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Forms for State Agencies and Employees

 

Form # Form Name and Resources Format
CONTRACTS
AC 340-S Contract Encumbrance Request (SFS)
Original AC 340 with revisions highlighted and fields defined (PDF)
Excel
Fillable 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
AC 3273-S Vendor Responsibility Profile Word
PDF
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
PAYROLL
AC 934-P Next of Kin Affidavit for Bureau of State Payroll Services PDF
AC 2772 Direct Deposit Form Fillable PDF
AC 3216 Personal Privacy Protection Law Release Form
Instructions (PDF)
PDF
AC 3202 Payroll Certification Form PDF
PURCHASING AND PAYMENTS
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 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 946 Tax Exempt Certificate 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 2397 Voucher Charge Continuation with Tail 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-3312-S AR Deposit Form Excel
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 
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 1099-S Request/Agreement for Moving Expense Reimbursement
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

VENDORS
AC 3237-S New York State Substitute Form W-9 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
OTHER
AC 934 Next of Kin Affidavit PDF
AC 1551 Affidavit to Support Claim of Forged Endorsement PDF
AC 3300-S Certification for Payment of Pre-Adjudicatory Settlement Agreements PDF