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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 Instructions [PDF]
  • 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 [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 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

- 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 Policy [PDF]
  • Telework Request and Work Agreement (Addendum A) [PDF]
  • Telework Request and Work Agreement (Addendum A) [DOCX]
  • Terminal Leave Payment Tax Options for Separating Employees (including layoff) [PDF]
  • Timesheet
    • Information
    • XLSX
  • 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 Instructions [PDF]
  • 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

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 [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]
    • Information
  • 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

  • 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 Reports Request Form [PDF]
  • Payroll Supplemental Warrant Request [PDF]
  • 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 Instructions [PDF]
  • 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

  • Telework Policy (PDF)
  • Telework Request and Work Agreement (Addendum A) (PDF)
  • Telework Request and Work Agreement (Addendum A) (DOCX)

Timekeeping Forms

  • Hazard Pay Worksheet [XLSX]
  • Leave Slip, Electronic [XLSX]
  • Leave Transmittal
    • Individual [XLSX]
    • Group [XLSX]
  • Timesheet [XLSX]
    • Information

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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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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