Downtown Phoenix with art installation of arches in the common area.
Forms
Form Number Document Name Last Updated

GAO-209 (Static)

Employee Interagency Annual Leave Contribution and Restoration 03-01-2015

GAO-21

Request for an Accounting Correction 09-29-2022

GAO-28

Affidavit of Forgery 09-01-2017

GAO-32

Employee Time Entry (ETE) Manual Time Sheet 02-21-2024

GAO-33

Request for Revolving Fund 09-29-2023

GAO-33A

Revolving Fund Reconciliation Form 09-29-2023

GAO-36A

Affidavit of Spouse for Collection of Compensation Due Decedent 11-18-2013

GAO-36B

Affidavit of Successor for Collection of Compensation Due Decedent 11-18-2013

GAO-36C

Affidavit of Personal Representative for Collection of Compensation Due Decedent 11-18-2013

GAO-3C

Purchasing Card and Travel Card Agency Program Administrator Authorization Form 09-30-2022

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 09-29-2022

GAO-3DT

Signature Authority and Responsibility for Job Roles Involving Disbursements & Transfers 09-29-2022

GAO-3P

Payroll Authorization Form 04-05-2021

GAO-42

Military Emergency Activation Differential Computation Worksheet 12-05-2022

GAO-43

Reconciliation of Military Emergency Activation Differential Pay Upon Discharge or Death 12-05-2022

GAO-44

National Disaster Medical System Differential Pay Computation Worksheet 12-05-2022

GAO-5

Warrant Copy Request 09-29-2022

GAO-502

Employee Expense Reimbursement Form 08-01-2017

GAO-503AEZ

State of Arizona Travel Claim Continuation Form - UPDATED 01-08-2024

GAO-503EZ

State of Arizona Travel Claim Form 01-08-2024

GAO-503EZ Instructions

State of Arizona Travel Claim Instructions 01-01-2008

GAO-503HRIS

State of Arizona Travel Claim HRIS Continuation Form -Intended for Travel Entry Personnel Only 04-01-2021

GAO-504

State of Arizona Payment Request 06-01-2019

GAO-509

State of Arizona Out of State Travel Approval Request 09-29-2022

GAO-509A

State of Arizona Request for Travel Advance - HRIS 01-01-2008

GAO-509S

Out-Of-State Travel Approval Request Supplement 04-01-2021

GAO-513

Delinquently Filed Travel Claim 04-01-2021

GAO-515

Request for Travel Policy Exception Requiring the Approval of the State Comptroller or Designee 01-11-2023

GAO-520

State of Arizona Privately Owned Vehicle (POV) Authorization 02-06-2020

GAO-6

Warrant Replacement Request 12-08-2022

GAO-618

ACH Authorization Form 09-07-2022

GAO-624 (Static)

Platinum Pass Application Form 08-01-2020

GAO-65

Authorization for a Direct Deposit of Net Pay or Payroll Deduction 11-01-2021

GAO-66

Financial Review and Verification 09-29-2022

GAO-70

Request to Cancel Payroll Warrants 05-01-2016

GAO-701

Transparency Confidentiality Certification 11-29-2022

GAO-70A

Overpayment Worksheet 01-05-2024

GAO-70B

Request for Direct Deposit Reversal 05-01-2016

GAO-73

Authorization to Start or Stop a Voluntary Deduction 05-01-2021

GAO-73A

Request for a One-Time Deduction 10-04-2023

GAO-73B

Request for a One-Time Unpaid Benefit Premium Adjustment 01-10-2024

GAO-75

Request to Work Outside of Arizona 12-01-2021

GAO-801

Declaration of the State Comptroller - Deductibility of Contributions to the State 01-09-2023

