Forms (Alphabetical)
Note: Forms must be downloaded and opened using Adobe Acrobat Reader if you want to fill them out electronically.
Do not fill out forms using your internet browser.
| Form Name | Number | Description |
|---|---|---|
| ACH (Direct Deposit) Payment Destination Confirmation (login required) PDF | 74-227 | Used by agencies who must require payees to confirm whether their state payments are destined to be forwarded outside of the U.S. |
| Agency Authorization for Warrant Pickup (login required) PDF | 74-189 | Used by agencies to authorize personnel to pick up warrants. |
| Agency Enterprise Resource Planning (ERP) Project Request PDF | 74-222 | Used by agencies and institutions to request authorization for Enterprise Resource Planning (ERP) projects in compliance with Government Code Section 2101.037(a). |
| Annual Certification of Estimated Optional Retirement Program (ORP) State Contributions PDF | 74-210 | Used by junior/community colleges to submit an estimate of state matching contribution funds needed for employees participating in the Optional Retirement Program. |
| Application for Texas Identification Number (login required) PDF | AP-152 | Used by agencies to obtain necessary information from payees to set up a Texas Identification Number (TIN). |
| Application to Report Indebtedness (login required) PDF | 74-188 | Used by agencies requesting to report state debts or change existing hold agency information. |
| Bailment Contract (login required) PDF | 74-190 | Used as an agreement between a state agency and the Comptroller’s office that allows the agency to receive post-dated payroll warrants before payday |
| Banking and Electronic Processing Forms (Treasury Operations) | -- | Used by agencies to request chargebacks for forged warrants or by financial institutions to request payment for lost warrants that have been cashed. |
| Batch Header PDF | 73-240 | Used by agencies for all Uniform Statewide Accounting System (USAS) transactions to group together like documents, with the batch type determining the screen layout. |
| Benefit Voucher Data Worksheet (Excel) | -- | Used by agencies and institutions to submit for data entry budget documents with completed batch headers to receive budget to pay for employees’ benefit payments for the new appropriation year per Accounting Policy Statement (APS) 019. |
| Budget Revision PDF | 73-181 | Used by agencies to set up and make corrections to original budgets (when authority exists), to make budget transfers between direct strategies, to move a budget from one year to another and to lapse funds according to Accounting Policy Statement (APS) 018. |
| Certification of Physical Inventory Conducted by Agency PDF | 73-283 | Used by agencies to document their annual physical inventories. |
| Certification of Request for Agency Reporting Status (SPA) PDF | 73-284 | Used by an agency to notify the Comptroller’s office that the agency will use the State Property Accounting System (SPA) as its own system. |
| Certification of Unexpended Balance of General Revenue in Lieu of Earned Federal Funds PDF | -- | Used by agencies to certify unexpended balance of earned federal funds per APS 023/FPP A.017. |
| Confidential Treatment of Information Acknowledgment (CTIA) PDF Comptroller’s Public Information Summary Disclosure Manual PDF – users must read manual before signing CTIA form |
70-223 | Required of all agency users of the Comptroller statewide financial systems. Agency security coordinators must have a signed form from every user on file at their agency prior to granting access to the systems. |
| Contact List Update Form | -- | Used by agencies to update all their contacts on Fiscal Management contact lists. |
Corrective Action Plan  |
-- | Lists findings from audits and recommendations for corrective action. |
| Debtor Hold File Extract Request (login required) | -- | Used by agencies to request the daily debtor hold extract file. |
| Deposit Slip PDF | 82-198 | Used by agencies to make deposits to the Texas Comptroller of Public Accounts. |
| Direct Deposit Authorization Form (login required) PDF | 74-176 | Used by agencies to provide to payees who wish to receive state payments by direct deposit or change/cancel existing direct deposit information. |
| Direct Deposit Payment Trace Number Request (login required) PDF | 74-229 | Used by agencies to request an ACH trace number for a state direct deposit payment. |
| Direct Deposit Reversal Request (login required) PDF | 74-191 | Used by agencies to request an erroneous direct deposit payment be reversed through the Automated Clearing House (ACH) system. |
