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The following is a greeting given in one of the 20 indigenous languages recognized by the State of Alaska.

Ade’ ndadz dengit’a?
(Deg Xinag)
"Hello, how are you?"
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Administration / Finance / Forms

Forms

    

Find Forms

  • All Forms
  • Accounting
  • Alt WW Agreements
  • Benefits/Insurance
  • Charge Cards
  • Electronic Payments
  • Flex Time Agreements
  • Floating Holiday
  • IRIS
  • Layoff/Separation
  • Leave/Pay
  • Moving
  • New Hire/Emp Info
  • Payroll Production
  • Systems Security
  • Tax
  • Telework
  • Timekeeping
  • Travel
  • Workers' Comp

All Forms (Alphabetical Listing)

Select the letter below to view forms.

- A -

  • AccessOnline Add User Request [XLSX]
  • Account Code Information Form (IRIS) [DOCX]
  • Address Authorization/Change - Employee Self-Service (ESS)
    • Contact the Employee Call Center for assistance
  • Add US Bank CTS Account [XLSX]
  • Add US Bank Managing Account [XLSX]
  • Agency Appointing Authorities and Authorized Security Contacts [XLSX]
  • AKINQ (AKPAY Inquiry) Application Request Form [PDF]
  • AKSAS CC to IRIS COA Elements - Crosswalk Table Maintenance [XLTM]
  • AKSAS LC-PGM to IRIS COA Elements - Crosswalk Table Maintenance [XLTM]
  • Alcohol and Drug Free Workplace Act [PDF]
    • Alcohol and Drug Free Workplace Policy Poster [PDF]
  • ALDER User Affidavit and Security Request Form [XLSX]
  • Allowance for Employee-Owned Electronic Communication Device Form [PDF]
  • Alternate Workweek Agreement (AWW) Forms
    • Please refer to the Division of Personnel's HR Forms webpage, Employee Work Schedule Subject heading for Alternate Workweek Agreement forms.
  • Annual Comprehensive Financial Report (ACFR) Year End Forms [DOF SharePoint Site]
  • Annuity Benefit Election Form (SBS) (Empower Retirement)
  • APOC Filing Information [PDF]
  • Application for COLD and Certification of Residency (Marine Highways) [PDF]
  • Appointing Authority Form [PDF]
  • Appropriation Add or Change Form (IRIS FIN) [XLSX]
    • PCard Appropriation Add or Change Form [XLSX]
  • Authorized Security Contact Form [PDF]

- B -

  • Beneficiary Forms
    • Basic / Select / Voluntary Supplemental Life and AD&D Beneficiary Designation (Benefitfocus)
    • Division of Retirement & Benefits Beneficiary Forms
    • Designation of Beneficiary for Unpaid Compensation [PDF]
    • SBS Annuity Plan Beneficiary Form (Empower Retirement)
    • SBS Optional Benefits Beneficiary Form (Life, AD&D, Survivor) [PDF]
    • Sub-Form W-9 for Beneficiaries - Final Pay/Terminal Leave [PDF]

- C -

  • Cardholder Usage Agreement — Standard [PDF]
  • Cardholder Usage Agreement — Vessels and Terminals [PDF]
  • Conditions of Employment Upon Return From Layoff for SU and GGU Employees [DOCX]

- D -

  • DCP Distribution / Direct Rollover Request (Empower Retirement)
  • Department Contact Information / Work Location (Contact Code) Updates [XLSX]
  • Designation of Beneficiary For Unpaid Compensation [PDF]

- E -

  • Electronic Payment Agreement (For Adoption/Foster Parents) [PDF]
  • Electronic Payment Agreement (For State Employee Reimbursements) [PDF]
  • Electronic Payment Agreement (For Vendors Doing Business with SOA) [PDF]
  • Emergency Contact [PDF] - Employee Self-Service (ESS)
    • Contact the Employee Call Center for assistance
  • Employee Affidavit Oath of Office [PDF]
  • Employee Clearance Form [PDF]
  • Employee Confirmation of Paperless (IRIS ESS) Form Submission [PDF]
  • Employee Eligibility Verification (I-9) [PDF]
  • Employee Move Authorization Request [PDF]
  • Employee Notice of Pay Problem Information and Form
  • Employee Report of Occupational Injury or Illness [PDF]
    • Report of Occupational Injury or Illness Procedure Manual [PDF] (SOA Login)
  • Employee Vendor Record Request [PDF]
  • Employer Report of Occupational Injury or Illness [DOC]
    • State of Alaska Employer Report of Occupation Injury or Illness Example [PDF] (SOA Login)
  • Equal Employment Opportunity Survey [PDF]
  • E-Travel Issue Resolution Form
  • Exit Survey

