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Vice Chancellor for Administration and Finance Home AP 1 State Telephone System and Cellular Telephone Sets AP 2 Telecommunications Equipment (Voice) AP 3 Smoking AP 4 Safety and Health AP 5 Risk Management Policy AP 6 Parking Regulations AP 7 Sign Posting Policy AP 8 Chargeback of Physical Plant Services AP 10 Building Keys AP 11 Fleet Vehicles AP 12 Records Hold Policy AP 13 Dispensing of Hearing Aids AP 14 Policy on Business Activities AP 15 Dangerous Weapons on Campus AP 16 Collection of Indirect (Overhead) Costs AP 17 Distribution of Indirect (Overhead) Costs AP 18 Seat Belt Use AP 19 Use of University Facilities AP 20 Athletic Camps and Clinics AP 21 University-Foundation Relationships AP 22 Employee Accident/Injury Procedures AP 23 Naming of Rooms and Buildings on Campus AP 24 Postal Policy AP 25 Requirement for a Mandatory Residential Dining Plan AP 26 Requirement for Mandatory Housing AP 27 Records Management Program AP 29 Bad Check Policy AP 30 In-Line Skates and Skateboarding AP 31 Computer Software Use AP 32 Inclement Weather Practice AP 33 International Student Tuition Remission Policy AP 36 Information Security AP 37 Conflict of Interest/Financial Disclosure Policy AP 38 Health Insurance Requirement for International Students AP 39 Reuse Policy for Replaced Computers AP 40 Alcohol Beverages on Campus AP 41 Computer Replacement Policy AP 42 Outreach Residual Funds AP 43 Summer Session and J-Term AP 44 Use of Copyrighted Material AP 45 Shared Radio Spectrum Management and Coordination AP 46 Emeriti Status for Unclassified Staff (Faculty/Academic Staff) AP 47 Honored Retiree Status for Classified Employees AP 48 Application for Immigrant Visas AP 49 Determination of Outreach Course AP 50 Cellular Telephone Policy AP 52 Access, Use, and Retention of Social Security Numbers AP 53 Full-time Status with a Reduced Course Load AP 54 Advertising, Sponsorship, and Promotion of Alcohol and/or Tobacco Products on Campus
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University of Wisconsin-River Falls Administrative Policy Paper
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I have no significant financial interests to report.
I and/or my immediate family receive or expect to receive payments totaling $5,000 or more per year from a single for-profit business enterprise that would reasonably appear to be directly and significantly affected by my research or educational activities which are funded or may be funded by federal agencies. |
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| Name of entity Making Payments | Type of Payment (Salary, Dividend, Royalty, etc.) | Amount of Payment | |
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________________ ________________ |
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________________ ________________ |
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________________ ________________ |
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I and/or my immediate family have ownership interests of 5% or greater in a single for-profit business enterprise that would reasonably appear to be directly and significantly affected by my research or educational activities which are funded or may be funded by federal agencies.
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| Name of entity Making Payments | Type of Payment (Salary, Dividend, Royalty, etc.) | % of Interest | |
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________________ ________________ |
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________________ ________________ |
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I hereby certify that, to the best of my knowledge, the above information is correct.
Signature: _______________________________________
Date: ________________
Types of interest that are reportable unless exempt under Section III:
Anything of monetary value that you and/or your immediate family received from for-profit businesses, including but not limited to:
Types of interest that are not reportable:
Formula to determine whether a financial interest is reportable:
| Step 1. | Do you and/or your immediate family have a financial interest from or in a for-profit business that is reasonably likely to be directly and significantly affected by the research or educational activities for which you have received or expect within the year to seek and receive funding? If not, then the interest is not reportable. If yes, go to step 2. |
| Step 2. |
Do you and/or your immediate family together receive from such a business $5,000 or more per year, or is the ownership interest you and your family have together in such a business 5% or more of the total ownership interest? If no, then the interest is not reportable. If yes, you must report the interest(s) on the other side of this form.
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University of Wisconsin - River Falls |