EFTA00181810¶
JFICER DATE 7 12 4 109¶
COURT-ORDERED PAYMENT SYSTEM¶
CHANGE FORM¶
DOC¶
1 Override Payment Undisbursed/Internal OP98 4 (Senior Clerk)¶
- Payee Name: [Name]
- Payee ID #: [ID #]
- Pfx #: [Pfx #]
- Seq #: [Seq #]
- Amount $: [Amount $]
Comment Code:¶
- Officer Initials:
- Supervisor Initials:
- Senior Clerk Initials:
2 Change Original Obligation Sentencing Authority-Ordered/COS Prepay OP98 1 (Lead Clerical)¶
- Payee Name: [Name]
- Payee ID #: [ID #]
- Pfx #: [Pfx #]
- Seq #: [Seq #]
- Amount $: [Amount $]
Comment Code: 609¶
Officer Initials: [Name] Supervisor Initials: [Name] Lead Clerical Initials: [Date]¶
3 EM Rate Change OP22 2 (CJIT)¶
- Effective Date: [Date]
- Number of Months New Rate In Effect: [Number of Months]
-
- OR-:
- End Date of New Rate: [End Date of New Rate]
- Function = R:
- Reason Code:
Officer Initials: Supervisor Initials: Lead Clerical Initials:¶
4 Transfer Payment from One DC# Payee to Another (COPS Accounting)¶
- Amount of Payment $: [Amount of Payment $]
- Receipt Date: [Receipt Date]
- FROM: [From]
- DOC #: [DOC #]
- Payee ID #: [Payee ID #]
- Pfx #: [Pfx #]
- Seq #: [Seq #]
Comment Code:¶
- Officer Initials:
- Supervisor Initials:
- Senior Clerk Initials:
5 Delete Override OP98 4 (Senior Clerk)¶
- Payee Name: [Name]
- Payee ID #: [ID #
- Pfx #: [Pfx #
- Seq #: [Seq #
- Amount $: [Amount $]
Comment Code:¶
- Officer Initials:
- Supervisor Initials:
- Senior Clerk Initials:
6 Change to Obligation Correction/Input Error OP98 1 (Lead Clerical)¶
- Payee Name: [Name]
- Payee ID #: [ID #
- Pfx #: [Pfx #
- Seq #: [Seq #
- Amount $: [Amount $]
Comment Code:¶
- Officer Initials:
- Supervisor Initials:
- Senior Clerk Initials:
7 COS Rate Change OP22 2 (CJIT)¶
- Effective Date: [Date]
- Number of Months New Rate In Effect: [Number of Months]
-
- OR-:
- End Date of New Rate: [End Date of New Rate]
- Function = R:
- Reason Code:
Officer Initials: Supervisor Initials: Lead Clerical Initials:¶
8 Refund/Overpayment to DC Payee (COPS Acctg Approval Request)¶
- Office Locator Code #: [Office Locator Code #]
- Offender Address: [Offender Address]
- City: [City]
- Pfx #: [Pfx #
- Seq #: [Seq #
- Amount $: [Amount $]
Comment Code:¶
- Officer Initials:
- Supervisor Initials:
- Senior Clerk Initials:
EFTA00181811¶