- F -

  • Field Warrant Certifying Officer Affidavit [PDF]
  • Field Warrant Release Authorization [PDF]
  • Firearm Certification New Hire [PDF]
  • Firearm Certification Volunteer [PDF]
  • Flex Time
    • Confidential Employees Association (CEA)
      • Agreement Form [PDF]
      • Flex Time Tracking: CEA [XLSX]
    • Alaska State Employees Association (GGU)
      • Agreement Form [PDF]
      • Flex Time Tracking: GGU [XLSX]
    • Alaska Public Employees Assocation (SU)
      • Agreement Form [PDF]
      • Flex Time Tracking: SU [XLSX]
  • Floating Holiday Agreement Forms
    • Confidential Employees Association (CEA)
      • DocuSign / PDF
    • Alaska State Employees Association (GGU)
      • DocuSign / PDF
    • Partially Exempt and Excluded Employees (PX/EX)
      • DocuSign / PDF
    • Alaska Public Employees Assocation (SU)
      • DocuSign / PDF

- G / H -

  • Hazard Pay Worksheet [XLSX]

- I -

  • IRIS FIN Appropriation Add or Change Form [XLSX]
  • IRIS FIN Chart of Account Element Add or Change Form (Bureau/District/Division/Group/Section/Sub-Unit/Unit) [XLSX]
  • IRIS HRM Division/Bureau/Unit Add or Change Form [XLSX]
  • IRIS - AKSAS CC to IRIS COA Elements - Crosswalk Table Maint. [XLTM]
  • IRIS - AKSAS LC-PGM to IRIS COA Elements - Crosswalk Table Maint. [XLTM]
  • IRIS Access Affidavit [PDF]
  • IRIS Automation Authorization Form [PDF]
  • IRIS Security Request Form [XLSX]
  • IRIS Workflow Request Form [XLSX] - to be used to request new workflow roles or rules, not to be used for user security requests

- J / K -

  • No Forms

- L -

  • Layoff Information Sheets
    • GGU Layoff Information Sheet [PDF]
    • KK Layoff Information Sheet [PDF]
    • LTC Layoff Information Sheet [PDF]
    • SU Layoff Information Sheet [PDF]
  • Leave Cash-In Request - refer to the Leave Cash-In webpage for helpful information and instructions.
    • Adobe Acrobat format [PDF] - this form must be downloaded and opened in Adobe Acrobat or Adobe Reader.
    • Microsoft Excel format [XLSX]
  • Leave Slip, Electronic [XLSX]
  • Leave Transmittal
    • Individual [XLSX]
    • Group [XLSX]
  • Long-Term Travel Assignment [PDF]

- M -

  • Marine Highways Accident/Illness Report [PDF] (SOA Login)
  • Marine Highways Accident Report (Vehicle) [PDF] (SOA Login)
  • Mileage Form [XLSX]
  • Military Leave Benefit Election Form [PDF]
  • Moving Authorization/Assignment [PDF]
  • Moving Expense Reimbursement Payroll Report [XLSX] - Revised 02/14/2019

- N -

  • Net Pay Estimator [XLSX]
  • Notice to Employee - Workers' Compensation [PDF]
  • Notice of Pay Problem Information and Form

- O -

  • Overpayment SBS Calculation Worksheet [XLSX]
  • Overpayment Worksheet (Current Year) [XLSX]
  • Overpayment Worksheet (Prior Year) [XLSX]

- P -

  • Payroll Direct Deposit Form [PDF]
  • Payroll Incentive Payment Request Form [PDF]
  • Payroll Payment Inquiry Form (SOA Only)
  • Payroll Supplemental Warrant Request [PDF]
  • PCard Appropriation Add or Change Form [XLSX]
  • Personnel Action Request Form (PARF)
    • Information / PDF / Excel
  • Petty Cash/Change Fund Custodian Liability Agreement and Verification [PDF] - ADD NEW / CHANGE / TERMINATE / ACFR REPORTING
  • Payroll Error Reports and Corrections (PREXP) [XLSX]

