MSU-Northern  
 
Forms Information
For details on filling out or filing forms listed on this page, you should visit the associated departmental website.

Documents linked on this page are in Microsoft Word, Microsoft Excel or PDF format. PDF forms are read with Adobe's free Reader software:
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Forms

Admissions Forms (Website)

Apply Online (external website)
Application (PDF)
Western Undergraduate Exchange (WUE) Application (PDF)
Readmission Application (PDF)

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Alumni Scholarship Forms (Website)

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Assistant Dean of Students Forms (Website)

Student Excellence Award Nomination Form (Word)

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Business Services Forms (Website)

Application for Installment/ Deferred Fee Payment/Student Health Insurance Waiver (PDF)

Request for Faculty/Staff Tuition Waiver (PDF)
Dependent Partial Tuition Waiver Application (PDF)

Travel Request & Justification Instructions (PDF)
Rental Car Calculation Worksheet (Excel)
Travel Request & Justification (Excel)
Travel Expense Instructions (PDF)
Team Travel Request-Athletics (Excel)
Team Travel Request-Clubs (Excel)
Team/Club Advance Reconciliation Form (Excel)
Accident Form (PDF)
Dislocation Allowance Claim Form for faculty (PDF)
See the Business Services Travel page for more information about traveling

Leave Request (Word)

Request to Purchase Instructions (PDF)
Request to Purchase (Excel)

Banner Payment Authorization Instructions (PDF)
Banner Payment Authorization (Excel)

Purchase Card Allocation (Excel)
Purchase Card Manual (PDF)
Purchase Card Quick Reference (PDF)
Missing Receipt Statement (Excel)

Parking Appeal Form (Word)

New Index/Fund Form (Excel)

Copy Card Funds Request Form (Word)

MSU-Northern Mobile Communications Devices Policy
Cell Phone Allowance (PDF)

Proof of Business (Excel)

USPS Bulk Mail

Request for Alcoholic Beverage Service (Word)

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Financial Aid Forms (Website)

Scholarships (Website)
Parent PLUS loan Application (PDF)
Supplemental Loan Application (PDF)
Appeal Form (PDF)
Consortium Agreement (PDF)
Request For Child Care (PDF)
MT Indian Fee Waiver Application (PDF)
Senior Citizen Fee Waiver Application (PDF)
Veteran's Fee Waiver Application (PDF)
Authorization to Release Financial Information (PDF)
MORE Forms (Website)

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Human Resources Forms (Website)

Sick Leave Donation (PDF)
Adult Dependent Form (PDF)
Flex Plan Forms:
  Debit Card Form
  Medical Expense Claim Form(external link)
  Dependent Care Form(external link)
  Direct Deposit Authorization(external link)
  Change in Status(external link)
  Insurance Premium Expense(external link)
  Claims Rollver (Blue Cross only)
Cafeteria Plan Forms (external link)
Dental Claim Form (external link)
EyeMed Out of Network Claim Form (PDF)
Additional Choices forms (external link)
Alternate ID Request Form
FMLA (Family Medical Leave) Facts (PDF)
FMLA Request Form (PDF)
MSU-Northern Employment Application (PDF, Word)
Background Check Authorization Form
EEO Form (PDF, Word)
Role Description (Word)
Employee Evaluation Cover Sheet (PDF)
Employee Performance Evaluation (Word)
Classified Employee Self Evaluation Form [Optional] (Word)
Professional/Administrative Employee Self Evaluation Form (Word)

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Registrar Forms (Website)

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Residence Life Forms (Website)

Family Housing Application (PDF)
Residence Hall Application (PDF)
Residence Hall Contract (PDF)
Housing Exemption Form (PDF)

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Workers Compensation Forms (Website)

First Report of Injury and Occupational Disease (Word)
Incident Report (Word)
Supervisor’s Accident Investigation Report (Word)
Occupational Accident or Illness Lost Time Report (Word)
The Report of Unsafe or Unhealthful Working Condition or a Near Miss Incident (Word)
Subsequent Injury Fund (Word)
Subsequent Injury Fund Questionnaire (Word)

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Montana State University-Northern · P.O. Box 7751 · Havre, MT 59501 · 800.662.6132
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Since 1929