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Forms

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)".

Form Numbersort descending Form Name Last Updated
PDF icon AdminAdjChecklist-061615.pdf Admin Adjust Checklist Administrative Adjustments Checklist 07-2015
PDF icon FUND TRANSFER QUESTIONNAIRE 070115-S&S.pdf Fund Transfer Questionnaire Fund Transfer Questionnaire 07-2015
PDF icon gao-209.pdf GAO-209 (Static) Employee Interagency Annual Leave Contribution and Restoration 04-2015
PDF icon GAO-21-Reader.pdf GAO-21 Request for an Accounting Correction 05-2016
PDF icon GAO-28 092117 S&S.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 01-2018
PDF icon GAO-33.pdf GAO-33 Request for Revolving Fund 09-2017
File GAO-33A.xlsx GAO-33A Revolving Fund Reconciliation Form 10-2016
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-070115.pdf GAO-3C Purchasing Card and Travel Card Agency Program Administrator Authorization Form 06-2015
PDF icon 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
PDF icon GAO-3DT SS.pdf GAO-3DT Signature Authority and Responsibility for AFIS Job Roles Involving Disbursements & Transfers 10-2017
PDF icon GAO_3P_S&S.pdf GAO-3P Payroll Authorization Form 07-2015
PDF icon GAO 3Z User-Supervisor Reader.pdf GAO-3Z ProcureAZ Accounts Payable Role Authorization Form 03-2018
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 01-2008
PDF icon gao503ez_travelclaim.pdf GAO-503EZ State of Arizona Travel Claim Form 01-2008
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 01-2008
File GAO-504NA.xlsx GAO-504NA State of Arizona Claim New AFIS 05-2015
PDF icon GAO-509_090414-S&S.pdf GAO-509 State of Arizona Out of State Travel Approval Request 09-2014
PDF icon gao-509a_012008.pdf GAO-509A State of Arizona Request for Travel Advance - HRIS 01-2008
PDF icon 509s.pdf GAO-509S Out- Of- State Travel Approval Request Supplement 09-2015
PDF icon GAO-513.pdf GAO-513 Delinquently Filed Travel Claim 07-2015
PDF icon GAO-6 030416-S&S.pdf GAO-6 Warrant Replacement Request 08-2014
PDF icon GAO_60-070115-S&S.pdf GAO-60 Certification and Claim for Personal Services 06-2015
PDF icon gao-624.pdf GAO-624 (Static) Platinum Pass Application Form 10-2016
PDF icon gao-65.pdf GAO-65 Authorization for a Direct Deposit of Net Pay or Payroll Deduction 06-2012
PDF icon GAO-66 Reader.pdf GAO-66 Financial Review and Verification 04-2018
Office spreadsheet icon GAO-70_REQUEST_TO_CANCEL_PAYROLL_WARRANTS.xls GAO-70 Request to Cancel Payroll Warrants 01-2018
PDF icon GAO-701,Transparency Confidentiality Certification Form-031115-S&S.pdf GAO-701 Transparency Confidentiality Certification 05-2015
Office spreadsheet icon GAO-70A.XLS GAO-70A Overpayment Worksheet 04-2018
Office spreadsheet icon GAO-70B_REQUEST_FOR_DIRECT_DEPOSIT_REVERSAL.xls GAO-70B Request for Direct Deposit Reversal 05-2016
Office spreadsheet icon GAO-711_cash_flow-101510.xls GAO-711 Cash Flow Analysis 10-2010
Office spreadsheet icon GAO-712_general_fund-111315.xls GAO-712 General Fund Expenditures Report 11-2015
PDF icon GAO-73_071912.pdf GAO-73 Authorization to Start or Stop a Voluntary Deduction 07-2012
Office spreadsheet icon GAO-73A_REQUEST_FOR_A_ONE-TIME_DEDUCTION.xls GAO-73A Request for a One-Time Deduction 05-2016
Office spreadsheet icon GAO-73B.xls GAO-73B Request for a One-Time Unpaid Benefit Premium Adjustment 01-2018
PDF icon gao-801.pdf GAO-801 Declaration of the State Comptroller - Deductibility of Contributions to the State 02-2011