- Q / R -

  • No Forms

- S -

  • Same-Sex Partner Affidavit [PDF]
  • Sample Due Diligence Letter [DOC]
  • Security Contact Form, Authorized [PDF]
  • Security Contacts, List of Agency Authorized [XLSX]
  • Separating Employee Health Insurance Notice [PDF]
  • Shared Services (SSoA) Forms
    • Clear Fraudulent Charge [PDF]
    • Final TA Request & Trip Closure Checklist [PDF]
    • Lost Travel Receipt [PDF]
    • Lost Payable PCard Memo Template [PDF]
  • Social Security Form SSA-1945 [PDF]
  • Social Security Verification Authorization [DOCX]
  • State Employee Clearance Form [PDF]
  • State Sub. Form W9 - Requesting Taxpayer ID & Info [PDF]
  • Statewide Policy Acknowledgement Form [PDF]
    • Family and Medical Leave Act [PDF]
    • Administrative Order 75 - EEO Policy
    • Administrative Order 81 - Harassment Policy
    • Administrative Order 129 - ADA Policy
    • Administrative Order 195 - Diversity Policy
    • Business Use/Acceptable Use ISP-172 (Personal Use of Office Technology Policy) [PDF]
    • State of Alaska Ethics Information for Public Employees (AS 39.52)
    • Policy on Seat Belts (AO 85)
    • Effects of Violations of Federal or State Law (2 AAC 07.416)
  • Supplemental Form W-4 Instructions for Nonresident Aliens [PDF]
  • Supervisor Accident Investigation Report [PDF] (SOA Login)

- T -

  • Taxable Travel Allowance Payroll Report (Effective 7/1/2022) [XLSX]
  • Telework Resources - Policy and Forms [PDF]
  • Terminal Leave Payment Tax Options for Separating Employees (including layoff) [PDF]
  • Timesheet [XLSX] - For Pay Period Beginning 12/22/2025 (All Except ACOA) AND 12/18/2025 (ACOA Only)
  • Timesheet [XLSX] - For Pay Period Beginning 12/8/2025 or earlier
  • Travel Advance Authorization Form [PDF]
  • Travel Authorization Form with Linked Travel Request [Macro-Enabled XLTM]
  • Travel Authorization Form with Linked Travel Request [Macro-Free XLSX]
  • Travel Questionnaire for OT Eligible Employees [PDF]
  • Travel Questionnaire for OT Eligible Employees Supplement [PDF]

- U -

  • Union Notification for ASEA (GGU) [PDF]
  • Union Notification Information [PDF]

- V -

  • Vehicle Rental Tax Exemption Certification Form [PDF]
  • Vendor Record Request, Employee [PDF]
  • Vendor Record Request, State Sub. Form W9 - Requesting Taxpayer ID & Info [PDF]

- W -

  • W-2 to Paystub Comparison Estimator [XLSX]
  • W-4 Employee Withholding Allowance Certificate [PDF]
  • W-9 Substitute Form for Beneficiaries - Final Pay/Terminal Leave [PDF]
  • Warrant Status Change Request [PDF]
  • Work Location (Contact Code) Updates / Department Contact Information [XLSX]
  • Workers' Compensation - Notice to Employee [PDF]

- X / Y / Z -

  • No Forms

Accounting Forms

  • Account Code Information Form (IRIS) [DOCX]
  • AKSAS CC to IRIS COA Elements - Crosswalk Table Maint [XLTM]
  • AKSAS LC-PGM to IRIS COA Elements - Crosswalk Table Maint [XLTM]
  • ALDER User Affidavit and Security Request Form [XLSX]
  • Allowance for EE-Owned Electronic Communication Device Form [PDF]
  • Appointing Authority Form [PDF]
  • Appropriation Add or Change Form (IRIS FIN) [XLSX]
    • PCard Appropriation Add or Change Form [XLSX]
  • Authorized Security Contact Form [PDF]
  • Annual Comprehensive Financial Report Year End Forms [DOF SharePoint Site]
  • Electronic Payment Agreement (For Adoption/Foster Parents) [PDF]
  • Electronic Payment Agreement (For State EE Reimbursements) [PDF]
  • Electronic Payment Agreement (For VNs Doing Business with SOA) [PDF]
  • Employee Vendor Record Request [PDF]
  • Field Warrant Certifying Officer Affidavit [PDF]
  • Field Warrant Release Authorization [PDF]
  • IRIS FIN Chart of Account Element Add or Change Form (Bureau/District/Division/Group/Section/Sub-Unit/Unit) [XLSX]
  • Petty Cash/Change Fund Custodian Liability Agreement and Verification [PDF] - ADD NEW / CHANGE / TERMINATE / ACFR REPORTING
  • State Sub. Form W9 - Requesting Taxpayer ID & Info [PDF]
  • Warrant Status Change Request [PDF]

