Arizona State Treasurer’s Office Forms

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Banking Services
Carlton Woodruff (602) 542-7875 or Betty Hamman (602) 542-7853
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
Agency Deposit Procedures
Deposit Tutorial
Distribution Recipients
Lorraine Jones (602) 542-7818
Distribution Recipient Banking Form
Dale Stomberg (602) 542-7833
New LGIP Investment Participant Application
LGIP Resolution Authorizing Callers
Resolution Authorizing Investment in LGIP
Susan Secheslingloff (602) 542-7817
Please email forms to
State Remittance Report Form
Instructions – State Remittance Report
State Remittance Detail Report Form
Instructions – State Remittance Detail Report