request Form Nov 19, 2012 VCH Research Photo ID, Card Access, & Key Request Form
Form Lab Coat Requisition Form - Lab Coat Reuisition Form

Building Access Maintenance

File Type File Name Revision Date PDF
Guidance Note Recycle It Poster - Recycle It Poster
Guidance Note Recycling Information - Recycling Information
Guidance Note Do Not Recycle - Do Not Recycle
Guidance Note Recycling FAQ - Recycling FAQ

Health & Safety - Manuals & Procedures

VCH Research Forms

File Type File Name Revision Date PDF
Form First Aid Kit – Treatment Record Sheet - First Aid Kit – Treatment Record Sheet
Form Monthly Checklist Jan 23, 2011 Monthly Checklist
Form Personal Safety Checklist - Personal Safety Checklist
Form Safety Course Registry - Safety Course Registry
Form Training Record - Training Record
Form October 31, 2011 Fire Wardens for HP, JBRC, RP, RHNH & WCC - October 31, 2011 Fire Wardens for HP, JBRC, RP, RHNH & WCC
Guidance Note Sept 11, 2012 VCH Information Privacy & Confidentiality Sept 11, 2012 Sept 11, 2012 VCH Information Privacy & Confidentiality
Guidance Note Nov 29, 2010 Privacy and Fax Nov 29, 2010 Nov 29, 2010 Privacy and Fax

Workplace Accident / Incident Forms

File Type File Name Revision Date PDF
Form Hazard, Incident, Accident Flow Chart Apr 10, 2011 Hazard, Incident, Accident Flow Chart
Form 2005 Edition WorkSafe BC WHMIS Manual Sep 30, 2011 2005 Edition WorkSafe BC WHMIS Manual
Form April 27, 2012 VCHRI Orientation Guide Apr 27, 2012 April 27, 2012 VCHRI Orientation Guide
Form Sept 29, 2011 VCHRI Safety Program Manual Sep 29, 2011 Sept 29, 2011 VCHRI Safety Program Manual
Form June 14, 2011 Lab Waste Procedures Jun 14, 2011 June 14, 2011 Lab Waste Procedures
Guidance Note Spill Reporting Flow Chart - Spill Reporting Flow Chart
Guidance Note Contact list for Chemical Waste Disposal - Contact list for Chemical Waste Disposal
Guidance Note June 23, 2011 Earthquake Response Procedure Jun 23, 2011 June 23, 2011 Earthquake Response Procedure
Guidance Note Earthquake Preparedness Kit - Earthquake Preparedness Kit
Guidance Note June 23, 2011 Liquid Nitrogen Hazards Jun 23, 2011 June 23, 2011 Liquid Nitrogen Hazards
Guidance Note January 2006 Emergency Response Codes Jan 2006 January 2006 Emergency Response Codes

Workplace Accident / Incident Forms

File Type File Name Revision Date PDF
Form Faculty & Staff Incident / Accident Report (with instructions) Nov, 2011 Faculty & Staff Incident / Accident Report (with instructions)
Form Student & Visitor Incident / Accident Report Apr, 2005 Student & Visitor Incident / Accident Report

Worksafe BC Forms for UBC Employees

File Type File Name Revision Date PDF
Form WorkSafe BC: Form 6: Application for Compensation & Report of Injury or Occupational Disease - WorkSafe BC: Form 6: Application for Compensation & Report of Injury or Occupational Disease
Form WorkSafe BC: Form 6A: Worker’s Report of Injury or Occupational Disease to Employer - WorkSafe BC: Form 6A: Worker’s Report of Injury or Occupational Disease to Employer
Form WorkSafe BC: Form 7A: First Aid Report - WorkSafe BC: Form 7A: First Aid Report

