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Form Last Updatedsort ascending
Direct Debit/Non-Check Disbursement Request Form ( 48.65 KB) Wednesday, September 7, 2022
International Check Collection Form ( 29.5 KB) Tuesday, August 23, 2022
Application to Request a New Bank Account ( 35 KB) Monday, August 1, 2022
Missing Receipt Affidavit ( 45.07 KB) Tuesday, May 3, 2022
Participant Fee Advance Tuesday, May 3, 2022
Remote Worker Checklist ( 101.22 KB) Tuesday, February 22, 2022
FICA Tax Refund Authorization ( 63.5 KB) Friday, September 10, 2021
Service Provider Questionnaire ( 779.19 KB) Friday, January 29, 2021
Lease Determination Form ( 58.88 KB) Tuesday, July 14, 2020
Notification of Expected Incoming Wire Transfer/ACH or EFT Tuesday, May 26, 2020
Notification of Claiming Unidentified Receipts Tuesday, May 26, 2020
Concur Thursday, December 19, 2019
Foreign National Information System (FNIS) Thursday, August 22, 2019
Biweekly On-Demand/On-Cycle Correction Form ( 677.95 KB) Monday, June 17, 2019
Semimonthly On-Demand/On-Cycle Correction Form ( 669.97 KB) Monday, June 17, 2019
International Independent Contractor Certification and Attestation ( 255.93 KB) Friday, May 10, 2019
Employee Timesheet ( 669.56 KB) Friday, May 18, 2018
Workday Time Tracking & Absence Retro Edit Tuesday, January 9, 2018
Attestation of Successful Completion of Annual PCI Training ( 72.75 KB) Wednesday, September 20, 2017
Application to Request Closure of a Bank Account ( 28 KB) Wednesday, September 20, 2017

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Division of Financial Services

377 Pine Tree Road, East Hill Plaza
Ithaca, NY 14850

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