PDF icon gao-802.pdf GAO-802 Donation Acknowledgement and Receipt 01-2012
PDF icon GAO_86-061515-S&S.pdf GAO-86 Reportable Prizes and Awards 06-2015
PDF icon GAO_88.pdf GAO-88 Personal Use of State Vehicle 01-2016
PDF icon GAO-94.pdf GAO-94 State of Arizona 1099-MISC Correction Form 12-2015
Office spreadsheet icon GAO-99A_REQUEST_TO_PROCESS_MANUAL_WARRANT.xls GAO-99A Request to Process Manual Warrant 05-2016
Office spreadsheet icon GAO-ACR.XLS GAO-ACR ASRS Alternate Contribution Rate (ACR) Template 07-2017
PDF icon GAO-ACR-2_101513-S&S.pdf GAO-ACR-2 ASRS ACR Independent Contractor and Leased Staff Registration 10-2013
PDF icon GAO-APPR-071015-S&S.pdf GAO-APPR Appropriation Profile 07-2015
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.pdf GAO-CI-101 Annual Declaration and Disclosure 03-2010
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 soa_trave_custodian_agreement.pdf GAO-CTA-101 (Static) State of Arizona Central Travel Account (CTA) Custodian Agreement 02-2008
Office spreadsheet icon gao-e-101.xls GAO-E101 Payment Card Acceptance Fiscal Impact Analysis 01-2002
PDF icon GAO-FGRP-031918-S&S.pdf GAO-FGRP Fund Authorization 03-2018
PDF icon selfassesment_ic_022609.pdf GAO-IC Confirmation of Self-Assessment of Internal Controls 03-2009
PDF icon GAO PC-101-012215-S.pdf GAO-PC-101 State Of Arizona Purchasing Card (P-Card) Cardholder Agreement 01-2015
File PCI Non-IT Risk Matrix.xlsx GAO-PCI-1 PCI Non-IT Risk Matrix 12-2017
File SB1421 Basic Data File.xlsx GAO-SB1421-A1 SB1421 Basic Data File 09-2016
File _BLANK FORM - SB1421 - FY2016 - HRIS Data Extract.xlsx GAO-SB1421-A2/A3 SB1421 A2/A3 10-2016
PDF icon GAO-SL-50.pdf GAO-SL-50 RASL Application & Certification Form, GAO-SL-50 02-2016
PDF icon GAO-TC-101 Reader.pdf GAO-TC-101 State of Arizona Corporate Travel Card Cardholder Agreement 06-2016
Microsoft Office document icon GAO-TC-CN.doc GAO-TC-CN Travel Card Account Cancellation Notification Letter (Template) 02-2011
PDF icon _GAO W-100-232017(NEW_AFIS).pdf GAO-W-100 Web Portal Product Parameters 02-2017
PDF icon GAO-W-2.pdf GAO-W-2 Duplicate W-2 Request Form 11-2017
PDF icon GAO_WD_101_030218.pdf GAO-WD-101 Employee Agreement-Wireless Device 03-2018
PDF icon Nationwide RASL Deferral Notification Form DC-4466-1214.pdf RASL Nationwide Form (Static) Nationwide RASL Deferral Notification Form 03-2015
PDF icon RASL Non-University Checklist.pdf RASL Non-Univ Checklist (Static) RASL Non-University Employee Checklist 02-2016
PDF icon RASL University Checklist.pdf RASL Univ Checklist (Static) RASL University Employee Checklist 02-2016

ACH & Vendor Forms

Form Numbersort descending Form Name Last Updated
PDF icon 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
PDF icon ACH Payment Reversal Form_Reader.pdf GAO PM-ACH1 Reversal Form - Form for reversing automated payment processing 03-2018
PDF icon GAO-618 ACH Vendor Authorization 092916-S&S.pdf GAO-618 & Instructions ACH Vendor Authorization - Form to set-up Automated Payment Processing 09-2016
PDF icon 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 Numbersort descending Form Name Last Updated
File LEMO.xlsx LEMO LEMO 10-2012
File LEMO%20Steps_1.docx LEMO Steps LEMO Instructions 10-2012

Publications

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  • Technical Bulletins
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  • All Agency Memoranda
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