| Disbursement Method Indicator (DMI) Change Request (login required) | -- | Used by agencies to request an override of the disbursement indicator in the Uniform Statewide Accounting System (USAS) so a future-dated payment can be processed overnight. |
| -- | Confirms that all data compiled for the federal Equal Employment Opportunity Commission is accurate. | |
| Email Subscriptions | -- | Used by agencies to sign up for Fiscal Management email publications and announcements. |
| FMXtra Subscription Form | -- | Used to subscribe to the weekly e-mail newsletter highlighting “What’s New” on FMX. |
| GAAP Fund (D24 Profile) Request PDF | 74-231 | Used by state agencies to submit a request for establishing a new GAAP Fund (D24 Profile). |
| Hold Transaction (login required) PDF | 74-154 | Used by a hold source agency to set up, change or release hold information for a state debtor. |
| HRIS EFT Specifications Form PDF | 73-162 | Form required during the fiscal year Reappointment process. |
| Interagency Contact Update Form | -- | Included in master Contact List Update Form used by agencies to update their Fiscal Management contact lists. |
| Journal Voucher PDF | 73-180 | Used by agencies to correct non-payment-related transactions, process cash operating transfers and process adjustments. |
| Letter of Authorization for Data Changes to CAPPS Financials, USAS, Business Objects PDF | 73-336 | Used by agencies or by an authorized Comptroller employee to authorize changes to data in the Centralized Accounting and Payroll/Personnel System (CAPPS) Financials, Uniform Statewide Accounting System (USAS) or the Business Objects. |
| Letter of Authorization for Data Changes to CAPPS HR/Payroll, HRIS, SPRS, USPS PDF | 73-313 | Used by agencies or by an authorized Comptroller employee to authorize changes to data in the Human Resource Information System (HRIS), Uniform Statewide Payroll/ Personnel System (USPS) or the Standardized Payroll/Personnel Reporting System (SPRS). |
| Letter of Authorization for SPRS Payroll Override PDF Contact the SPRS Production Support staff if you need the Excel version. |
74-204 | Used by agencies to request a payroll override in the Standardized Payroll/Personnel Reporting System (SPRS). |
| Letter of Authorization Signature List for CAPPS Financials, USAS, Business Objects Data Changes PDF | 73-337 | Used by agencies to name the people authorized to request changes to an agency’s data by a Letter of Authorization (LOA). This form must be accompanied by a letter written and signed by the agency head or governing body. |
| Letter of Authorization Signature List for CAPPS HR/Payroll, HRIS, SPRS, USPS Data Changes PDF | 73-318 | Used by agencies to name the people authorized to request changes to an agency’s data by a Letter of Authorization (LOA). This form must be accompanied by a letter written and signed by the agency head or governing body. |
| Miscellaneous Claim Application PDF | 74-209 | Used by payees to file a claim against the state of Texas for an obligation when the appropriation period has expired or does not exist. |
| Miscellaneous Claims Approval Form PDF | 74-208 | Used by agencies, the attorney general and the Comptroller’s office to officially approve or deny a miscellaneous claim. |
| Missing, Damaged or Stolen Property Report PDF | 74-194 | Used by agencies to report property that is missing, damaged or stolen. |
| Notice of Agency Head and Designation of Property Manager PDF | 73-286 | Used by agencies to notify the Comptroller’s office of a new agency head or property manager. |
| Optional Retirement Program (ORP) Monthly Payment Request PDF | 74-211 | Used by junior/community colleges to request the monthly reimbursement of their state matching contribution funds for employees participating in the Optional Retirement Program. |
| Pay Card Enrollment Authorization – Employees (login required)PDF | 74-224 | This form is used by employees to sign up to receive payroll payments through the Employee PayCard program. |
| Payee Change Request (login required) PDF | 74-157 | Used by agencies requesting updates to payee information in the Texas Identification Number System (TINS); may be provided by the agencies to their payees. |
| Payment Cancellation Voucher (login required) PDF | 73-179 | Used by agencies to request cancellations of forged warrants that are reinstated or for post-dated payroll deduction warrants. |