Financial Administration - UBC

Accounts Payable

File Type File Name Revision Date Excel Word PDF
Form Journal Voucher - Journal Voucher - -
Form Journal Voucher for Air Canada Corporate Pass - Journal Voucher for Air Canada Corporate Pass - -
Form PO/QREQ Threshold Exemption Justification Apr 05, 2011 - - PO/QREQ Threshold Exemption Justification
Form Change Request to Active PO Nov 24, 2011 - Change Request to Active PO -
Form Electronic Funds Transfer(EFT) Form Aug, 2011 Electronic Funds Transfer(EFT) Form - -
Form Q-Requisition for Payment Form - Q-Requisition for Payment Form - -
Form Travel Requisition for Payment Form - Travel Requisition for Payment Form - -
Form Department Cash/Coin Order Form - - Department Cash/Coin Order Form -
Form Relocation Reimbursement Claim Form Feb 9, 2011 - - Relocation Reimbursement Claim Form
Form HST Small Supplier Status Declaration Form - - - HST Small Supplier Status Declaration Form
Form Missing Receipt Form Jul 16, 2010 - Missing Receipt Form -
Form FIA 3rd Party Travel paid by UBC   - FIA 3rd Party Travel paid by UBC -
Form AMEX direct deposit form Oct, 2010 - - AMEX direct deposit form

Budget Office

File Type File Name Revision Date Excel
Form GPO Fund Transfer Form - GPO Fund Transfer Form
Form GPO Planned Funding Adjustment Form - GPO Planned Funding Adjustment Form
Form PLNTUIT Request Form - PLNTUIT Request Form
Form Hyperion Access Request Form - Hyperion Access Request Form

Financial Reporting

File Type File Name Revision Date Excel PDF
Form Chartfield Request form - - Chartfield Request form
Form PG Request form - - PG Request form
Form PG Inactivation Form - General - - PG Inactivation Form - General
Form Operating Plan excel form - Operating Plan excel form -
Form Endowment Transfer Request Form - - Endowment Transfer Request Form

Management Reporting

File Type File Name Revision Date Excel
Form Hyperion Report Request Form - Hyperion Report Request Form

Payroll - Miscellaneous

File Type File Name Revision Date Word PDF
Form Payroll direct deposit - - Payroll direct deposit
Form Payroll direct deposit cancellation/change - - Payroll direct deposit cancellation/change
Form Personal data changes (incl. address changes) - Personal data changes (incl. address changes) -
Form Request for information - Request for information -
Form Request for Hourly Vacation Pay, Record of Employment - - Request for Hourly Vacation Pay, Record of Employment
Form TD1 Tax form (federal) - - TD1 Tax form (federal)
Form TD1 Tax form (BC) - - TD1 Tax form (BC)

Payroll - Administrative

File Type File Name Revision Date PDF
Guidance Note M&P Professional Development Fund - Guidelines Apr, 2012 M&P Professional Development Fund - Guidelines
Form M&P Professional Development Fund - Application Form Jun, 2011 M&P Professional Development Fund - Application Form
Form M&P Professional Development Fund - Travel and Related Expense Form Jun, 2005 M&P Professional Development Fund - Travel and Related Expense Form
Guidance Note CUPE 2950 Professional Development Fund - Guidelines Apr, 2012 CUPE 2950 Professional Development Fund - Guidelines
Guidance Note CUPE 2950 Professional Development Fund - Frequently Asked Questions Jun, 2011 M&P Professional Development Fund - Frequently Asked Questions
Form CUPE 2950 Professional Development Fund - Application Form - M&P Professional Development Fund - Application Form
Form Ergonomic Assessment Referral Form - University Health and Safety Policy - Ergonomic Assessment Referral Form - University Health and Safety Policy
Form Ergonomic Assessment Referral Form - Referral Form - Ergonomic Assessment Referral Form - Referral Form
Form WorkSafe BC - Application for Compensation and Report of Injury or Occupational Disease - WorkSafe BC - Application for Compensation and Report of Injury or Occupational Disease
Form WorkSafe BC - Report of Injury or Occupational Disease - WorkSafe BC - Report of Injury or Occupational Disease
Form WorkSafe BC - Independent Operators - WorkSafe BC - Independent Operators
Form WorkSafe BC - Fishing Industry - WorkSafe BC - Fishing Industry
Form WorkSafe BC - Physician's Report - WorkSafe BC - Physician's Report

Payroll - Health Benefits

File Type File Name Revision Date PDF
Form Newborn/Adoption Enrolment Form July 2010 Newborn/Adoption Enrolment Form
Form Opt out of the AMS health plans - Opt out of the AMS health plans

Payroll - Medical Services Plan (MSP)

File Type File Name Revision Date PDF
Form MSP Application Form - MSP Application Form
Form MSP Change Form - MSP Change Form
Form Cancel MSP - Cancel MSP

