Identify the payee and the country where the foreign bank, branch or office is located for each warrant that will be issued because they would otherwise qualify for use of an IAT and the payment amount does not justify the higher cost associated with an international wire transfer. Estimate the number of warrants issued annually to an IAT eligible payees: Office Use Only International ACH Transactions Treasurer’s – Approved Comments: Disapproved By: Exemption Expires: Date: SECTION D Other This section is for issues not addressed in Sections A C above. – Describe the other limitations that are preventing your agency from issuing electronic payments: Note when and describe how your agency plans to address these limitations: Estimate the number of warrants that will be issued annually due to the limitations noted in Section D: Office Use Only Other Treasurer’s – Approved Comments: Disapproved By: Exemption Expires: Date:
Identify the payee and the country where the foreign bank, branch or office is located for each warrant that will be issued because they would otherwise qualify for use of an IAT and the payment amount does not justify the higher cost associated with an international wire transfer. Estimate the number of warrants issued annually to an IAT eligible payees: Treasurer’s Office Use Only – International ACH Transactions Approved Comments: Exemption Expires: Disapproved By: Date: SECTION D Other This section is for issues not addressed in Sections A – C above. Describe the other limitations that are preventing your agency from issuing electronic payments: Note when and describe how your agency plans to address these limitations: Estimate the number of warrants that will be issued annually due to the limitations noted in Section D: Treasurer’s Office Use Only – Other Approved Comments: Exemption Expires: Disapproved By: Date:
FY2017_Exemption_Request_Form.docx