| Document | Date | Format |
|---|---|---|
| 1. Advantage Journal Template (Single or multi-page) | 09/20/2017 | Excel |
| 2. Reporting Unit Request - Single Request | 12/07/2015 | Excel |
| 3. Reporting Unit Request - Multiple Request | 12/07/2015 | Excel |
| 4. Cash Management and Estimated Revenue Request (FY25) | 05/02/2024 | Excel |
| 5. Petty Cash Authorization (New) | 08/08/2013 | |
| 6. Petty Cash Authorization (Update) | 08/08/2013 | |
| 7. Petty Cash and Change Account Reconciliation Revised Forms | 07/02/2018 | Excel |
| 8. Signature Authorization - Updated (For Advantage Accounts Payable and Journal Voucher OSC Approval) |
08/09/2023 |
| Document | Date | Format |
|---|---|---|
| 1. Vendor Activation/Change (Form Instructions) (aka State of Maine Substitute W9) |
02/21/2020 | |
| 2. Vendor Deactivation | 01/21/2010 |
| Document | Date | Format |
|---|---|---|
| 1. Direct Deposit / Electronic Funds Transfer Activation/Change Direct Deposit/EFT Guidelines DD/EFT Form Instructions (Note: If you are Paymode/Clareon vendor, you do not need to complete this form. Instead, please contact Paymode at 1-877-443-6944.) |
03/21/2019 | |
| 2. Direct Deposit / Electronic Funds Transfer Deactivation | 04/16/2013 |
Effective May 11, 2015, MaineCare providers must access the Maine Integrated Health Management System (MIHMS) at the following link https://mainecare.maine.gov/ProviderHomePage.aspx to register for Electronic Funds Transfer (EFT). EFT Registration For MaineCare providers is now only available as part of Provider Enrollment or Provider Maintenance on the MIHMS Portal.
| Document | Date | Format |
|---|---|---|
| 1. Employee Direct Deposit Request | 04/17/2008 | |
| 2. Duplicate W-2 Request | 11/17/2005 | |
| 3. Replacement Check Request (SAL/SUP/PAY) | 08/20/2009 | |
|
4. Lost/Damaged Check Request (LOS) **Use for check being reissued** Note: Please do not use this form's accounting codes on cash receipt if you are not planning to resissue payment. |
08/20/2009 | |
|
5. Payment Reversal Request **Use for check being stopped; no reissue** |
11/17/2005 | |
| 6. State Reimbursement | 10/08/2019 | |
| 7. W-4 Employees Withholding Certificate | 2023 | |
| 8. W-4ME State Employees Withholding Certificate | 2023 | |
| 9. Security Application (HR System & MEPERS) | 03/08/2012 | |
| 10. Security Application (MS-TAMS) | 03/08/2012 | |
| 11. MFASIS HR Transfer Request Form | 06/10/2016 | |
| 12. Agency Deduction Override Form | 06/10/2016 | Excel |
| 13. Agency Regular Pay Form | 06/10/2016 | Excel |
| 14. Agency Special Pay Form | 06/10/2016 | Excel |
| 15. Longevity Merit Report of Lost Earnings | 06/10/2016 | Excel |
| 16. Maine Direct Deposit Exemption Request Form | 07/09/2020 |
| Document | Date | Format |
|---|---|---|
| 1. Advantage Security Form (Case Management) | 06/03/2024 | |
| 2. DAFS Analytics & SQL Financial Cube Security Application | 10/04/2023 |
| Document | Date | Format |
|---|---|---|
| 1. Advance Voucher & Out of State Travel Request | 01/12/2024 | Excel / PDF |
| 2. Air Travel Quote Submission | 12/12/2006 | Excel / PDF |
| 3. Expense Voucher (Rate $0.46) | 10/25/2022 | Excel / PDF |
| 4. Expense Voucher (Rate $0.50) | 01/12/2024 | Excel / PDF |
| Document | Date | Format |
|---|---|---|
|
1. For Internal State Use Only W9 State Completed (State is receiver of funds.) This form is NOT to be used by outside vendors or VSS. Please use Substitute W9 under Vendor Forms. |
08/27/2020 |
**Documents are supplied in PDF format and require the free Acrobat Reader for viewing or printing. If you need an alternate format, please contact us via email or phone (207-626-8420).
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