State of Connecticut Office of the State Comptroller MEMORANDUM NO. 2004-14
COMPTROLLER'S SEAL STATE OF CONNECTICUT

STATE OF CONNECTICUT

NANCY WYMAN
COMPTROLLER
OFFICE OF THE STATE COMPTROLLER
55 ELM STREET
HARTFORD, CONNECTICUT 06106-1775
MARK OJAKIAN
DEPUTY COMPTROLLER

MEMORANDUM NO. 2004-14

April 26, 2004

TO THE HEADS OF ALL STATE AGENCIES

Attention: Chief Administrative Officers, Fiscal Officers, and Business Managers
Subject: Agency Certification: Claims Authorization Form (CO-512) Revised April 2004

We will continue using the Claims Authorization Form (CO-512) for fiscal year 2004-2005.  An updated Claims Authorization Form (CO-512 revised April 2004) for fiscal year 2004-2005 must be completed and forwarded to the Comptroller's Office, Accounts Payable Division, 55 Elm Street, Hartford, CT 06106 attn: Linda Carney, by June 11, 2004.

This Claims Authorization Form (CO-512) is available for downloading from the OSC website https://osc.ct.gov/agencies/forms/index.html. The signature of the agency head (i.e. Commissioner) must appear on all Claims Authorization Forms to certify that encumbrances and expenditures are "chargeable to the appropriations indicated."

Encumbrance and expenditure documents may not be processed for the new fiscal year if the revised Claims Authorization Forms (CO-512) are not received by this date. 

Questions regarding the segregation of duties or the Claims Authorization Form (CO512) should be addressed to:

Linda Carney phone number :  (860) 702-3396
e-mail:  linda.carney@po.state.ct.us

The Accounts Payable Division will return Claims Authorization Forms to the agency for non-compliance.

 

NANCY WYMAN
STATE COMPTROLLER

NW:LMC

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