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Accounting AC 22‑S – Journal Voucher (Excel ) AC 909‑S – Report of Moneys Received (Excel ) AC 1286‑S – Refund of Appropriation (Excel ) AC 3286‑P – Federal Grant Pre-Award Information for SFS (Fillable PDF ) AC 3312‑S – AR Deposit Form (Excel ) AC 3329‑S – Cash Advance Account Confirmation & Reconciliation Form (Fillable PDF ) Contracts AC 340-SContract Encumbrance Request (SFS) (Excel ) (Fillable PDF ) Original AC 340 with revisions highlighted and fields defined (PDF ) AC 1782‑S – Bureau of Contracts Authorized Signature Form (Fillable PDF ) AC 3268‑S – Simplified Renewal Agreement (Word ) AC 3269‑S – State of New York Multi-Year Agreement (Word ) AC 3270‑S – Competitive Grants Procurement Record Checklist (Word ) AC 3271‑S – New York State Consultant Services Contractor's Planned Employment (Word ) AC 3272‑S – New York State Consultant Services Contractor's Annual Employment Report (Word ) (PDF ) AC 3273‑S – Vendor Responsibility Profile (Word ) (PDF ) AC 3276‑SNovation Agreement Template (All Parties) (Word ) Novation Agreement Template (No Transferor) (Word) AC 3277‑S – Contract Certification Form for Quick Contract Processing (Fillable PDF ) AC 3278‑S – Quick Contract Boilerplate Agreement (Word ) AC 3279‑S – Checklist for Legislative Initiative (Word ) AC 3280‑S – Request for Exception to OSC Encumbrance Policy For Programs with Multiple Grant Awards (Word ) (PDF ) AC 3281‑S – Governmental Entity Representation Concerning Compliance with State Finance Law §§139-j and 139-k (Fillable) (PDF ) AC 3347 – Electronic Documents Submission System Hosting Access form (Fillable) (PDF) AC 3357 – Online Services Bureau of Contracts Applications Account Maintenance (Fillable PDF ) AC 3358 – Online Services Government Account Authorization (Fillable PDF) Payroll AC 230 – Report of Check Returned for Refund or Exchange (Fillable PDF) AC 873 – Extra Service Payroll Voucher (Fillable PDF ) AC 934‑P – Next of Kin Affidavit for Bureau of State Payroll Services (Fillable PDF ) AC 1394 – Application & Account for Partial Payment of Salary (Print Only ) AC 1476‑P Report of Check Exchange (Fillable PDF ) AC 1588 – Dual Employment/Extra Service Approval Form (Fillable PDF ) AC-1767 – Suspense Waiver Request Form (Fillable PDF ) AC-1781 – Suspense Refund Request Form (Fillable PDF ) AC 2674 W-2 – Correction Worksheet (Fillable PDF ) AC 2714 – Undeliverable Payroll Check Report (Fillable PDF ) AC 2772 – Direct Deposit Form (Fillable PDF ) AC 2822 – Bureau of State Payroll Services Payroll Transaction Authorization Form (Fillable PDF ) AC 3173 – Agency Report of Taxable Value of Personal Use of an Employer-Provided Vehicle (Fillable PDF ) AC 3197 – Request for Direct Deposit Stop/Reversal (Fillable PDF ) AC 3202 – Payroll Certification Form (Fillable PDF ) AC 3206 – Prior Year Social Security and Medicare Tax Refund Certification (Fillable PDF for NYS ) (Fillable PDF for CUNY ) AC 3216 – Personal Privacy Protection Law Release Form (PDF ) AC 3217 – Extra Service Position Data Request Form (Fillable PDF) AC 3218 – NYS Position Data Request Form (Fillable PDF ) AC 3219 – Position Data Request Form (Fillable PDF) AC 3300‑S – Certification for Payment of Pre-Adjudicatory Settlement Agreements (Fillable PDF ) AC 3340 – Application by Payee or Agency Representative for Issuance of Replacement Check (Fillable PDF ) Purchasing and Payments AC 92 – Standard Voucher (PDF ) (Word template) AC 130‑S – Purchase Order (Stand-alone) (PDF) Original AC 130 with revisions highlighted and fields defined (PDF ) Terms and Conditions (PDF ) AC 852‑S – Business Unit Voucher Authorizer Designation (Fillable PDF ) AC 902‑S – Purchase Order Change Notice (SFS) (Fillable PDF) Original AC 902 with revisions highlighted and fields defined (PDF ) AC 946 – Tax Exempt Certificate (Fillable PDF ) AC 1171 – State Aid Voucher (PDF ) AC 1366‑S – Land Claims Payment Voucher (SFS) (Fillable PDF) Fields numbered and defined (PDF ) AC 2397 – Voucher Charge Continuation with Tail (Fillable PDF ) AC 3253‑S – Claim for Payment (Fillable PDF ) (with auto-calculate)Instructions for Users (PDF ) Fields numbered and defined (PDF ) AC 3254‑S – PeopleSoft Charge Continuation (Fillable PDF )Instructions for Users (PDF ) Fields numbered and defined (PDF ) TD- 346 – Request for Stop Payment, Replacement Check, Photocopy of Check or Forgery Affidavit (Fillable PDF ) Travel AC 132‑A – Travel Voucher (Form AC 132-A is now obsolete and has been replaced by form AC 132-S) AC 132‑S – Employee Report of Travel Expenses and Claim for Payment (Fillable PDF ) (Fillable Word )Fields numbered and defined (PDF ) AC 160‑S – Statement of Automobile Travel (Fillable PDF ) (Fillable Word )Fields numbered and defined (PDF ) AC 1099‑S – Request/Agreement for Moving Expense Reimbursement (Fillable PDF )Fields numbered and defined (PDF ) AC 3256‑S – Statement of State Corporate Travel Card Charges (Fillable PDF ) (Fillable Word )Fields numbered and defined (PDF ) AC 3257‑S – Claim for Travel Reimbursement by a Non-Employee (Fillable PDF ) (Fillable Word )Fields numbered and defined (PDF ) AC 3258‑S – Statement of Meals Claimed (Fillable PDF ) (Fillable Word )Fields numbered and defined (PDF ) AC 3259‑S – Statement of Incidental and Transportation Expenses (previously on AC 148) (Fillable PDF ) (Fillable Word )Fields numbered and defined (PDF ) Vendors Other AC 934 – Next of Kin Affidavit (Fillable PDF ) AC 1551 – Affidavit to Support Claim of Forged Endorsement (Fillable PDF ) AC 3300‑S – Certification for Payment of Pre-Adjudicatory Settlement Agreements (Fillable PDF ) AC 3337 – Request for Check Copy or Forgery Claim for the Comptroller's Refund Account (P and W Checks) (Fillable PDF )
