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Forms

Form Number Form Name Last Updated
PDF icon gao-209.pdf GAO-209 (Static) Employee Interagency Annual Leave Contribution and Restoration 04-2015
PDF icon GAO-21.pdf GAO-21 Request for an Accounting Correction 04-2022
PDF icon GAO-28.pdf GAO-28 Affidavit of Forgery 09-2017
Office spreadsheet icon GAO-32 ETE - MANUAL TIME SHEET.xls GAO-32 Employee Time Entry (ETE) Manual Time Sheet 07-2020
PDF icon GAO-33.pdf GAO-33 Request for Revolving Fund 03-2022
PDF icon GAO-33A.pdf GAO-33A Revolving Fund Reconciliation Form 03-2022
PDF icon APG_V_B_4_a_GAO_36A.pdf GAO-36A Affidavit of Spouse for Collection of Compensation Due Decedent 12-2013
PDF icon APG_V_B_4_b_GAO_36B.pdf GAO-36B Affidavit of Successor for Collection of Compensation Due Decedent 12-2013
PDF icon APG_V_B_4_c_GAO_36C.pdf GAO-36C Affidavit of Personal Representative for Collection of Compensation Due Decedent 12-2013
PDF icon GAO-3C.pdf GAO-3C Purchasing Card and Travel Card Agency Program Administrator Authorization Form 03-2022
PDF icon GAO-3CSB.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 05-2022
PDF icon GAO-3DT.pdf GAO-3DT Signature Authority and Responsibility for Job Roles Involving Disbursements & Transfers 04-2022
PDF icon GAO-3P.pdf GAO-3P Payroll Authorization Form 04-2021
Office spreadsheet icon gao-42.xls GAO-42 Military Emergency Activation Differential Computation Worksheet 10-2002
Office spreadsheet icon gao-43.xls GAO-43 Reconciliation of Military Emergency Activation Differential Pay Upon Discharge or Death 10-2002
Office spreadsheet icon gao-44.xls GAO-44 National Disaster Medical System Differential Pay Computation Worksheet 07-2010
PDF icon GAO-5 WARRANT_COPY_REQUEST-030215-s&s.pdf GAO-5 Warrant Copy Request 07-2015
PDF icon GAO 502 Reader.pdf GAO-502 Employee Expense Reimbursement Form 04-2018
PDF icon gao503aez_travel_claim_cont.pdf GAO-503AEZ State of Arizona Travel Claim Continuation Form - UPDATED 05-2021
PDF icon gao503ez_travelclaim.pdf GAO-503EZ State of Arizona Travel Claim Form 05-2021
PDF icon gao503ez_travel_claim_instr.pdf GAO-503EZ Instructions State of Arizona Travel Claim Instructions 01-2008
PDF icon gao503-hris_travel_claim_cont.pdf GAO-503HRIS State of Arizona Travel Claim HRIS Continuation Form -Intended for Travel Entry Personnel Only 05-2021
File GAO-504 - Payment Request Form.xlsx GAO-504 State of Arizona Payment Request 06-2019
PDF icon GAO-509.pdf GAO-509 State of Arizona Out of State Travel Approval Request 04-2022
PDF icon gao-509a_012008.pdf GAO-509A State of Arizona Request for Travel Advance - HRIS 01-2008
PDF icon GAO-509S.pdf GAO-509S Out- Of- State Travel Approval Request Supplement 04-2021
PDF icon GAO-513.pdf GAO-513 Delinquently Filed Travel Claim 04-2021
PDF icon GAO-515 -08-15-19.pdf GAO-515 Request for Travel Policy Exception Requiring the Approval of the State Comptroller or Designee 08-2019
PDF icon GAO-520_20200302.pdf GAO-520 State of Arizona Privately Owned Vehicle (POV) Authorization 03-2020
PDF icon GAO-6.pdf GAO-6 Warrant Replacement Request 04-2022
PDF icon GAO-618 ACH Authorization Form 101019.pdf GAO-618 ACH Authorization Form 07-2020
PDF icon gao-624.pdf GAO-624 (Static) Platinum Pass Application Form 11-2020
PDF icon GAO-65.pdf GAO-65 Authorization for a Direct Deposit of Net Pay or Payroll Deduction 11-2021
PDF icon GAO-66.pdf GAO-66 Financial Review and Verification 03-2022
Office spreadsheet icon GAO-70_REQUEST_TO_CANCEL_PAYROLL_WARRANTS.xls GAO-70 Request to Cancel Payroll Warrants 01-2018
PDF icon GAO-701.pdf GAO-701 Transparency Confidentiality Certification 01-2022
File GAO-70A.xlsx GAO-70A Overpayment Worksheet 02-2022
Office spreadsheet icon GAO-70B_REQUEST_FOR_DIRECT_DEPOSIT_REVERSAL.xls GAO-70B Request for Direct Deposit Reversal 05-2016
PDF icon GAO-73.pdf GAO-73 Authorization to Start or Stop a Voluntary Deduction 05-2021
Office spreadsheet icon GAO-73A_REQUEST_FOR_A_ONE-TIME_DEDUCTION.xls GAO-73A Request for a One-Time Deduction 04-2020
File GAO-73B - Request For A One-Time Unpaid Benefit Premium Adjustment 2021_01_08.xlsm GAO-73B Request for a One-Time Unpaid Benefit Premium Adjustment 01-2022
PDF icon GAO-75_Final.pdf GAO-75 Request to Work Outside of Arizona 12-2021
