Skip to content

USAS Forms (Numerical)

Some of the forms listed below are interactive PDF files, which have functionality that works best using Adobe Acrobat Reader. Internet browsers and other viewers may open these files, but these interactive forms will not function fully as intended. For full functionality of these interactive forms, download and install the latest version of Adobe Acrobat Reader then open and complete these forms using Adobe Acrobat Reader.

Name Number Description
USAS Extract Requests (login required) -- Used by agencies to request a specific data file from the Comptroller’s System Input/Output (SIO) group.
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.
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.
Travel Voucher PDF 73-174 Used by state agency personnel to document information required for reimbursement of business-related travel expenses.
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.
Journal Voucher PDF 73-180 Used by agencies to correct non-payment-related transactions, process cash operating transfers and process adjustments.
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.
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.
Super Security Delete Request PDF 73-310 Used by agencies to request removal of posted payment transactions from Uniform Statewide Accounting System (USAS) production.
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 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.