Forms

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Static forms need to be printed and completed manually.

Interactive forms may be opened online or downloaded to your PC and completed at a later time when offline. Interactive forms enable the user to enter information directly into the forms. Forms which require a signature or other type of manual authentication need to be printed, signed or authenticated, then transmitted to this office.

The link below directs you to the ADOA - ASET/RESOURCES/Security/ADOA Information Security Forms webpage.

Note: New AFIS end users are required to complete and submit the “ADOA AFIS MAINFRAME ACCESS REQUEST form to ADOA-Arizona Strategic Enterprise Technology (ASET).The form is located on the ASET website at https://aset.az.gov/resources/security/forms. Under “ADOA Information Security Forms”, click on "Mainframe Access Request Form (AFIS Only)".

	Form Number	Form Name	Last Updated
AdminAdjChecklist-061615.pdf	Admin Adjust Checklist	Administrative Adjustments Checklist	07-2015
FUND TRANSFER QUESTIONNAIRE 070115-S&S.pdf	Fund Transfer Questionnaire	Fund Transfer Questionnaire	07-2015
gao-209.pdf	GAO-209 (Static)	Employee Interagency Annual Leave Contribution and Restoration	04-2015
GAO-21-Reader.pdf	GAO-21	Request for an Accounting Correction	05-2016
GAO-28 092117 S&S.pdf	GAO-28	Affidavit of Forgery	09-2017
GAO-32 ETE - MANUAL TIME SHEET.xls	GAO-32	Employee Time Entry (ETE) Manual Time Sheet	01-2018
GAO-33.pdf	GAO-33	Request for Revolving Fund	09-2017
GAO-33A.xlsx	GAO-33A	Revolving Fund Reconciliation Form	10-2016
APG_V_B_4_a_GAO_36A.pdf	GAO-36A	Affidavit of Spouse for Collection of Compensation Due Decedent	12-2013
APG_V_B_4_b_GAO_36B.pdf	GAO-36B	Affidavit of Successor for Collection of Compensation Due Decedent	12-2013
APG_V_B_4_c_GAO_36C.pdf	GAO-36C	Affidavit of Personal Representative for Collection of Compensation Due Decedent	12-2013
GAO_3C-070115.pdf	GAO-3C	Purchasing Card and Travel Card Agency Program Administrator Authorization Form	06-2015
GAO-3CSB-022916-overlay.pdf	GAO-3CSB	Signature authority and responsibility for job roles involving the obligation and disbursement of State resources on behalf of its client agencies by the Central Services Bureau	03-2016
GAO-3DT SS.pdf	GAO-3DT	Signature Authority and Responsibility for AFIS Job Roles Involving Disbursements & Transfers	10-2017
GAO_3P_S&S.pdf	GAO-3P	Payroll Authorization Form	07-2015
GAO 3Z User-Supervisor Reader.pdf	GAO-3Z	ProcureAZ Accounts Payable Role Authorization Form	03-2018
gao-42.xls	GAO-42	Military Emergency Activation Differential Computation Worksheet	10-2002
gao-43.xls	GAO-43	Reconciliation of Military Emergency Activation Differential Pay Upon Discharge or Death	10-2002
gao-44.xls	GAO-44	National Disaster Medical System Differential Pay Computation Worksheet	07-2010
GAO-5 WARRANT_COPY_REQUEST-030215-s&s.pdf	GAO-5	Warrant Copy Request	07-2015
GAO 502 Reader.pdf	GAO-502	Employee Expense Reimbursement Form	04-2018
gao503aez_travel_claim_cont.pdf	GAO-503AEZ	State of Arizona Travel Claim Continuation Form - UPDATED	01-2008
gao503ez_travelclaim.pdf	GAO-503EZ	State of Arizona Travel Claim Form	01-2008
gao503ez_travel_claim_instr.pdf	GAO-503EZ Instructions	State of Arizona Travel Claim Instructions	01-2008
gao503-hris_travel_claim_cont.pdf	GAO-503HRIS	State of Arizona Travel Claim HRIS Continuation Form -Intended for Travel Entry Personnel Only	01-2008
GAO-504NA.xlsx	GAO-504NA	State of Arizona Claim New AFIS	05-2015
GAO-509_090414-S&S.pdf	GAO-509	State of Arizona Out of State Travel Approval Request	09-2014
gao-509a_012008.pdf	GAO-509A	State of Arizona Request for Travel Advance - HRIS	01-2008
509s.pdf	GAO-509S	Out- Of- State Travel Approval Request Supplement	09-2015
GAO-513.pdf	GAO-513	Delinquently Filed Travel Claim	07-2015
GAO-6 030416-S&S.pdf	GAO-6	Warrant Replacement Request	08-2014
GAO_60-070115-S&S.pdf	GAO-60	Certification and Claim for Personal Services	06-2015
gao-624.pdf	GAO-624 (Static)	Platinum Pass Application Form	10-2016
gao-65.pdf	GAO-65	Authorization for a Direct Deposit of Net Pay or Payroll Deduction	06-2012
GAO-66 Reader.pdf	GAO-66	Financial Review and Verification	04-2018