GAO-802

Donation Acknowledgement and Receipt 09-27-2023

GAO-86

Reportable Prizes and Awards 04-21-2021

GAO-88

Personal Use of State Vehicle 11-03-2022

GAO-94MISC

State of Arizona 1099-MISC Correction Form 09-29-2022

GAO-94NEC

State of Arizona 1099-NEC Correction Form 09-29-2022

GAO-99A

Request to Process Manual Warrant 04-01-2020

GAO-AAC

Administrative Adjustments Checklist 09-29-2023

GAO-AAR

Administrative Adjustment Request 09-29-2022

GAO-ACR

ASRS Alternate Contribution Rate (ACR) Template 07-07-2023

GAO-ACR-2

ASRS ACR Independent Contractor and Leased Staff Registration 05-01-2021

GAO-ACR-PSPRS

Alternate Contribution Rate (ACR) Reporting for Contracted and Leased Retirees 11-01-2018

GAO-APPR

Appropriation Profile 09-29-2023

GAO-ASRS 20-20

ASRS 20/20 Certification of Employer Intent 05-01-2021

GAO-CI-101-A

Annual Declaration and Disclosure Form A (START HERE) 06-01-2021

GAO-CI-101-B1

Annual Declaration and Disclosure Form B1 06-01-2021

GAO-CI-101-B2

Annual Declaration and Disclosure Form B2 06-01-2021

GAO-CI-101-B3

Annual Declaration and Disclosure Form B3 06-01-2021

GAO-CI-101-B4

Annual Declaration and Disclosure Form B4 06-01-2021

GAO-COOP-101

Agency/Division Emergency P-Card Limit Request 09-29-2022

GAO-COOP-102

Business Interruption Event P-Card Expenditure Form 09-12-2012

GAO-COOP-103

Business Interruption Event Employee Time Report Form 09-12-2012

GAO-CTA-101

State of Arizona Central Travel Account (CTA) Custodian Application and Agreement 09-29-2022

GAO-E101

Payment Card Acceptance Fiscal Impact Analysis 01-01-2002

GAO-ETC-101

State of Arizona Employee Travel Card (ETC) Application and Agreement 09-29-2022

GAO-FGRP

Fund Authorization 09-29-2023

GAO-PC-101

State of Arizona Purchasing Card (P-Card) Cardholder Application and Agreement 09-29-2022

GAO-PCI-1

PCI Non-IT Risk Matrix 12-01-2017

GAO-PM-ACH1

ACH Reversal Form 09-29-2022
GAO-SBP ADOA Supplemental Benefit Plan Calculator 11-19-2013
GAO-SL-50 RASL Application & Certification Form, GAO-SL-50 09-01-2020

GAO-TC-CN

Travel Card Account Cancellation Notification Letter (Template) 02-01-2011

GAO-W-100

Web Portal Product Parameters 09-29-2022

GAO-W-2

Duplicate W-2 Request Form 09-29-2022

GAO-W-9

State of Arizona Substitute W-9 10-01-2019

GAO-WD-101

Employee Agreement-Wireless Device 03-01-2018

RASL Nationwide Form (Static)

Nationwide RASL Deferral Notification Form 04-01-2020

RASL Non-Univ Checklist (Static)

RASL Non-University Employee Checklist 08-01-2020

RASL Univ Checklist (Static)

RASL University Employee Checklist 04-06-2020

Key Form Points

  • Adobe Reader is required to use the forms listed on this page.
  • Static forms need to be printed and completed manually.
  • Interactive forms may be opened online or downloaded to the PC. Interactive forms enable the user to enter information directly into the forms.
  • Do not download and reuse a form; it is best practice to revisit the Forms page whenever a form is needed to avoid use of outdated versions.

Department of Emergency and Military Affairs (DEMA): Labor, Equipment, Materials, and Others (LEMO) Forms

DEMA's LEMO Forms are to be used to record P-Card expenditures relating directly to the management of or the recovery from the interruption event that may be recovered from FEMA. For additional information on DEMA LEMO, refer to SAAM Topic 90, Section 05.

Form Number Document Name Last Updated

LEMO

LEMO 12-07-2011

LEMO Steps

LEMO Instructions 10-12-2022