The forms listed below are provided for the convenience and use of our extended Sandia family. We'll do our best to keep things current!
All forms are available as Microsoft Word templates or PDFs. When downloaded to your system, you will be able to fill out the Microsoft Word forms on your computer prior to printing.
Title |
Word format |
PDF format |
Authorization to Exceed Per Diem |
Word |
PDF |
Catering Order |
Word |
PDF |
CIGNA Out-of-Network Claim Form |
Word |
PDF |
Contract Associate — Travel Authorization |
Word |
PDF |
Contract Associate — Travel and Business Expense Invoice |
Excel |
PDF |
Contractor/Visitor - Computers: Temporary, One-Time Exception
to SNL Policy |
Word |
PDF |
Dental Expense Claim |
Word |
PDF |
Dental & Vision Care Disenrollment |
Word |
PDF |
Dental & Vision Care Plan Application |
Word |
PDF |
Eckerd Express Prescription Mail Order Form |
Word |
PDF |
Kaiser Permanente Authorization for Use/Disclosure of Health Information |
Word |
PDF |
Kaiser Permanente Enrollment Application or Change Form |
Word |
PDF |
Medical Claim Form (TOP/Intermediate/Basic) |
Word |
PDF |
Medical Insurance Disenrollment |
Word |
PDF |
Medical Insurance Enrollment/Change |
Word |
PDF |
Medical Insurance Premium Authorization Form |
Word |
PDF |
Nonemployees Expense Voucher |
Excel |
PDF |
Notification of Unofficial Foreign Travel to a Sensitive Country |
Word |
PDF |
Physical Activity Readiness Questionnaire (Par-Q) |
Word |
PDF |
Physician's Certificate of Disability |
Word |
PDF |
Reimbursement Spending Account Claim |
Word |
PDF |
Reimbursement Spending Account Mid-Year Enrollment/Change |
Word |
PDF |
Retiree ECP/United Way |
Word |
PDF |
Sandia Lab News Classified Ad |
Word |
PDF |
Vision Care Out-of-Network Claim |
Word |
PDF |