GAO-70_REQUEST_TO_CANCEL_PAYROLL_WARRANTS.xls	GAO-70	Request to Cancel Payroll Warrants	01-2018
GAO-701,Transparency Confidentiality Certification Form-031115-S&S.pdf	GAO-701	Transparency Confidentiality Certification	05-2015
GAO-70A.XLS	GAO-70A	Overpayment Worksheet	07-2018
GAO-70B_REQUEST_FOR_DIRECT_DEPOSIT_REVERSAL.xls	GAO-70B	Request for Direct Deposit Reversal	05-2016
GAO-711_cash_flow-101510.xls	GAO-711	Cash Flow Analysis	10-2010
GAO-712_general_fund-111315.xls	GAO-712	General Fund Expenditures Report	11-2015
GAO-73_071912.pdf	GAO-73	Authorization to Start or Stop a Voluntary Deduction	07-2012
GAO-73A_REQUEST_FOR_A_ONE-TIME_DEDUCTION.xls	GAO-73A	Request for a One-Time Deduction	08-2018
GAO-73B.xls	GAO-73B	Request for a One-Time Unpaid Benefit Premium Adjustment	01-2018
gao-801.pdf	GAO-801	Declaration of the State Comptroller - Deductibility of Contributions to the State	02-2011
gao-802.pdf	GAO-802	Donation Acknowledgement and Receipt	01-2012
GAO_86-061515-S&S.pdf	GAO-86	Reportable Prizes and Awards	06-2015
GAO_88.pdf	GAO-88	Personal Use of State Vehicle	01-2016
GAO-94.pdf	GAO-94	State of Arizona 1099-MISC Correction Form	12-2015
GAO-99A_REQUEST_TO_PROCESS_MANUAL_WARRANT.xls	GAO-99A	Request to Process Manual Warrant	05-2016
GAO-ACR.XLS	GAO-ACR	ASRS Alternate Contribution Rate (ACR) Template	07-2017
GAO-ACR-2_101513-S&S.pdf	GAO-ACR-2	ASRS ACR Independent Contractor and Leased Staff Registration	10-2013
GAO-APPR-071015-S&S.pdf	GAO-APPR	Appropriation Profile	07-2015
GAO_ASRS 20-20.pdf	GAO-ASRS 20-20	ASRS 20/20 Certification of Employer Intent	01-2016
GAO_CI_101.pdf	GAO-CI-101	Annual Declaration and Disclosure	03-2010
GAO-COOP-101.docx	GAO-COOP-101	Agency/Division Emergency P-Card Limit Request	10-2012
GAO-COOP-102.xlsx	GAO-COOP-102	Business Interruption Event P-Card Expenditure Form	10-2012
GAO-COOP-103.xlsx	GAO-COOP-103	Business Interruption Event Employee Time Report Form	10-2012
CTA 101_1.pdf	GAO-CTA-101	State of Arizona Central Travel Account (CTA) Custodian Application and Agreement	08-2018
gao-e-101.xls	GAO-E101	Payment Card Acceptance Fiscal Impact Analysis	01-2002
ETC 101_1.pdf	GAO-ETC-101	State of Arizona Employee Travel Card (ETC) Application and Agreement	08-2018
GAO-FGRP-031918-S&S.pdf	GAO-FGRP	Fund Authorization	03-2018
selfassesment_ic_022609.pdf	GAO-IC	Confirmation of Self-Assessment of Internal Controls	03-2009
PC 101_1.pdf	GAO-PC-101	State Of Arizona Purchasing Card (P-Card) Cardholder Application and Agreement	08-2018
PCI Non-IT Risk Matrix.xlsx	GAO-PCI-1	PCI Non-IT Risk Matrix	12-2017
SB1421 Basic Data File.xlsx	GAO-SB1421-A1	SB1421 Basic Data File	09-2016
_BLANK FORM - SB1421 - FY2016 - HRIS Data Extract.xlsx	GAO-SB1421-A2/A3	SB1421 A2/A3	10-2016
GAO-SL-50.pdf	GAO-SL-50	RASL Application & Certification Form, GAO-SL-50	02-2016
GAO-TC-CN.doc	GAO-TC-CN	Travel Card Account Cancellation Notification Letter (Template)	02-2011
_GAO W-100-232017(NEW_AFIS).pdf	GAO-W-100	Web Portal Product Parameters	02-2017
GAO-W-2.pdf	GAO-W-2	Duplicate W-2 Request Form	11-2017
GAO_WD_101_030218.pdf	GAO-WD-101	Employee Agreement-Wireless Device	03-2018
Nationwide RASL Deferral Notification Form DC-4466-1214.pdf	RASL Nationwide Form (Static)	Nationwide RASL Deferral Notification Form	03-2015
RASL Non-University Checklist.pdf	RASL Non-Univ Checklist (Static)	RASL Non-University Employee Checklist	02-2016
RASL University Checklist.pdf	RASL Univ Checklist (Static)	RASL University Employee Checklist	02-2016

ACH & Vendor Forms

	Form Number	Form Name	Last Updated
ACH Vendor Information Packet 030215.pdf	ACH Vendor Information Packet	Information for Vendors that want to sign up for the Automated Payment Process	07-2015
ACH Payment Reversal Form_Reader.pdf	GAO PM-ACH1	Reversal Form - Form for reversing automated payment processing	03-2018
GAO-618 ACH Vendor Authorization 092916-S&S.pdf	GAO-618 & Instructions	ACH Vendor Authorization - Form to set-up Automated Payment Processing	09-2016
GAO-W-9_072815-S&S&A.pdf	GAO-W-9 & Instructions	GAO-W-9 Form ( Vendor Authorization Form)	07-2015

DEMA LEMO Forms

	Form Number	Form Name	Last Updated
LEMO.xlsx	LEMO	LEMO	10-2012
LEMO%20Steps_1.docx	LEMO Steps	LEMO Instructions	10-2012

Forms

ACH & Vendor Forms

DEMA LEMO Forms

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