| Petty Cash Account Request PDF | 74-213 | Used by agencies to identify the type of petty cash account requested and other necessary information, such as requested amount, funding source and total petty cash disbursements for the fiscal year. |
| Post-Payment Audit Questionnaire (Preview Only) PDF | -- | Gives agencies preliminary access to a non-interactive (preview only) version of the most recent Post-Payment Audit Questionnaire so they can begin gathering the necessary information for their pending audit. |
| Post-Payment Audit Survey | -- | Allows agency representatives to rate the level of service during their recent audit. |
| Purchase Voucher PDF | 73-170 | Used by state agencies to organize data for online entry into the agency’s accounting system. This form can be used as part of an agency’s internal control process and to document required approvals. |
| Quarterly Certification of Binding Encumbrances/Payables Annual Certification of Binding Encumbrances/Payables |
-- | Used by the chief fiscal officer or higher official for each agency to certify that the binding encumbrance and payable entries have processed in USAS for the first three quarters of the fiscal year and to certify that the binding encumbrance and payable entries have processed and all unobligated balances have been lapsed or brought forward for previous year appropriations (includes the fourth quarter of the previous appropriation year) per APS 018. |
| Reclamation Request for ACH Transactions (login required) PDF | 74-226 | Used by a agencies upon notification of a payee’s death to reclaim a pension, annuity or benefit payment made by direct deposit for which the payee or its estate was not entitled. |
| Request to Increase Maximum Lodging Rate | -- | Used by agencies to internally document the request for and approval of an increase to the maximum lodging rate issued by the Comptroller’s office. |
| Salary Supplementation Report | 74-197 | Used by agencies and institutions of higher education to report salaries supplemented from non-appropriated funds. |
| Settlement and Judgment Payroll Processing (login required) PDF | 74-232 | Used by agencies to request approval for settlement and judgment payroll payments. |
| Settlements or Judgments Coding Block Form PDF | 74-218 | Used by agencies to provide the Comptroller’s office with a coding block for processing the payment of a settlement and/or judgment that involves a special fund. |
| SFS Users Semiannual Security Access Attestation PDF | 73-326 | Used by agency security coordinators to verify their users’ access. |
| SPA Accounting Processed Transaction File Request (login required) | -- | Used by agencies to request a Processed Transaction File each time data are loaded in batch to the State Property Accounting System (SPA). |
| SPA Contact List Update Form | -- | Included in master Contact List Update Form used by agencies to update their Fiscal Management contact lists. |
| SPA Property Destruction Record PDF | -- | Used by agencies at time of cannibalization/disposal of salvage property. This is a suggested but not required form. |
| SPA Property Transfer Receipt PDF | -- | Used by agencies at time of physical transfer of property. This is a suggested but not required form. |
| SPRS Agency Conversion Request PDF | 74-228 | Used by agencies converting to the Standardized Payroll/Personnel Reporting System (SPRS). |
| Summary Number Application (login required) PDF | 74-216 | Used by agencies to apply for a special payee identification number for low dollar, one-time payments to multiple payees. |
| Super Security Delete Request PDF | 73-310 | Used by agencies to request removal of posted payment transactions from Uniform Statewide Accounting System (USAS) production. |
| Tax Refund Direct Deposit Authorization (login required) PDF | 74-221 | Used by the Comptroller’s Revenue Accounting Division to provide to taxpayers who wish to receive tax refund payments by direct deposit. |
| Travel Voucher PDF | 73-174 | Used by state agency personnel to document information required for reimbursement of business-related travel expenses. |
| USAS Extract Requests (login required) | -- | Used by agencies to request a specific data file from the Comptroller’s System Input/Output (SIO) group. |
| Vendor Payment Contact Update Form | -- | Included in master Contact List Update Form used by agencies to update their Fiscal Management contact lists. |
| Warrant Release or Reinstatement Request (login required) PDF | 00-432 | Used by a hold source agency to authorize the release of a held warrant. |