Forms

Date Document Description Contact Name Contact Email
2022-09-30 Program Request Form Program Request form to request checks or payment. Remember that back up documentation must be attached and must be signed by your supervisor. Christine McCaslincmccaslin@imaginecolorado.org
2022-09-30 Business Associate Contract This contract outlines the responsibilities involved with the covered entity sharing protected health information with business associates. Robin Greyrgrey@imaginecolorado.org
2022-09-30 Transportation Vehicle Accidents Accident Report Form Robin Greyrgrey@imaginecolorado.org
2022-09-30 Check Request Form Use this form to request a check when an invoice is not available. Robin Greyrgrey@imaginecolorado.org
2022-09-30 Missing Credit Card Receipt Form - XLS Format Use this document for any missing credit card receipts. This document contains 2 tabs: tab 1 is a blank form, tab 2 is an example of how to fill out the form. Robin Greyrgrey@imaginecolorado.org
2022-09-30 Payroll Corrections Form If an employee feels that they have not been paid correctly, the following procedures should be followed. Robin Greyrgrey@imaginecolorado.org
2022-09-30 Payroll Duplicate Check Request Form to fill out to request a duplicate payroll check. Robin Greyrgrey@imaginecolorado.org
2022-09-30 Petty Cash Log - XLS Format Petty cash log. Robin Greyrgrey@imaginecolorado.org
2022-09-30 W9 Federal W9 Request for Taxpayer Identification Number and Certification Robin Greyrgrey@imaginecolorado.org