programsTreasury and Financial Systems

Banking and Electronic Processing Forms

Warrants

The following forms are for state agencies requesting chargebacks for warrants with forged endorsements or for financial institutions requesting payments for lost warrants that have been negotiated.

• Form 82-197, Chargeback Authorization (PDF)
• Form 00-952, Affidavit of Forgery (PDF)
• Form 00-953, Affidavit and Indemnity Agreement for Lost Warrant (PDF)

Deposit Slip

The Deposit Slip form is for state agencies when making deposits to the Banking and Electronic Processing Division. Type information directly on the form and print. Cut along the appropriate lines before presenting deposit slips to the tellers.

Form 82-198, Deposit Slip (PDF)

Questions

If you have questions about the warrant forms, call 512-463-5963.

If you have questions about the deposit slip, call 512-463-6052