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The Official Website of the Comptroller of the Commonwealth (CTR)
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Payroll and LCM Forms

Payroll and LCM FormsPosted Date
Change of Existing Garnishment Form pdf format of    GarnChng_frm.pdf  9/28/2004
Commonwealth Terms and Conditions doc format of    comm_TermsConditions.doc  pdf format of comm_TermsConditions.pdf 6/15/2004
Discontinuation of PDA Form pdf format of    DiscntPDA_frm.pdf  9/28/2004
Electronic Funds Transfer (EFT) Web Form11/18/2009
Employee Non-Cash Parking Benefit HR/CMS Selection Form doc format of    tax_frm_parking.doc
PDF Format pdf format of    tax_frm_parking.pdf
1/15/2010
Employee Payroll Garnishment Full Payment Request Form pdf format of    GarnEmplPayroll_frm.pdf  9/28/2004
Employee Reimbursement Form xls format of    Empl_Reimbursement_frm_1.xls  pdf format of Empl_Reimbursement_frm_1.pdf 01/05/2009
Employment Status Form doc format of    Employment_Status_Form.doc  pdf format of Employment_Status_Form.pdf 11/1/2005
Federal Tax Refund Request Form pdf format of    Fed_Tax_Ref_Req_Frm.pdf  9/28/2004
Garnishment Data Input Form pdf format of    GarnDataInput_frm.pdf  9/28/2004
LCM Rules Request Form xls format of    LCM_Rules_Request_Frm.xls  pdf format of LCM_Rules_Request_Frm.pdf 5/31/2006
Medicare Tax Refund Request Form pdf format of    medicareRefund_frm.pdf  9/28/2004
Payroll Authorization for Direct Deposit into Employee's Account doc format of    dir_dep_frm.doc  pdf format of dir_dep_frm.pdf  9/24/2009
Payroll Deduction Authorization ( PDA doc format of    PDA_frm.doc  ) Form doc format of    PDA_frm.doc  pdf format of PDA_frm.pdf 5/10/2007
Payroll Expenditure Approval Form doc format of    Payroll Expenditure Approval Form  pdf format of Payroll_Expenditure_Approval_frm.pdf 12/7/2012
Payroll Public Records Exemption Form doc format of    pr_exemp_frm.doc  pdf format of pr_exemp_frm.pdf 2/6/2012
Payroll Refund Receipt Voucher Form xls format of    New_Receipt_Voucher.xls  pdf format of New_Receipt_Voucher.pdf 9/28/2004
Payroll Rules Request Procedures doc format of    Rules_Manual.doc  file size 1MB pdf format of Rules_Manual.pdf file size 2MB 5/31/2006
Standard Contract Form doc format of    standard_contract_frm.doc  pdf format of standard_contract_frm.pdf 6/27/2011
State Tax Refund Request Form pdf format of    State_Tax_Ref_Req_Frm.pdf  9/28/2004
TSA 403B Salary Reduction Form doc format of    2009_sra_frm.doc  pdf format of 2009_sra_frm.pdf  8/12/2011

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