Get Ac3253 S Xclaim For Payment Instructions Online Fillable

The Ac3253 S Xclaim For Payment Instructions is an essential document used for submitting claims for payment in New York. This guide will provide you with clear, step-by-step instructions on how to complete this fillable form online, ensuring you accurately provide all necessary information.

Follow the steps to accurately complete the Ac3253 S Xclaim for Payment

1. Click ‘Get Form’ button to access the fillable form and open it in your preferred editor.
2. Begin by entering the ‘Court Voucher No.’ which is essential for tracking your claim. This may be found on any previous related documentation for reference.
3. Fill in the ‘Voucher ID’ and ‘Vendor ID’ fields with the appropriate identification numbers assigned to your claim.
4. Complete the ‘Business Unit’ section by entering UCS 05 and provide the time and date you are submitting the form.
5. Enter the ‘Vendor Name’ and ensure you accurately report the ‘Vendor Address,’ including the city, state, and zip code.
6. Document the ‘Invoice Date’ and ‘Invoice Number’ to validate your claim and ensure it aligns with your business transactions.
7. Indicate the date the invoice was received and the total ‘Invoice Amount’ being claimed.
8. Provide the ‘SFS PO No.’ and the ‘Purchase Order Date’ related to the transaction, along with the ‘Contract ID’ if applicable.
9. You may need to attach a packing slip; be sure to include this if required for your submission.
10. In the ‘Vendor Certification’ section, ensure you check the box confirming the accuracy of the invoice and that taxes exempt from the State are not included—then sign in ink.
11. Input the ‘Title,’ ‘Name of Company,’ and ‘Date’ to finalize your vendor certification.
12. For approval, fill out the ‘District Office Approval’ section with the date of approval and authorized signature.
13. Complete the ‘Invoice Lines’ section by detailing the description of goods or services, quantity, unit of measure, unit price, and extended amount.
14. Fill in the ‘Distribution Lines,’ entering the amount, fund, GL unit, department by district, program, expenditure account code, and budget reference as required.
15. Review the entire form to ensure all information is complete and accurate before proceeding.
16. Once you have filled out the form, you can save your changes, download a copy, print it for physical records, or share it as needed.

Start completing your Ac3253 S Xclaim For Payment Instructions online today to ensure a smooth claims process.