Form FI-0011 "Customer Master Record Request" - Arkansas

What Is Form FI-0011?

This is a legal form that was released by the Arkansas Department of Finance & Administration - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Arkansas Department of Finance & Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FI-0011 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Finance & Administration.

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Download Form FI-0011 "Customer Master Record Request" - Arkansas

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Department of Finance & Administration
Office of Accounting
C
M
R
R
- F
FI0011
USTOMER
ASTER
ECORD
EQUEST
ORM
New
Change
If Change, enter existing Customer No.
Customer Group:
Standard Customer
or
State Agency
G
D
- A
ENERAL
ATA
DDRESS
Customer Name:
Search Term:
Street Name:
Street Number:
Street Address 2:
City:
State (Region):
Zip Code:
P.O. Box:
P.O. Zip Code:
Telephone:
Ext.
Fax:
Ext.
Email:
G
D
– C
D
ENERAL
ATA
ONTROL
ATA
Tax Code 1:
G
D
– C
P
ENERAL
ATA
ONTACT
ERSONS
Name:
Telephone:
Ext.
Department:
C
C
D
– A
M
OMPANY
ODE
ATA
CCOUNT
ANAGEMENT
Reconciliation Acct:
Sort Key:
C
C
D
– P
T
OMPANY
ODE
ATA
AYMENT
RANSACTIONS
Terms of Payment:
C
C
D
– A
M
OMPANY
ODE
ATA
CCOUNT
ANAGEMENT
Bank Statement:
Dunning Procedure:
R
S
B
:
EQUEST
UBMITTED
Y
Name:
Agency:
Telephone:
Fax:
Email:
F
DFA U
O
:
Customer Number:
OR
SE
NLY
Remit Form to:
th
Office of Accounting, P. O. Box 3278, 1509 W 7
, Room 403, Little Rock, AR 72203
E-Mail:
DFA.OA.MstrDataMain@dfa.arkansas.gov
Fax: (501) 683-0823 Telephone: (501) 682-1675
Form FI0011
Department of Finance & Administration
Office of Accounting
C
M
R
R
- F
FI0011
USTOMER
ASTER
ECORD
EQUEST
ORM
New
Change
If Change, enter existing Customer No.
Customer Group:
Standard Customer
or
State Agency
G
D
- A
ENERAL
ATA
DDRESS
Customer Name:
Search Term:
Street Name:
Street Number:
Street Address 2:
City:
State (Region):
Zip Code:
P.O. Box:
P.O. Zip Code:
Telephone:
Ext.
Fax:
Ext.
Email:
G
D
– C
D
ENERAL
ATA
ONTROL
ATA
Tax Code 1:
G
D
– C
P
ENERAL
ATA
ONTACT
ERSONS
Name:
Telephone:
Ext.
Department:
C
C
D
– A
M
OMPANY
ODE
ATA
CCOUNT
ANAGEMENT
Reconciliation Acct:
Sort Key:
C
C
D
– P
T
OMPANY
ODE
ATA
AYMENT
RANSACTIONS
Terms of Payment:
C
C
D
– A
M
OMPANY
ODE
ATA
CCOUNT
ANAGEMENT
Bank Statement:
Dunning Procedure:
R
S
B
:
EQUEST
UBMITTED
Y
Name:
Agency:
Telephone:
Fax:
Email:
F
DFA U
O
:
Customer Number:
OR
SE
NLY
Remit Form to:
th
Office of Accounting, P. O. Box 3278, 1509 W 7
, Room 403, Little Rock, AR 72203
E-Mail:
DFA.OA.MstrDataMain@dfa.arkansas.gov
Fax: (501) 683-0823 Telephone: (501) 682-1675
Form FI0011