Alternative Work Week Agreement Forms

Please refer to the Division of Personnel's HR Forms webpage, Employee Work Schedule Subject heading for Alternate Workweek Agreement forms.

Benefits / Insurance Forms

  • Annuity Benefit Election Form (SBS) (Empower Retirement)
  • Beneficiary Forms
    • Basic / Select / Voluntary Supplemental Life and AD&D Beneficiary Designation (Benefitfocus)
    • Division of Retirement & Benefits Beneficiary Forms
    • Designation of Beneficiary for Unpaid Compensation [PDF]
    • SBS Annuity Plan Beneficiary Form (Empower Retirement)
    • SBS Optional Benefits Beneficiary Form (Life, AD&D, Survivor) [PDF]
    • Sub Form W-9 for Beneficiaries - Final Pay/Terminal Leave [PDF]
  • GGU Health Trust Notification Form
  • GGU Health Trust Insurance Deferral Form
  • LTC Health Trust Notification Form [PDF]
  • SBS/AlaskaCare Enrollment Packet

Charge Card (PCard) Program Forms

  • AccessOnline Add User Request [XLSX]
  • Add US Bank CTS Account [XLSX]
  • Add US Bank Managing Account [XLSX]
  • Cardholder Usage Agreement — Standard [PDF]
  • Cardholder Usage Agreement — Vessels and Terminals [PDF]
  • PCard Appropriation Add or Change Form [XLSX]

Electronic Payment (EFT) Forms

  • Electronic Payment Agreement (For Adoption/Foster Parents) [PDF]
  • Electronic Payment Agreement (For State Employee Reimbursements) [PDF]
  • Electronic Payment Agreement (For Vendors Doing Business with SOA) [PDF]

Flex Time Agreement Forms

  • Confidential Employees Association (CEA)
    • Agreement Form [PDF]
    • Flex Time Tracking: CEA [XLSX]
  • Alaska State Employees Association (GGU)
    • Agreement Form [PDF]
    • Flex Time Tracking: GGU [XLSX]
  • Alaska Public Employees Assocation (SU)
    • Agreement Form [PDF]
    • Flex Time Tracking: SU [XLSX]

Floating Holiday Forms

  • Confidential Employees Association (CEA)
    • DocuSign
    • PDF
  • Alaska State Employees Association (GGU)
    • DocuSign
    • PDF
  • Partially Exempt and Excluded Employees (PX/EX)
    • DocuSign
    • PDF
  • Alaska Public Employees Assocation (SU)
    • DocuSign
    • PDF

IRIS Forms

  • Account Code Information Form (IRIS) [DOCX]
  • AKSAS CC to IRIS COA Elements - Crosswalk Table Maint [XLTM]
  • AKSAS LC-PGM to IRIS COA Elements - Crosswalk Table Maint [XLTM]
  • Bureau Add or Change Form (IRIS HRM) [XLSX]
  • Division Add or Change Form (IRIS HRM) [XLSX]
  • FIN COA Element Add or Change Forms
    • Request to establish a new Appropriation Unit, Appropriate Type, and/or Appropriation Group [XLSX]
    • Request to Establish a new Unit, Sub-Unit, Bureau, District, Section, Group, or Division [XLSX]
  • HRM COA Element Add or Change Form [XLSX]
    • Division, Bureau, Home Unit
  • IRIS Access Affidavit [PDF]
  • IRIS Automation Authorization Form [PDF]
  • IRIS Security Request Form [XLSX]
  • IRIS Workflow Request Form [XLSX] - to be used to request new workflow roles or rules, not to be used for user security requests
  • Payroll Error Reports and Corrections (PREXP)

