SCHEDULE Regulation 4
FORMS
FORM 1 Regulation 7
AUSTRALIAN CAPITAL TERRITORY COLLECTOR'S STATEMENT |
Sequence No. | T.T. | A.O. Code | Date | Contra | Sign | |||||
| | | | | | | |||||
Particulars of Receipts | Working Code | Amount | |||||||||
| | $ | c | ||||||||
TOTAL— | dollars | cents | $ | |
|
A STATEMENT of all moneys that have come day paid to ............................................... | | Prepared by........../........../......... Checked by ......../......... / ......... |
....../....../......
Collector of Public Moneys Date Administrative Unit and Location
FORM 2 Regulation 9
AUSTRALIAN CAPITAL TERRITORY RECEIVER'S STATEMENT |
Sequence No. | T.T. | A.O. Code | Date | Contra | Sign | |||||
| | | | | | | |||||
Particulars of Receipts | Working Code | Amount | |||||||||
| | $ | c | ||||||||
TOTAL— | dollars | cents | $ | |
|
A STATEMENT of all moneys that have come | |
Prepared by........../........../......... Checked by ......../........../........... |
....../....../......
Receiver of Public Moneys Date Administrative Unit and Location
FORM 3 Regulation 11
DEPOSIT SLIP | DATE | | NOTES | | | |
CREDIT | TERRITORY PUBLIC ACCOUNT |
| SILVER | | | |
Amount ....................................................................... | |
COPPER | | | ||
.................................................................................. Proceeds of cheques, etc., will not be available until cleared | | CHEQUES
| | | ||
Signature...................................................................... Receiver of Public Moneys | | TOTAL | | |
Administrative Unit
Particulars of cheques, etc. | | Received payment Teller |
Drawer | Bank | Branch | Amount | Drawer | Bank | Branch | Amount | ||
|
$ | c | | Forward | $ | c | |||
| | | | | | | | | |
| | | | | | | | | |
| |||||||||
FORM 4 Regulation 13
AUSTRALIAN CAPITAL TERRITORY
REPAYMENTS TO CREDIT OF EXPENDITURE
STATEMENT OF AMOUNTS paid this.........................day of.......................19.....to the Receiver of Public Moneys for the Administrative Unit for..........................................
at .....
Appropriation or Account to be Credited | | Number and | | |||
Div. |
Sub-div. | Item | Working code | Particulars, including Reason for Repayment | Date of Account | Amount of Repayment |
| | | | | |
$ c |
TOTAL | | $ |
Authorising Officer
FORM 5 Regulation 14
AUSTRALIAN CAPITAL TERRITORY
PARTICULARS OF PROPERTY OF THE TERRITORY TO BE SOLD BY ADMINISTRATIVE UNIT
Name and Station of Officer Directed to Sell | Authority for |
Particulars of Property to be Sold |
| | |
To the Auditor-General, Australian Audit Office Head of Administration
Date / /
FORM 6 Regulation 26
AUSTRALIAN CAPITAL TERRITORY
CLAIM FOR PAYMENT
Rendered on Administrative Unit for
1 NAME OF | Registration No. | Consecutive No. | |||||||||
(BLOCK LETTERS) | | | | ||||||||
(Post Code) 1 Courtesy titles to be shown (e.g. Mr, Mrs, Miss, Dr) | | Financial Year | |||||||||
Appropriation Code/Description | Reqn. No. | 2 Progress | Working/Cost Code | Amount $ c | |||||||
....................................... | ............. | ............. |
....................... | ...... | .... | ||||||
|
....................................... | ............. | ............. |
....................... | ...... | .... | |||||
|
....................................... | ............. | ............. |
....................... | ...... | .... | |||||
| 2 P = Part Delivery 2 C = Complete Delivery | TOTAL $ | | | |||||||
| | ||||||||||
Date or Period | Contract/ Order No. | Particulars of Claim | Amount | ||||||||
| | |
$ c | ||||||||
...% discount for payment before.../.../.. TOTAL $ |
PLEASE COMPLETE THE
‘PAYMENT ADVICE' BELOW TO ENSURE IDENTIFICATION
OF THE CHEQUE WHEN
RECEIVED
PAYMENT ADVICE
(To be detached by the Paymaster and enclosed with cheque) | |
Claimant's Reference | Amount | |
The attached cheque is on payment of a claim on the Administrative Unit for ...................................................................... | | |
$ | c |
Any inquiry concerning this payment should be directed to that Administrative Unit quoting cheque number, amount and date. DUTY STAMPS SHOULD NOT BE AFFIXED TO THE CHEQUE | | | | |
