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Office of the New York State Comptroller

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Forms

(Click on "Form #" or "Form Name and Resources" to sort.)

Form # Form Name and Resources Format
AC 22-S Journal Voucher Excel
AC 92 Standard Voucher PDF
Word template
AC 130-S Purchase Order (Stand-alone)
Original AC 130 with revisions highlighted and fields defined (PDF) Terms and Conditions (PDF)
Fillable PDF
AC 132a Travel Voucher PDF
AC 132-S Employee Report of Travel Expenses and Claim for Payment 
Fields numbered and defined (PDF)
Fillable PDF
Fillable Word

 

AC 160-S Statement of Automobile Travel 
Fields numbered and defined (PDF)
Fillable PDF
Fillable Word
AC 340-S Contract Encumbrance Request (SFS)
Original AC 340 with revisions highlighted and fields defined (PDF)
Excel
Fillable PDF
AC 852-S Business Unit Voucher Authorizer Designation Fillable PDF
AC 902-S Purchase Order Change Notice (SFS)
Original AC 902 with revisions highlighted and fields defined (PDF)

Fillable PDF

AC 909-S Report of Moneys Received Excel
AC 934 Next of Kin Affidavit PDF
AC 934-P Next of Kin Affidavit for Bureau of State Payroll Services PDF
AC 946 Tax Exempt Certificate Fillable PDF
AC 1099-S Request/Agreement for Moving Expense Reimbursement
Fields numbered and defined (PDF)
Fillable PDF
AC 1171 State Aid Voucher PDF
AC 1286-S Refund of Appropriation Excel
AC 1366-S Land Claims Payment Voucher (SFS)
Fields numbered and defined (PDF)
Fillable PDF
AC 1551 Affidavit to Support Claim of Forged Endorsement PDF
AC 1782-S Bureau of Contracts Authorized Signature Form Fillable PDF
AC 2772 Direct Deposit Form Fillable PDF
AC 3237-S New York State Substitute Form W-9 Fillable PDF
AC 3253-S Claim for Payment
Instructions for Users (PDF)
Fields numbered and defined (PDF)
Fillable PDF
(with auto-calculate)
AC 3254-S PeopleSoft Charge Continuation
Instructions for Users (PDF)
Fields numbered and defined (PDF)
Fillable PDF
AC 3256-S Statement of State Corporate Travel Card Charges
Fields numbered and defined (PDF)
Fillable PDF
Fillable Word

AC 3257-S Claim for Travel Reimbursement by a Non-Employee
Fields numbered and defined (PDF)
Fillable PDF
Fillable Word

AC 3258-S Statement of Meals Claimed 
Fields numbered and defined (PDF)
Fillable PDF
Fillable Word

AC 3259-S Statement of Incidental and Transportation Expenses  (previously on AC 148)
Fields numbered and defined (PDF)
Fillable PDF
Fillable Word

AC 3260-S Additional Location Request Fillable PDF
AC 3261-S Special Use Vendor ID Request Fillable PDF
AC 3266-S Single Payment Vendor ID Request Fillable PDF
AC 3267-S Foreign Vendor Registration Request 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
AC 3276-S Contract Assignment Template 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
AC 3281-S Governmental Entity Representation Concerning Compliance with State Finance Law §§139-j and 139-k Fillable PDF
AC 3286-S Federal Grant Setup Information for SFS Excel
AC 3300-S Certification for Payment of Pre-Adjudicatory Settlement Agreements PDF
  Personal Privacy Protection Law Release Form
Instructions (PDF)
PDF