Layoff / Separation Forms

  • Conditions of Employment Upon Return From Layoff for SU and GGU Employees (DOCX)
  • DCP Distribution / Direct Rollover Request (Empower Retirement)
  • Employee Clearance Form (PDF)
  • Exit Survey
  • Layoff Information Sheets
    • GGU Layoff Information Sheet (PDF)
    • KK Layoff Information Sheet (PDF)
    • LTC Layoff Information Sheet (PDF)
    • SU Layoff Information Sheet (PDF)
  • Personnel Action Request Form (PARF)
    • Information / PDF / Excel
  • Separating Employee Health Insurance Notice (PDF)
  • Terminal Leave Payoff Tax Option Form (PDF)

Leave & Pay

  • Allowance for EE-Owned Electronic Communication Device Form [PDF]
  • Designation of Beneficiary for Unpaid Compensation [PDF]
  • Hazard Pay Worksheet [XLSX]
  • Leave Cash-In Request Form - refer to the Leave Cash-In webpage for helpful information and instructions.
    • Adobe Acrobat format [PDF] - this form must be downloaded and opened in Adobe Acrobat or Adobe Reader.
    • Microsoft Excel format [XLSX]
  • Leave Slip, Electronic [XLSX]
  • Leave Transmittal Individual [XLSX]
  • Leave Transmittal Group [XLSX]
  • Employee Notice of Pay Problem Information and Form
  • Military Leave Benefit Election Form [PDF]
  • Payroll Direct Deposit Form [PDF]
  • Payroll Payment Inquiry Form (SOA Only)
  • Same-Sex Partner Affidavit [PDF] 
  • Timesheet [XLSX] - For Pay Period Beginning 12/22/2025 (All Except ACOA) AND 12/18/2025 (ACOA Only)
  • Timesheet [XLSX] - For Pay Period Beginning 12/8/2025 or earlier
  • Travel Questionnaire [PDF]
    • Supplement [PDF]
  • W-9 Sub Form for Beneficiaries - Final Pay/Terminal Leave

Moving Forms

  • Employee Move Authorization Request [PDF]
  • Mileage Form [XLSX]
  • Moving Authorizaton/Assignment [PDF]
  • Moving Expense Reimb. Payroll Report [XLSX]

New Hire / Employee Information Forms

  • Address Authorization/Change - Employee Self-Service (ESS)
    • Contact the Employee Call Center for assistance
  • Alcohol and Drug Free Workplace Act [PDF]
    • Alcohol and Drug Free Workplace Policy Poster [PDF]
  • APOC Filing Information [PDF]
  • Application for COLD and Certification of Residency (Marine Highways) [PDF]
  • Designation of Beneficiary for Unpaid Compensation [PDF]
  • Emergency Contact [PDF] - Employee Self-Service (ESS)
    • Contact the Employee Call Center for assistance
  • Employee Affidavit Oath of Office [PDF]
  • Employee Confirmation of Paperless (IRIS ESS) Form Submission [PDF]
  • Employee Eligibility Verification (I-9) [PDF]
  • Equal Employment Opportunity Survey [PDF]
  • Firearm Certification New Hire [PDF]
  • Firearm Certification Volunteer [PDF]
  • Personnel Action Request Form (PARF)
    • Information / PDF / Excel
  • Same-Sex Partner Affidavit [PDF]
  • Social Security Form SSA-1945 [PDF]
  • Social Security Verification Authorization [DOCX]
  • State Employee Clearance Form [PDF]
  • Statewide Policy Acknowledgement Form [PDF]
    • Family and Medical Leave Act [PDF]
    • Administrative Order 75 - EEO Policy
    • Administrative Order 81 - Harassment Policy
    • Administrative Order 129 - ADA Policy
    • Administrative Order 195 - Diversity Policy
    • Business Use/Acceptable Use ISP-172 (Personal Use of Office Technology Policy) [PDF]
    • State of Alaska Ethics Information for Public Employees (AS 39.52)
    • Policy on Seat Belts (AO 85)
    • Effects of Violations of Federal or State Law (2 AAC 07.416)
  • Union Notification for ASEA (GGU) [PDF]
  • Union Notification Information [PDF]
  • W-2 to Paystub Comparison Estimator [XLSX]
  • W4 Employee's Withholding Allowance Certificate [PDF]