Payroll - Extended Health

File Type File Name Revision Date PDF
Form Extended Health Claim Form, with the exception of Management & Professional - Extended Health Claim Form, with the exception of Management & Professional
Form Extended Health + HSA, Management & Professional only - Extended Health + HSA, Management & Professional only
Form Extended Health Claim Form, Retirement and Survivor Benefits members only - Extended Health Claim Form, Retirement and Survivor Benefits members only
Form Enrol for extended health benefits - Enrol for extended health benefits
Form Change your address or update your dependents - Change your address or update your dependents
Form Cancel Extended Health - Cancel Extended Health

Payroll - Dental Plans

File Type File Name Revision Date PDF
Form Dental Claim Form, Faculty and Staff with the exception of Mangement & Professional - Dental Claim Form, Faculty and Staff with the exception of Mangement & Professional
Form Combined Dental + HSA, Management & Professional only - Combined Dental + HSA, Management & Professional only
Form Enrol for Dental Benefits - Enrol for Dental Benefits
Form Cancel Dental Coverage - Cancel Dental Coverage

Payroll - Staff Optional Life Application Forms

File Type File Name Revision Date PDF
Form Staff Optional Life Application Jan 2009 Staff Optional Life Application
Form Staff OPT Reduction/Cancellation Dec 2005 Staff OPT Reduction/Cancellation

Payroll - Management and Faculty Optional Life Application Forms

File Type File Name Revision Date PDF
Form M&P and Faculty Optional Life Application Jan 2009 M&P and Faculty Optional Life Application
Form M&P and Faculty OPT Reduction/Cancellation Jul 2010 M&P and Faculty OPT Reduction/Cancellation

Payroll - Beneficiary Designation

File Type File Name Revision Date PDF
Form Basic Life Beneficiary designation Feb 2009 Basic Life Beneficiary designation
Form Optional Life Beneficiary designation Feb 2009 Optional Life Beneficiary designation
Form Spousal Life Beneficiary designation Feb 2009 Spousal Life Beneficiary designation

Payroll - Income Replacement (Disability Insurance)

File Type File Name Revision Date PDF
Form Staff Application form (IRP) Dec 2007 Staff Application form (IRP)
Form Other Application form (DBP) Jun 2010 Other Application form (DBP)
Form Faculty Enrolment form Dec 2007 Faculty Enrolment form

Payroll - UBC Administrative

File Type File Name Revision Date WORD
Form Faculty Appointment Form Apr 18, 2012 Faculty Appointment Form
Form Leave of Absence Nov 8, 2012 Leave of Absence
Form Staff Appointment Form Nov 8, 2012 Staff Appointment Form
Form Student Appointment Form - Student Appointment Form
Form Transfer and Severance Notice Nov 8, 2012 Transfer and Severance Notice
Form Timesheet - Timesheet
Form Faculty Honoraria Lump Sum Form Jun 5, 2012 Faculty Honoraria Lump Sum Form
Form Staff Honoraria Lump Sum Form - Staff Honoraria Lump Sum Form

Research & Trust Accounting

File Type File Name Revision Date PDF
Form PG Inactivation Form - Research and Specific Purpose - PG Inactivation Form - Research and Specific Purpose
Form Tricouncil Form 300 - Tricouncil Form 300
Form General Financial Statement Form - General Financial Statement Form
Form Collaborative Financial Statement Form - Collaborative Financial Statement Form
Form Start-up Grant Request Form - Start-up Grant Request Form

Revenue Accounting

File Type File Name Revision Date PDF
Form Merchant Account Request Form - Merchant Account Request Form
Form Merchant Service/Equipment Cancellation Form - Merchant Service/Equipment Cancellation Form

FMS

File Type File Name Revision Date PDF
Form FMS nQuery Access Request Form - FMS nQuery Access Request Form
Form FMS nQuery Security Administrator application - FMS nQuery Security Administrator application

Other

File Type File Name Revision Date Excel Word
Form Request to Move Equipment - - Request to Move Equipment
Form Equipment Register - Equipment Register -

Office of Research Services - UBC

Cover Sheets & Summary Forms

File Type File Name Revision Date Word PDF
Form Signature Form Template - Signature Form Template -
Form Faculty of Medicine Grant Application Cover Sheet Jun, 2010 Faculty of Medicine Grant Application Cover Sheet -