FORM 7 ( Front of Form ) Regulation 33
AUSTRALIAN CAPITAL TERRITORY
CLAIM FOR TRAVELLING ALLOWANCE
Rendered on Administrative Unit for
1 NAME OF | Registration No. | Consecutive No. | |||
(BLOCK LETTERS) Address to
..................................................... | | | | ||
(Post Code) 1 Courtesy titles to be shown (e.g. Mr, Mrs, Miss, Dr) | | Financial Year | |||
|
Appropriation Code/Description | Working/Cost Code | Amount | ||
|
...................................................................... |
....................... |
$ c ............ | ||
...................................................................... |
....................... | ............ | |||
| | TOTAL $ | | ||
| |
Movement Requisition No. | Sandard Salary Scale |
Travelling Allowance (For particulars of movement see back of this form) | |
Rate | Amount | ||||||
| | | | | | | | $ | c |
Daily Rate— | | Days |
Hours | | | | | | |
Capital City | | .......... | .............. | @ per day | | ......... | ... | ........... | ...... |
Other | | .......... | .............. | @ per day | | ......... | ... | ........... | ...... |
Weekly Rate | Weeks | Days | Hours | | | | | | |
Capital City |
.......... | .......... | ............. | @ per week | | ......... | ... | ........... | ...... |
Other | .......... | .......... | ............. | @ per week | | ......... | ... | ........... | ...... |
Camping Rate |
| Days | Hours | | | | | | |
Cook Provided | | .......... | .............. | @ per day | | ......... | ... | ........... | ...... |
Cook not provided | | .......... | .............. | @ per day | | ......... | ... | ........... | ...... |
Married Officer/Unmarried Officer 2 | | | | | | ||||
Incidental Expenditure (as shown on back of this form) ................... | | | | | | ||||
| Less Advance—Voucher No. | | | Sub-Total... | ........... | ...... | |||
2 Strike out whichever is inapplicable | | | | TOTAL $ | | |
FORM 7—continued
PLEASE COMPLETE THE ‘PAYMENT ADVICE' BELOW TO
ENSURE IDENTIFICATION OF THE CHEQUE WHEN RECEIVED
PAYMENT ADVICE
(To be detached by the Paymaster and enclosed with cheque)
To
The enclosed cheque is in payment of a claim on the Administrative Unit for.................. .............................................for travelling allowance.
Any enquiry concerning this payment should be directed to that administrative unit quoting cheque number, amount and date.
DUTY STAMPS SHOULD NOT BE AFFIXED TO THE CHEQUE
( Back of Form )
PARTICULARS OF MOVEMENT
Date | Departure | Arrival | Capital City rate | Other than Capital City Rate | Camping Rate | ||||||||
19....... | Time | Place | Time | Place | Weeks | Days | Hours | Weeks | Days | Hours | Days | Hours | |
| | | | | | | | |
|||||
TOTAL | | | | | | | | |
Incidental Expenditure | Amount | |
| $ | c |
| | |
$ | | |
FORM 8 Regulation 69
AUSTRALIAN CAPITAL TERRITORY
CERTIFICATE AS TO THE PAYMENT OF SALARIES
Administrative Unit Fortnight ending
Pay Centre
NAME | Identity Number | Amount Paid | We certify that the several persons whose names appear on this pay sheet have this day been duly paid in our presence with the exception of those persons whose names and amounts are shown below: |
$ | c | .................................. | $ ..... | c ..... | ||||
| |
| .................................. | ...... | ..... | |||
| | | |
.................................. | ...... | ..... | ||
| | | |
.................................. | ...... | ..... | ||
| | | | | | | ||
| |
| Paying Officer: .................................................... | |||||
| |
| Witnessing Officer: .................................................... | |||||
TOTAL— | | dollars | cents | Date .............................................. |
FORM 9 Regulation 34
AUSTRALIAN CAPITAL TERRITORY
PETTY CASH
Administrative Unit
Date | Signature of Payee or other Person | Service | Amount |
$ | c | ||||
| | | | | |
| | | | | |
| | | | | |
| | | | | |
Reimbursement claimed .............................................. | | | |||
Cash on hand or in transit ........................................... | | | |||
Amount of advance ..................................................... | | | |||
Head of Administration or authorised officer Date / / .