PDF icon GAO-801.pdf GAO-801 Declaration of the State Comptroller - Deductibility of Contributions to the State 09-2020
PDF icon GAO-802.pdf GAO-802 Donation Acknowledgement and Receipt 03-2022
PDF icon GAO_86.pdf GAO-86 Reportable Prizes and Awards 05-2021
PDF icon GAO_88.pdf GAO-88 Personal Use of State Vehicle 05-2021
PDF icon GAO-94MISC.pdf GAO-94MISC State of Arizona 1099-MISC Correction Form 01-2021
PDF icon GAO-94NEC.pdf GAO-94NEC State of Arizona 1099-NEC Correction Form 01-2021
Office spreadsheet icon GAO-99A_REQUEST_TO_PROCESS_MANUAL_WARRANT (042020).xls GAO-99A Request to Process Manual Warrant 04-2020
PDF icon GAO-AAC.pdf GAO-AAP Administrative Adjustments Checklist 03-2022
PDF icon GAO-AAR.pdf GAO-AAR Administrative Adjustment Request 03-2022
File GAO-ACR.xlsx GAO-ACR ASRS Alternate Contribution Rate (ACR) Template 06-2021
PDF icon GAO-ACR-2.pdf GAO-ACR-2 ASRS ACR Independent Contractor and Leased Staff Registration 05-2021
File GAO_ACR_PSPRS.xlsx GAO-ACR-PSPRS Alternate Contribution Rate (ACR) Reporting for Contracted and Leased Retirees 11-2018
PDF icon GAO-APPR.pdf GAO-APPR Appropriation Profile 03-2022
PDF icon GAO_ASRS 20-20.pdf GAO-ASRS 20-20 ASRS 20/20 Certification of Employer Intent 01-2016
PDF icon GAO_CI_101_FORM_A.pdf GAO-CI-101-A Annual Declaration and Disclosure Form A (START HERE) 06-2021
PDF icon GAO_CI_101_FORM_B1.pdf GAO-CI-101-B1 Annual Declaration and Disclosure Form B1 06-2021
PDF icon GAO_CI_101_FORM_B2.pdf GAO-CI-101-B2 Annual Declaration and Disclosure Form B2 06-2021
PDF icon GAO_CI_101_FORM_B3.pdf GAO-CI-101-B3 Annual Declaration and Disclosure Form B3 06-2021
PDF icon GAO_CI_101_FORM_B4.pdf GAO-CI-101-B4 Annual Declaration and Disclosure Form B4 06-2021
File GAO-COOP-101.docx GAO-COOP-101 Agency/Division Emergency P-Card Limit Request 10-2012
File GAO-COOP-102.xlsx GAO-COOP-102 Business Interruption Event P-Card Expenditure Form 10-2012
File GAO-COOP-103.xlsx GAO-COOP-103 Business Interruption Event Employee Time Report Form 10-2012
PDF icon GAO-CTA-101.pdf GAO-CTA-101 State of Arizona Central Travel Account (CTA) Custodian Application and Agreement 05-2022
Office spreadsheet icon gao-e-101.xls GAO-E101 Payment Card Acceptance Fiscal Impact Analysis 01-2002
PDF icon GAO-ETC-101.pdf GAO-ETC-101 State of Arizona Employee Travel Card (ETC) Application and Agreement 04-2021
PDF icon GAO-FGRP.pdf GAO-FGRP Fund Authorization 03-2022
PDF icon GAO-PC-101.pdf GAO-PC-101 State Of Arizona Purchasing Card (P-Card) Cardholder Application and Agreement 04-2021
File PCI Non-IT Risk Matrix.xlsx GAO-PCI-1 PCI Non-IT Risk Matrix 12-2017
PDF icon ACH Payment Reversal Form_Reader.pdf GAO-PM-ACH1 ACH Reversal Form 03-2018
PDF icon GAO-SL-50 RASL Application & Certification Form.pdf GAO-SL-50 RASL Application & Certification Form, GAO-SL-50 09-2020
Microsoft Office document icon GAO-TC-CN.doc GAO-TC-CN Travel Card Account Cancellation Notification Letter (Template) 02-2011
File GAO-W-100.xlsx GAO-W-100 Web Portal Product Parameters 12-2021
PDF icon GAO-W-2.pdf GAO-W-2 Duplicate W-2 Request Form 05-2021
PDF icon GAO-W-9 State of Arizona Substitute W-9.pdf GAO-W-9 State of Arizona Substitute W-9 10-2019
PDF icon GAO_WD_101_030218.pdf GAO-WD-101 Employee Agreement-Wireless Device 03-2018
PDF icon Arizona RASL Notification Form - Nationwide.pdf RASL Nationwide Form (Static) Nationwide RASL Deferral Notification Form 04-2020
PDF icon RASL Non-University Checklist 0820.pdf RASL Non-Univ Checklist (Static) RASL Non-University Employee Checklist 08-2020
PDF icon RASL University Checklist.pdf RASL Univ Checklist (Static) RASL University Employee Checklist 04-2020

DEMA LEMO Forms

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

Please Note:  The use of these forms requires the user to have installed Adobe Reader, version 8.0 or later.  It is recommended that the user obtain (or upgrade to) the latest available Reader version offered by Adobe Systems, Inc., the creator.  To download Adobe Reader directly from the Internet, simply click on the link below.

Click here to download the free Adobe Reader if needed.

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)".

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