Treasury Forms

Mailing Address:
All forms are available in Adobe Acrobat (PDF) format.
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Please submit completed forms to:
1700 W. Washington Phoenix, Arizona 85007

Phone Number 602-604-7800 Fax Number 602-542-7176

Banking Services
	Contact - Betty Hamman 602-604-7853
	Banking Service Authorization
	Agency Account Authorization
	One-Time Wire Out Request
	Original Set Up For Repetitive Wire Out Request
	Repetitive Wire Out Request
	Change Repetitive Wire Out Request
	International Wire Out Request - Minimum of 2 days to complete
Distribution Recipients
	Contact - Lorraine Jones 602-604-7818
	Distribution Recipient Banking Form
LGIP
	Contact - Main Line 602-604-7832 or Dale Stomberg 602-604-7830
	New LGIP Investment Participant Application
	New LGIP Government Investment Participant Application
	New LGIP Long Term Investment Participant Application
	LGIP Resolution Authorizing Callers
	Resolution Authorizing Investment in LGIP
Remittance
	Contact - Kim Hodges, 602-604-7817
	State Remittance Report Form
	Instructions — State Remittance Report
	State Remittance Detail Report Form
	Instructions — State Remittance Detail Report