Forms

All forms that are in .pdf format require Adobe® Acrobat® Reader



Court Fee Forms

Circuit Court Remittance Form

Municipal Court Remittance Form



County Remittance Forms

County Assessor Remittance Form

County Clerk Remittance Form

County Sheriff Remittance Form



Deposit Forms

Deposit Ticket Request Form

Corporate Resolution

Depository Bond Agreement

Approved State Depositories



EFT Forms

ABCC EFT Authorization 

ACH Receipts Authorization

Traditional Lottery Retailer EFT Authorization

Limited Video Lottery EFT Authorization

Retirement Direct Deposit Authorization

Retirement Direct Deposit Change of Bank Account Authorization

PEIA Direct Pay EFT Authorization

Access WV EFT Authorization

WVNET Modem Account Billing EFT Authorization

EDA Loan Repayment EFT Authorization

Brickstreet ACH Transfer Application

Please click here to obtain authorization forms that may not be listed above.


Lockbox Forms

Lockbox Application

Lockbox Agreement



Participant Accounting Request Forms

Local Government Resolution Authorizing Investment

Local Government Account Request Form

Local Government Deposit Request

Local Government Withdrawal Request

Local Government Online User Application

State Agency Cash Liquidity Pool

State Agency Enhanced Yield Pool

State Agency Government Money Market Pool



Outside Bank Account Forms

Open Outside Bank Account

Close Outside Bank Account

Outside Bank Account Policy and Procedures



Stop Payment Forms

TOPS User Application