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					                                                                          STATE OF ALASKA
                                       PAYROLL WARRANT STATUS CHANGE REQUEST
 PO BOX 110204                                                   Division of Finance, Payroll Section                                                Phone (907) 465-5598
 Juneau, AK 99811-0204                                              Department of Administration                                                       FAX (907) 465-5639


                                                    PAYROLL WARRANT INFORMATION
                                       Completed by Agency or Human Resource Service Center for Payee
 PAYEE NAME                                   ADDRESS                                                        CITY                                      STATE        ZIP CODE



 EMPLOYEE ID NUMBER                    EE DEPT NUM      EXTERNAL WARRANT NUM             A9x WRNT DATE (Not Create Date)     GROSS AMOUNT              NET AMOUNT



       EMPLOYEE AKPAY ACCUMULATORS ARE CORRECT                                                EMPLOYEE’S AKPAY ACCUMULATORS ARE NOT CORRECT
                                                                                                   (If pay is due, an AKPAY online batch is required)
    Warrant Mutilated & Attached – AKPAY Correct – AKSAS Cancel & Reissue                     Warrant Attached – Reverse AKPAY

    Warrant Not Attached – AKPAY Correct – AKSAS Stop Pay & Reissue                           Warrant Not Attached – Reverse AKPAY & AKSAS Stop Pay

                                                                                              Direct Deposit Recall – AKPAY Incorrect – Reverse AKPAY



                                                STOP PAY CERTIFICATION
              For Stop Pays: Employee completes the following section and returns to Agency or HR Service Center
 Please stop pay the State of Alaska Payroll Warrant for the following reason:

           Warrant Destroyed in Error                 Warrant Lost             Warrant Never Received                      Warrant Stolen           Warrant Damaged

                  Other:
 I CERTIFY I HAVE NOT CASHED THIS WARRANT, AND I WILL NOT CASH IT IF FOUND. I understand a replacement warrant, if applicable,
 cannot be issued until a stop payment processes through the State’s Accounting System. Processing will start as soon as this form is received by
 Division of Finance in Juneau (faxed form is acceptable). If I locate the original warrant, I will immediately mark it void and mail to: Payroll
 Section, Division of Finance, Department of Administration, P.O. Box 110204, Juneau, AK 99811-0204.

 Payee Signature:                                                                    Phone:                                                 Date:


                                      AGENCY OR HR SERVICE CENTER CERTIFYING OFFICER ACTION
 I certify that facts herein and on supporting documents are correct, this transaction constitutes a legal charge against funds and/or appropriations
 cited, sufficient funds are encumbered to pay this obligation, or that there is a sufficient unencumbered balance in the funds and/or appropriation
 cited to cover this obligation. I am aware to knowingly make or allow false entries or alterations on a public record, or knowingly destroy, mutilate,
 suppress, conceal, remove or otherwise impair the verity, legibility or availability of a public record constitutes tampering with public records
 punishable under AS 11.56.815-820. Other disciplinary action may be taken up to and including dismissal.
 CERTIFYING OFFICER'S PRINTED NAME                                        CERTIFYING OFFICER'S SIGNATURE                                                 DATE


 DEPARTMENT or HR SERVICE CENTER                                          TELEPHONE NUMBER                                                               MAIL STOP NO.



                                                              DIVISION OF FINANCE USE ONLY
                            REDEEMED ON:
      REJECTED                                                                                OTHER
                            REISSUED WARRANT NUMBER      FORGERY NUMBER                ACCOUNTING SERVICES SIGNATURE:                                    DATE
      ACCEPTED
                            DOF PAYROLL SIGNATURE                                                                                                        DATE
      ACCEPTED



02-410 (REV 10/2010)
                                              STATE OF ALASKA
                       PAYROLL WARRANT STATUS CHANGE REQUEST
                                    INSTRUCTIONS
1) Payroll Warrant is Mutilated and Attached – AKPAY is Correct – AKSAS Cancel and Reissue
    a)   Agency or HR Service Center completes a Warrant Status Change Request and attaches the voided warrant.
         These documents are forwarded to the Division of Finance (DOF), Payroll Section, Online Warrant desk.
    b)   DOF Payroll verifies the warrant/payee information, ensures the selected action is appropriate, verifies the
         certification information is complete and correct, initials and forwards the form to Accounting Services.
    c)   Accounting Services processes an AKSAS cancellation and reissues a general warrant in the net amount of
         the payroll warrant.
    d)   DOF Payroll logs the reissued warrant for delivery to the mailroom.

