Forms
See below for instructions for completing fillable and Excel version forms.
- Position Data Request Forms
- AC 230 - Report of Check Returned for Refund or Exchange (Excel) (Fillable)
- AC 873 - Extra Service Payroll Voucher (Fillable)
- AC 1394 - Application & Account for Partial Payment of Salary (Print only)
- AC 1476 P - Report of Check Exchange (Fillable)
- AC 2674 - W-2 Correction Worksheet (Fillable)
- AC 2714 - Undeliverable Payroll Check Report (Word template ) (Fillable)
- AC 2822 - Bureau of State Payroll Services Payroll Transaction Authorization Form (Fillable)
- AC 3197 - Fax Request for Direct Deposit Stop/Reversal (Fillable)
- AC 3202 - Payroll Certification Form (Fillable)
- AC 3206 - Prior Year Social Security and Medicare Tax Refund Certification (Fillable)
- TD-346 - Application by Payee or Agency Representative for Issuance of Replacement Check (print) (fillable)
- AC 934-P - Next of Kin Affidavit for Bureau of State Payroll Services (print) (fillable)
- AC 1588 - Dual Employment/Extra Service Approval Form
- AC 2772 - Direct Deposit Form
- Direct Deposit: Make It Easy On Yourself!
- Personal Privacy Protection Law Release Form Instructions
- Personal Privacy Protection Law Release Form
(AC 3216) - Personal Privacy Protection Law Release Form
(for Garnishment Deductions only) - SUNY Charitable Giving Campaign Payroll Deduction Form
Fillable
To view, complete and print the fillable forms, you will need the Adobe Acrobat Reader software installed on your computer. This software does not allow you to save your completed or partially completed form to a disk or on your computer.
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Excel
The form should be saved to the user's computer for completion and then submitted as instructed.


