Form AOC-FS-201 "Account 17310 Miscellaneous Expense Reimbursement Form" - North Carolina

What Is Form AOC-FS-201?

This is a legal form that was released by the North Carolina Court System - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2021;
  • The latest edition provided by the North Carolina Court System;
  • 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 AOC-FS-201 by clicking the link below or browse more documents and templates provided by the North Carolina Court System.

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Download Form AOC-FS-201 "Account 17310 Miscellaneous Expense Reimbursement Form" - North Carolina

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ACCOUNT 17310
STATE OF NORTH CAROLINA
MISCELLANEOUS EXPENSE
JUDICIAL BRANCH OF GOVERNMENT
REIMBURSEMENT FORM
INSTRUCTIONS:
This form is to be used by Clerk of Superior Court staff to request reimbursement for Account 17310 (Due from AOC – Miscellaneous).
The NCAOC FSD-recommended method of paying for these expenses is to submit them directly to FSD for payment. However, if your
office paid for these expenses, reimbursement of your Clerk of Superior Court office should be obtained by completing this form and
sending it, along with a copy of the Payment Authorization Form and a copy of the paid invoice, to:
NC Administrative Office of the Courts
MAIL TO:
ATTN: Financial Services Division
P.O. Box 2448
Raleigh, NC 27602 OR Send by State Courier Service 56-10-50
I, the undersigned, certify that this is a true and accurate report and request that reimbursement be mailed to my Clerk of Superior Court
office for the payment of the purchases described below:
Date
Paid To
Paid Invoice/Description
Amount
POST OFFICE BOX
DISTRICT ATTORNEY –
COURT-ORDERED COPY EXPENSE
LOCKSMITH
MAGISTRATE – MONEY ORDERS
OTHER
(describe)
OTHER
(describe)
TOTAL REIMBURSEMENT
Date
County Of Clerk Of Superior Court Making Request For Reimbursement
Signature Of Requestor
Signature Of Supervisor
Name Of Requestor (type or print)
Name Of Supervisor (type or print)
Title Of Supervisor
FOR USE BY NCAOC FINANCIAL SERVICES DIVISION
NOTE TO NCAOC STAFF:
Make check payable to the Clerk of Superior Court of the county identified above and mail to that office.
Company
Account
Center
Amount
020
020
020
020
Approval For Payment/Date
Vendor No.
AOC-FS-201, Rev. 7/21
© 2021 Administrative Office of the Courts
ACCOUNT 17310
STATE OF NORTH CAROLINA
MISCELLANEOUS EXPENSE
JUDICIAL BRANCH OF GOVERNMENT
REIMBURSEMENT FORM
INSTRUCTIONS:
This form is to be used by Clerk of Superior Court staff to request reimbursement for Account 17310 (Due from AOC – Miscellaneous).
The NCAOC FSD-recommended method of paying for these expenses is to submit them directly to FSD for payment. However, if your
office paid for these expenses, reimbursement of your Clerk of Superior Court office should be obtained by completing this form and
sending it, along with a copy of the Payment Authorization Form and a copy of the paid invoice, to:
NC Administrative Office of the Courts
MAIL TO:
ATTN: Financial Services Division
P.O. Box 2448
Raleigh, NC 27602 OR Send by State Courier Service 56-10-50
I, the undersigned, certify that this is a true and accurate report and request that reimbursement be mailed to my Clerk of Superior Court
office for the payment of the purchases described below:
Date
Paid To
Paid Invoice/Description
Amount
POST OFFICE BOX
DISTRICT ATTORNEY –
COURT-ORDERED COPY EXPENSE
LOCKSMITH
MAGISTRATE – MONEY ORDERS
OTHER
(describe)
OTHER
(describe)
TOTAL REIMBURSEMENT
Date
County Of Clerk Of Superior Court Making Request For Reimbursement
Signature Of Requestor
Signature Of Supervisor
Name Of Requestor (type or print)
Name Of Supervisor (type or print)
Title Of Supervisor
FOR USE BY NCAOC FINANCIAL SERVICES DIVISION
NOTE TO NCAOC STAFF:
Make check payable to the Clerk of Superior Court of the county identified above and mail to that office.
Company
Account
Center
Amount
020
020
020
020
Approval For Payment/Date
Vendor No.
AOC-FS-201, Rev. 7/21
© 2021 Administrative Office of the Courts