2) Payroll Warrant is Not Attached – AKPAY is Correct – AKSAS Stop Pay and Reissue
    a)   Agency or HR Service Center completes a Payroll Warrant Status Change Request, obtains the employee’s
         signature when possible or signs for the employee, and attaches a screen print of the AKSAS Warrant Inquiry
         screen that indicates the warrant has not been cashed. These documents are forwarded to DOF, Payroll
         Section, Online Warrant desk.
    b)   DOF Payroll verifies the warrant/payee information, ensures the selected action is appropriate, verifies the
         certification information is complete and correct, initials and forwards the form to Accounting Services.
    c)   Accounting Services processes an AKSAS Stop Pay and reissues a general warrant in the net amount of the
         payroll warrant.
    d)   DOF Payroll logs the reissued warrant for delivery to the mailroom.
    e)   When a lost warrant is found, void the face of the warrant and forward to DOF Payroll with a routing slip
         indicating “Warrant Previously Stop Paid”.

3) Payroll Warrant Issued in Error and is Attached – AKPAY is Not Correct, AKPAY Reversal
    a)   Agency or HR Service Center voids the face of the warrant, completes a Payroll Warrant Status Change
         Request, and attaches the voided warrant. These documents are forwarded to DOF, Payroll Section, Online
         Warrant desk.
    b)   DOF Payroll verifies the warrant/payee information, ensures the selected action is appropriate, verifies the
         certification information is complete and correct, initials and reverses the AKPAY warrant.
    c)   When pay is due, the agency or HR Service Center creates an online warrant batch and forwards an Online
         Warrant Request to DOF Payroll.
    d)   DOF Payroll processes the online warrant in the correct amount.

4) Payroll Warrant is Not Attached – AKPAY is Not Correct, AKPAY Reversal – AKSAS Stop Pay
    a)   Agency or HR Service Center completes a Payroll Warrant Status Change Request, obtains the employee’s
         signature when possible or signs for the employee, and attaches a screen print of the AKSAS Warrant Inquiry
         screen that indicates the warrant has not been cashed. These documents are forwarded to DOF, Payroll
         Section, Online Warrant desk.
    b)   DOF Payroll verifies the warrant/payee information, ensures the selected action is appropriate, verifies the
         certification information is complete and correct, initials and forwards the form to Accounting Services.
    c)   Accounting Services places a Stop Pay in AKSAS and DOF Payroll reverses the AKPAY warrant.
    d)   When pay is due, the agency or HR Service Center creates an online warrant batch and forwards an Online
         Warrant Request to DOF Payroll.
    e)   DOF Payroll processes an online warrant in the correct amount.
    f)   When a lost warrant is found, void the face of the warrant and forward to DOF Payroll with a routing slip
         indicating “Warrant Previously Stop Paid”.

5) Payroll Direct Deposit Recall – AKPAY is Not Correct, AKPAY Reversal
    a)   Agency or HR Service Center contacts DOF Payroll, Payroll Production Supervisor or Assistant by phone to
         recall a direct deposit due to employee being overpaid.
    b)   Agency or HR Service Center completes a Payroll Warrant Status Change Request and forwards it to DOF
         Payroll.
    c)   Once DOF receives verification that the recall has been processed by the ACH, a copy of the Payroll Warrant
         Status Change Request is given to the Online Warrant Desk and Accounting Services.
    d)   The Online Warrant Desk reverses the AKPAY warrant.
    e)   If pay is due, the agency or HR Service Center completes an online warrant batch and forwards a request to
         DOF Payroll.
    f)   DOF Payroll processes the online warrant to issue a new AKPAY warrant in the correct amount.



02-410 (REV 10/2010)

				
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