Statewide Office of Human Resources

Payroll Forms (Internal)

Dummy Job Form & Checklist

Checklist for Payroll to request from Personnel the setup of a temporary job record and deductions for an employee payroll adjustment. (HR office use only).

PDF

 
Estate Disbursal Form & Instructions

To request disbursal of pay to employee estate (HR office use only).

PDF

 
Estate Form - Affidavit for Collection of Personal Property of Decedent (Form P-110)

State of Alaska Court System form for use by a successor to claim/collect property from a decedent's estate in the event that no will is present.

Enterable PDF (AK Court System site)

 
FICA Medicare / Social Security Refund - Employee Consent Letter Template

(HR office use only)

Template - Word format

 
Labor Redistribution Form

To document the redistribution of labor charges.

PDF, Enterable PDF

 
Leave/Earnings Adjustment Form

For Payroll to document adjustments to leave and earnings (HR office use only).

PDF, Enterable PDF

 
Paycheck Reissue Form

For Payroll to document a reissue of a pay (HR office use only).

PDF, Enterable PDF

 
Payroll Adjustment Form

For Payroll to document adjustments to a pay (HR office use only).

PDF, Enterable PDF

 
PERS/TRS Retro Adjustments (Excel template)

For Payroll to record and calculate retroactive payroll adjustments for employee contribtutions to PERS and TRS (HR office use only).

FY18 | FY17 | FY16

 
Stop Payment Request Form

For Payroll office to request from Statewide Cash Managment a stop payment for an issued payroll check (HR office use only).

Enterable PDF

 
Void Adjustment Form

For Payroll to document a void of a pay (HR office use only).

PDF, Enterable PDF

 

To report any issues with this web page, contact ua-syhr@alaska.edu.

 
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