Payroll Production / IRIS HRM (Payroll Staff) Forms

  • AKINQ (AKPAY Inquiry) Request Form [PDF]
  • Department Contact Information/Location Updates [XLSX]
  • IRIS HRM Division/Bureau/Unit Add or Change Form [XLSX]
  • Net Pay Estimator [XLSX]
  • Overpayment SBS Calculation Worksheet [XLSX]
  • Overpayment Worksheet (Current Year) [XLSX]
  • Overpayment Worksheet (Prior Year) [XLSX]
  • Payroll Incentive Payment Request Form [PDF]
  • Payroll Supplemental Warrant Request [PDF]
  • PREXP Error Corrections Template [XLSX]
  • Warrant Status Change Request [PDF]

Systems Security Forms

  • Agency Appointing Authorities and Authorized Security Contacts [XLSX]
  • AKINQ (AKPAY Inquiry) Application Request Form [PDF]
  • ALDER User Affidavit and Security Request Form [XLSX]
  • Appointing Authority Form [PDF]
  • Authorized Security Contact Form [PDF]
  • Field Warrant Certifying Officer Affidavit [PDF]
  • IRIS Access Affidavit [PDF]
  • IRIS Automation Authorization Form [PDF]
  • IRIS Security Request Form [XLSX]
  • IRIS Workflow Request Form [XLSX] - to be used to request new workflow roles or rules, not to be used for user security requests

Tax Forms

  • State Sub. Form W9 - Requesting Taxpayer ID & Info [PDF]
  • Supplemental Form W-4 Instructions for Nonresident Aliens [PDF]
  • W-4 Employee Withholding Allowance Certificate [PDF]
  • W-9 Substitute Form for Beneficiaries - Final Pay/Terminal Leave [PDF]

Telework Forms

The State of Alaska Telework Resources and Forms are provided the Department of Administration, Division of Personnel (DOP). This information can be found on DOP's Telework Resources webpage.

Timekeeping Forms

  • Hazard Pay Worksheet [XLSX]
  • Leave Slip, Electronic [XLSX]
  • Leave Transmittal
    • Individual [XLSX]
    • Group [XLSX]
  • Timesheet [XLSX] - Updated 02/25/2026 for Pay Period Beginning 12/22/2025 (All Except ACOA) AND 12/18/2025 (ACOA Only)
  • Timesheet [XLSX] - For Pay Period Beginning 12/8/2025 or earlier

Travel Forms

  • E-Travel Issue Resolution Form
  • Long-Term Travel Assignment [PDF]
  • Mileage Form [XLSX]
  • SSoA Clear Fraudulent Charge [PDF]
  • SSoA Final TA Request & Trip Closure Checklist [PDF]
  • SSoA Lost Travel Receipt [PDF]
  • SSoA Lost Payable PCard Memo Template [PDF]
  • Taxable Travel Allowance Payroll Report (Effective 7/1/2022) [XLSX]
  • Travel Advance Authorization Form [PDF]
  • Travel Auth Form with Request [Macro-Enabled XLTM]
  • Travel Auth Form with Request [Macro-Free XLSX]
  • Travel Questionnaire for OT Eligible Employees [PDF]
  • Travel Questionnaire for OT Eligible Employees Supplement [PDF]
  • Vehicle Rental Tax Exemption Certification Form [PDF]

Workers' Compensation Forms

  • Alaska Marine Highways Specific Forms
    • Marine Highways Accident/Illness Report [PDF] (SOA Login)
    • Marine Highways Accident Report (Vehicle) [PDF] (SOA Login)
  • Employee Report of Occupational Injury or Illness [PDF]
    • Report of Occupational Injury or Illness Procedure Manual [PDF] (SOA Login)
  • Employer Report of Occupational Injury or Illness [DOC]
    • State of Alaska Employer Report of Occupation Injury or Illness Example [PDF] (SOA Login)
  • Notice to Employee - Workers' Compensation [PDF]
  • Supervisor Accident Investigation Report [PDF] (SOA Login)

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Mission Statement

The mission of the Division of Finance is to provide accounting, payroll, and travel services for State government.

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State of Alaska Department Administration
Division of Finance

Physical Address: State Office Building,
333 Willoughby Avenue, 10th Floor,
Juneau, AK 99801
Mailing Address: PO Box 110204,
Juneau, AK 99811
Phone: (907) 465-2240
Fax: (907) 465-2169

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