Official State of Rhode Island website

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State of Rhode Island Office of Accounts and Control Department of Administration

Forms

Employer Provided Vehicles Forms (A-51)

A-51A Annual Statement of Personal Usage for State Vehicles - Cents-Per-Mile Method 11 7 22.xlsx Excel file, less than 1

A-51B Annual Statement of Personal Usage for State Vehicles Annual Lease Value Method.pdf PDF file, less than 1

A-51C Annual Statement of Personal Usage for State Vehicles -Commuting Valuation Method.pdf PDF file, less than 1

Affidavit of Heirs Form (A-53)

Affidavit of Heir(s) Form (A-53) 9.7.21.pdf PDF file, about 3

Payroll Adjustment Report-Retro Form (A-88)

Payroll Adjustment Report-Retro Form (A-88) 5-23-22.xlsx Excel file, less than 1

C.O.P.E Deduction Form

C.O.P.E. Deduction Form.pdf PDF file, less than 1

Direct Deposit Forms

A-17 Direct Deposit Authorization Form Rev 10.24.2023.pdf PDF file, less than 1

A-17C Direct Deposit Change Authorization Rev 10.24.2023.pdf PDF file, less than 1

Direct Deposit Waiver Request Form

Direct Deposit Waiver Request Form.pdf PDF file, less than 1

Employee Leave Request Form

Employee Blank Leave Request Form Fillable.pdf PDF file, less than 1

S.T.A.R.S. Form

State Time and Attendance Reporting System (STARS) Access Form.docx Word file, less than 1

Treasury Direct Authorization-Cancellation Form

Treasury Direct Authorization-Cancellation Form.pdf PDF file, less than 1

2025 W-4's: State and Federal

Form W4 RI 2025.pdf PDF file, less than 1

Form W4 Federal 2025.pdf PDF file, less than 1

Duplicate W2 Request Form

Duplicate W2 Request Form PDF file, less than 1