Arizona State Treasury Forms

PCI Forms

Contact Michelle Huang (602) 542-7857

Please email forms to pci@aztreasury.gov

• ASTO request for Merchant ID and PCI DSS Acknowledgement.

Remittance

Contact Carmen Covarrubias (602) 542-7819

Please email forms to nonstateremittance@aztreasury.gov

• State Remittance Report Form

• Instructions – State Remittance Report

• State Remittance Detail Report Form

• Instructions– State Remittance Detail Report

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Distributions

Contact Susan Secheslingloff (602) 542-7817

For assistance, please email distributions@aztreasury.gov 

• Distribution Recipient Banking Information Form

Securities

Contact Katherine Jaramillo (602) 542-7821 

For assistance, please email katherinej@aztreasury.gov 

• Securities Safekeeping Form

• Assignment to Arizona State Treasurer Form

• Instructions to Depositors