FORM 10 ( Front of Form ) Regulation 35
AUSTRALIAN CAPITAL TERRITORY
CLAIM FOR REFUND
Rendered on Administrative Unit for
1 NAME OF | Registration No. | Consecutive No. | |||
(BLOCK LETTERS) Address to
........................................................... | | | | ||
(Post Code) 1 Courtesy titles to be shown (e.g. Mr, Mrs, Miss, Dr) | |
Financial Year | |||
| Appropriation Code/Description | Working/Cost Code |
Amount |
...................................................................... |
....................... | $ ...... | c ...... | ||||
|
...................................................................... |
....................... | ...... | ...... | |||
| | TOTAL $ | | | |||
| | | | |
|||
Date of Preparation of Claim | Particulars of Claim | Amount | |||||
| | $ |
c | ||||
| | | | ||||
| TOTAL $ | | |
PLEASE COMPLETE THE ‘PAYMENT ADVICE'
BELOW TO ENSURE IDENTIFICATION OF THE CHEQUE WHEN RECEIVED
PAYMENT ADVICE
(To be detached by the Paymaster and enclosed with cheque)
To
The enclosed cheque is for refund of
by the Administrative Unit for
Any enquiry concerning this payment should be directed to that administrative unit quoting cheque number, amount and date.
DUTY STAMPS SHOULD NOT BE AFFIXED TO THE CHEQUE
FORM 10—continued
( Back of Form )
CERTIFICATE TO BE GIVEN WHERE THE AMOUNT TO BE REFUNDED CAN BE IDENTIFIED WITH A PARTICULAR CREDIT IN A RECORD OF COLLECTIONS
I certify that the sum of $..............was received at this office on the.......................day of......................19......, and was included in an amount of $..............
paid to
on the..........................day of....................19......
...................... | } | of Public Moneys |
at
Date / /
CERTIFICATE TO BE GIVEN WHERE THE AMOUNT TO BE REFUNDED CANNOT BE IDENTIFIED WITH A PARTICULAR CREDIT IN A RECORD OF COLLECTIONS
I certify that I have examined this claim and I am of the opinion that the sum of $........is properly due for refund.
for Head of Administration
at
Date / /
1 Strike out whichever is inapplicable.
FORM 11 Regulation 29
ADMINISTRATIVE REGISTER OF ACCOUNTS
Registration Number | Date | Name | Particulars Quantity, Rates, &c.) | Amount | Consecutive Account |
Remarks |
| | | |
$ c |
FORM 12 Regulation 31
AUSTRALIAN CAPITAL TERRITORY
Finance
Regulations
APPOINTMENTS, PROMOTIONS, TRANSFERS, RESIGNATIONS, REMOVALS FROM OFFICE AND VARIATIONS IN PAY
Administrative Unit..............
Division............ and/or Branch
Pay Day................................. Fortnight Ending...................................
PAY VARIATION ADVICE CERTIFICATE
I CERTIFY that the following pay variation advices have been forwarded for payment for this fortnight and that all such variations have been approved by competent authority:
First Number Last Number
Cancellation(s)
FORM 13 .............
FORM 14 .............
FORM
15 .............
Prepared by Checked by
Head of Administration or authorised officer
(Date)
FORM 13 Regulation 30
AUSTRALIAN CAPITAL TERRITORY
Finance
Regulations
PAY VARIATION ADVICE
(Use Form 14 if Superannuation/Provident Account Affected)
Serial No.
