Forms Library

Form Titlesort descending Purpose Last Updated
Bank Account Request Form

To submit a request to the Office of the Treasurer to open, change or close a University bank account.

09/11/2014
DEVICE INSPECTION FORM

CU Merchants are required to inpect their devices used for credit card processing on a regular basis.  Use this form to log device inspections on a monthly basis.

05/18/2017
DEVICE INVENTORY LOG
This document helps satisfy PCI DSS requirements 9.9 (a) and 9.9.1 (a) by creating and maintaining a list of all equipment that has direct access to
cardholder data within a Merchant environment. Such devices may be terminals where cards are swiped and dipped, swipe only devices, check
scanners and PIN pad devices.
07/07/2017
DEVICE INVENTORY LOG
This document helps satisfy PCI DSS requirements 9.9 (a) and 9.9.1 (a) by creating and maintaining a list of all equipment that has direct access to
cardholder data within a Merchant environment. Such devices include: terminals where cards are swiped and/or dipped, swipe only devices, and
PIN pad devices. Review & Update this log as necessary quarterly.
07/21/2017
DEVICE INVENTORY LOG
This document helps satisfy PCI DSS requirements 9.9 (a) and 9.9.1 (a) by creating and maintaining a list of all equipment that has direct access to
cardholder data within a Merchant environment. Such devices include: terminals where cards are swiped and/or dipped, swipe only devices, and
PIN pad devices. Review & Update this log as necessary quarterly.
07/21/2017
ELAVON NEW MERCHANT REQUEST

Complete this form to open a new In Person (card-present) or Mail Order/Telephone Order (card-not-present) Merchant Account.

02/17/2017
Finance Service Center Incident Request

GET HELP from the Finance Service Center - for internal customers.

05/07/2012
Finance Systems Security Application

To request access to Accounting and Reporting at Columbia (ARC), Financial Data Store (FDS) reporting and ARC reporting as well as other related Columbia financial systems including FFE modules. 

01/30/2016
Foreign Check Log

Log for foreign checks to be submitted to the Treasury

Identity Theft Prevention Program Initial Red Flag Incident Report

As part of the University wide Identity Theft Prevention program, this form is required for anyone seeking to report a Red Flags. The form should be used by anyone at the University in a position to identify, detect, and respond to patterns, practices, or specific activities that could indicate identity theft, including:

  • All employees who work with personally identifying information and have access to “covered accounts”
  • Student Enrollment staff
  • CUMC Privacy Officer and staff
  • Human Resources staff
  • Staff with covered accounts related to Real Estate or Facilities
  • Staff with oversight of Service Providers
  • Deans, Department Chairs, Directors of Institutes, Centers, and other University units
  • Departmental Administrators and other Departmental staff
  • Office of the General Counsel staff
  • Office of Executive Vice President For Finance Organization
10/03/2016
International Bank Account Funding Request Form

Form required when Schools/Departments submit requests for funding wires to international operations.

04/21/2016
MERCHANT QUESTIONNAIRE AND CHECKLIST
Prior to beginning a Service Request via https://columbia.service-now.com/, use this Questionnaire &
Checklist to ensure you have met all requirements and have completed any outside forms that you may be
required to attach to your Service Request. Please refer to the online content found on the Finance Gateway
for additional information.
05/04/2017
Merchant Security Review Form
All CU Merchant environments must be reviewed and approved by the CUIT-PCI Security group. This review
form must be completed and accompany all requests for new CU Merchant accounts. It must also be completed
and submitted for approval by the CUIT-PCI Secuirty group prior to implementing any changes to an existing
Merchant environment. Whether new or existing, ALL Merchants must have a completed Security Review
Form on file with the Office of the Treasurer.
10/19/2017
MONTHLY PCI DSS CHECKLIST

Complete this checklist each month as part of your Departmental Process and Procedures. Keep completed checklists on file for a minimum of two years to assist with meeting your PCI Compliance Requirements.

06/02/2017
New Global Payments MID Request Form

This form is required to open a new Global Payments Merchant Account and to use the CyberSource Payment Gateway.

10/10/2017
New Global Payments MID Request Form

This form is required to open a new Global Payments Merchant Account and to use the CyberSource Payment Gateway.

10/10/2017
Request to Update Existing Elavon Account

Use this Form to make updates to Elavon Merchant Accounts.

02/01/2017
Request to Update Existing Global Payments Account

Use this form to make updates to existing Global Payments Merchant Accounts.

02/01/2017
Wire Transfer Template

Use this form to properly credit your bank account.

05/23/2012