Title Purpose
Application to Request Closure of a Bank Account

Use this form to request to close a departmental bank account.

Semimonthly On-Demand/On-Cycle Correction Form

Correct errors to a semimonthly employee's pay, process payments to terminated employees, or authorize overpayment deductions from an employee's check.

Biweekly On-Demand/On-Cycle Correction Form

Correct errors to a biweekly employee's pay, process payments to terminated employees, or authorize overpayment deductions from an employee's check.

Bank Deposit (Excel, 315 KB)

Use this form to send deposits to the bank. One physical deposit requires two copies of the form, and the form must correspond to exactly one line of the Advance Deposits tab of the AD e-doc.

Travel Manual Reimbursement Form

Request a travel reimbursement for an individual who does not have authorization to use Concur. See the Non-Employee Expense Reporting page for more information.

Request to Change Authorized Bank Signer

Use this form to request a change to authorized bank signers on a departmental bank account.

Request to Change Departmental Contact or Departmental Bank Account Reconciler
Application to Request a New Bank Account

Request a new departmental bank account.

Remote Deposit Capture Enrollment and Setup Form

Request remote deposit capture enrollment and setup.

Notification of Claiming Unidentified Receipts

Claim an unidentified item on the unidentified receipts list from Cash Management.

Notification of Expected Incoming Wire Transfer/ACH or EFT

Notify Cash Management of an expected wire transfer to aid in identification of funds. For instructions, see Processing Wires and ACH Payments.

Attestation of Successful Completion of Annual PCI Training

Certify that you have completed the required annual PCI training for compliance.

PCI Self Assessment Questionnaire

Complete the annual PCI Self Assessment Questionnaire

PCI Quarterly Documentation Templates

Document your unit's PCI compliance quarterly.

Application for Lockbox Processing

Request a new lockbox account for processing a large volume of payments.

Single/Sole Source Justification

Provide a written justification and reasonableness of price when vendor competition may not be feasible due to the single source/sole source nature of a commodity or a particular specification

Exception Ordering for Computers

Dell is Cornell's preferred supplier of Windows-based desktop and laptop computers and the primary source for four basic configuration options, which are available at the discounted prices only through e-SHOP. 

If one of Dell's four available configurations does not meet your needs, contact your IT Service Group (ITSG) representative who will assist with a custom configuration. The form is no longer necessary.

If you have any questions regarding this process, please contact Jay Porter at jjp92@cornell.edu or (607) 255-9460.

When to Request an Exception

The following table outlines circumstances under which you might request an exception and the actions required under these circumstances:

Exception Requested Supplier Exception Ordering Requested? Action Required
Upgraded configuration Dell Yes Place order with Dell through e-SHOP by selecting the Systems tab from the Dell home page. Note: The Custom Configuration Systems tab may only be accessed by IT Service Group (ITSG) representatives or their designees.
Different brand Red Barn, Lenovo, Other Yes Purchase order
Different brand Hewlett Packard Yes Order through e-SHOP with special order quote
Different brand Apple No Order through e-SHOP with special order quote
Executive Search Firm Agreement Template

Use this agreement template when engaging an executive search firm and attach the firm's statement of work. Submit the completed agreement with the requisition. These services are exempt from bid and do not require a single-/sole-source justification form unless contract, grant, or federal funds are used to pay for the service.

Note: All final search firm agreements must be approved by Human Resources and Procurement. The authorizing party must retain a copy of this contract. In addition, forward a copy of this agreement, completed and signed by the contractor and university representatives, along with all relevant attachments, to both of the following individuals:

  • Sonja Baylor, Manager of Talent and Recruitment, Division of Human Resources, 337 Pine Tree Road, Ithaca, NY 14850
  • Debra Benson, Procurement Manager, Procurement Services, 377 Pine Tree Road, Ithaca, NY 14850
Amendment to Professional Services Agreement

Use this form to amend the original Professional Services Agreement (e.g., extend dates, revise scope of work).

IT Professional Services Agreement

Use this contract for entities providing IT-related services to address tax, liability, and contract terms and conditions.