Administrative Unit, Division and/or Branch Fortnight Ended
Name | | Rate of Pay | Date | Particulars | |||||||
If appropriate—New
| Number | Present | As Varied | From— | To— | Approved | | ||||
| | | | | | | | ||||
For Designated Office Use | | Variations in Fortnightly Salary | Variations in Fortnightly Deductions | Staff Section Certificate |
Appropriation | |
Old Basic Salary $ c |
New Basic Salary $ c | Current Adj. (±) $ c | Deduction |
Old Basic $ c |
New Basic $ c | Current Adj. (±) $ c | Prepared by........... | ||||||
Basic Wage Grade | | | | | | | | | | | | | | |
Checked By............ |
Taxation Allowance | | | | | | | | | | | | | | |
Certified correct ........................... |
Mode of Payment | | | | |
| Officer Authorised to Sign | |||||||||
Costing Classification | | | | | | | | | | | |
Date..................... |
FORM 14 Regulation 30
*Class | AUSTRALIAN CAPITAL TERRITORY | | |
Contrib. No. |
Pay Serial | ||
Dept. Code | PAY VARIATION ADVICE |
Period / No. | / |
*Pay Ref. | (Including Superannuation and Provident Account Variations) |
Administrative Unit, Division and/or Branch Fortnight Ended / /
NAME (Block Letters) | | Rate of Pay | Date | | |||||
Mr Mrs Miss | For new contributor include full Given or Christian names | Initials |
Salary Number | Present | As Varied | From | To | App-roved |
Reason for Variation —Include reference to Designation and Classification |
| | | | | | | | | |
ACCOUNTS ACTION | Variations in fortnightly salary | Variations in
fortnightly deductions | STAFF SECTION CERTIFICATE | |||||||||||||
|
Old Basic $ c |
New Basic $ c |
Current Adj. | Deductions |
Old Basic $ c |
New Basic $ c |
Current Adj. | Prepared by........... | ||||||||
| | | | | | | | | | | | | | | | |
| | | | |
Checked by........... | |||||||||||
| | | | | | | | | | | | | | | | Certified correct ........................... |
Calculated by ................Checked by....................... Reconciliation Officer............................................ | | | | | | | | |
Authorised Date |
FORM 14—continued
VARIATIONS IN SUPERANNUATION/PROVIDENT ACCOUNT CONTRIBUTIONS
Date Variation Payable | | | FOR NEW | |||
*T.O.V. | SUPERANNUATION |
PROVIDENT | CONTRIBUTOR ONLY | |||
| †Salary | | Number |
Amount | Amount | Sex.................. |
Details | Old | New | Types of Units | Old | New | Old Basic | New Basic | Cur-rent Adj. | +M | Old Basic | New Basic | Cur-rent Adj. | +M | If female, indicate Marital Status | |||
Max. | | | Contri- | | | |
| Never Married | | ||||||||
B.W.A. | | | butory | | | | | | | | | | | Married | | ||
Non | | | | | | | | | | | | | |||||
Allow-ances | | | Contri-butory | | | | | |
| Widowed/Divorced | | ||||||
Total | | | Reserve | | | | | | | | | | |
√Tick applicable | Box |
Units Rejected | TOTAL | | | | | | |
If Separation | Date |
†Maximum Salary to be shown in all cases except for certain minors ( see
instructions) | Table ........ Part (new contributor only): ..................... | If Forms of Election Attached, state how | If Superannuation No. ............Date ............. | Birth Joining Service Appoint-ment |
/ / / / / / |
FORM 15 Regulation 30
AUSTRALIAN CAPITAL TERRITORY PAY VARIATION ADVICE Serial No .... | Prepared by ................................. |
(Use Form 14 if
Superannuation/ | |
TO | ................................. |
(Administrative Unit, Division and/or Branch) | (Period Ending) |
.................................. Officer Authorised to Sign ....../....../19...... |
Rate of Pay Date | |||||||
No. | Name and Designation |
Present | As Varied | From | To | Reason | ACCOUNTS USE
ONLY |
| | | | | | | ..................................
|
| | | | | | | .................................. Reconcl. Officer |
FORM 16 Regulation 52
AUSTRALIAN CAPITAL TERRITORY
TRANSFERS UNDER SECTION 49 OF THE AUDIT ACT 1989
Department | Division | Subdivision | Financial Year 19 | |||
| | | From Item | Amount | To Item | Amount |
| | | | $ | | $ |
FORM 17 Regulation 74
AUSTRALIAN CAPITAL TERRITORY
COUNTER CASH ADVANCE CASH BOOK
Dr. Cr.
Particulars of Cheques Cashed | | ||||||
Date 19 | Particulars of Cash Received |
Amount | Date 19 | No. of Cheques on list | Receiver of Public Moneys to whom Cheques were paid | List No. | Daily Total of Cheques Cashed |
Brought forward | $ | c | | | | |
$ c |