NAMA BLANGKO DAN FORMAT | DASAR PERATURAN | TAUTAN UNDUHAN |
SYARAT AWAL TAHUN ANGGARAN | ||
Surat Pernyataan Akan Menyelesaikan Rekonsiliasi | S-117/PB/2018 | Unduh |
Permohonan Pengajuan KIPS Baru | PER-57/PB/2010 | Unduh |
Dispensasi KIPS untuk Honorer (diajukan ke Kanwil DJPB) | PER-40/PB/2016 | Unduh |
Kartu Spesimen Tanda Tangan (1 DIPA) | - | Unduh |
Kartu Spesimen Tanda Tangan (2 DIPA) | - | Unduh |
Surat Pernyataan UP | PMK-190/PMK.05/2012 | Unduh |
SERTIFIKASI BENDAHARA | ||
Surat Usulan Sertifikasi Bendahara | PER-37/PB/2016 | Unduh |
IJIN REKENING | ||
Persetujuan Pembukaan Rekening | PMK-182/PMK.05/2017 | Unduh |
Laporan Pembukaan Rekening | PMK-182/PMK.05/2017 | Unduh |
Permohonan Perubahan Nama Rekening | PMK-182/PMK.05/2017 | Unduh |
Permohonan Perubahan Bank | PMK-182/PMK.05/2017 | Unduh |
Laporan Penutupan Rekening | PMK-182/PMK.05/2017 | Unduh |
Laporan Saldo Rekening | PMK-182/PMK.05/2017 | Unduh |
PELAYANAN UMUM | ||
Permohonan Pengajuan KIPS | PER-57/PB/2010 | Unduh |
Surat Pernyataan UP | 190/PMK.05/2012 | Unduh |
Permintaan User & Password OM SPAN | 190/PMK.05/2012 | Unduh |
Formulir Pendaftaran RKA-KL Online DJA | - | Unduh |
Pernyataan Penyesuaian Pagu DIPA | PER-21/PB/2014 | Unduh |
LKT dan LRT ke Daerah dan Dana Desa TA. 2018 | PMK-225/PMK.07/2017 | Unduh |
Surat Permohonan Konfirmasi Setoran Penerimaan Negara | PER-5/PB/2018 | Unduh |
DISPENSASI | ||
Dispensasi Pendaftaran Data Kontrak | S-1717/PB/2018 | Unduh |
Dispensasi Uang Makan ke rekening Bendahara Pengeluaran | PMK-72/PMK.05/2016 | Unduh |
Dispensasi KIPS untuk Honorer (diajukan ke Kanwil DJPb) | PER-40/PB/2016 | Unduh |
Dispensasi pengajuan SPM tanpa RPD Harian/Renkas | PMK -197/PMK.05/2017 | Unduh |
PEMBAYARAN SEBELUM BARANG/JASA DITERIMA | ||
Surat Pernyataan Kesanggupan Penyedia Barang/Jasa (SPKPBJ) | Lamp II PMK-145/PMK.05/2017 | Unduh |
Surat Penetapan Nilai Pengembalian Kepada Negara (SPNP) | Lamp III PMK-145/PMK.05/2017 | Unduh |
Surat Permintaan Pencairan/Klaim Surat Jaminan (SPPKSJ) | Lamp IV PMK-145/PMK.05/2017 | Unduh |
Surat Perintah Penyetoran Pengembalian (SP3) | Lamp V PMK-145/PMK.05/2017 | Unduh |
LANGKAH STRATEGIS PELAKSANAAN ANGGARAN | ||
Penjelasan Keterlambatan Revolving UP | S-1717/PB/2018 | Unduh |
Penjelasan Ketidaksesuaian Penggunaan Dana TUP | S-1717/PB/2018 | Unduh |
Surat Pernyataan Penyelesaian Tagihan Lebih Dari 17 (Tujuh Belas) Hari Kerja | S-1717/PB/2018 | Unduh |
PIN PPSPM | ||
Pendaftaran Awal PIN PPSPM Satker Baru | PER-19/PB/2012 | Unduh |
Penggantian PPSPM Karena Mutasi, dll | PER-19/PB/2012 | Unduh |
Perubahan Data PPSPM | PER-19/PB/2012 | Unduh |
Penonaktifan PIN oleh PPSPM | PER-19/PB/2012 | Unduh |
REVISI DIPA | ||
Surat Usulan Revisi DIPA | PMK-11/PMK.02/2018 | Unduh |
Surat Usulan Revisi DIPA (khusus revisi halaman III dan revisi Pejabat) | PMK-11/PMK.02/2018 | Unduh |
KOREKSI/RALAT | ||
Koreksi/Ralat SPM | PER-16/PB/2014 | Unduh |
Koreksi/Ralat SP3B-BLU | PER-16/PB/2014 | Unduh |
Koreksi/Ralat SP2HL | PER-16/PB/2014 | Unduh |
Koreksi/Ralat SP4HL | PER-16/PB/2014 | Unduh |
Koreksi/Ralat MPHLBJS | PER-16/PB/2014 | Unduh |
Koreksi/Ralat Setoran MPN G2 (E-Billing) | PER-16/PB/2014 | Unduh |
TUP | ||
Permohonan Persetujuan TUP | PMK-190/PMK.05/2012 | Unduh |
Rincian Rencana Penggunaan Dana TUP (excel) | PMK-190/PMK.05/2012 | Unduh |
Permohonan Perpanjangan TUP | PMK-190/PMK.05/2012 | Unduh |
RETUR SP2D | ||
Surat Ralat Rekening (atas Retur SP2D) | PER-9/PB/2018 | Unduh |
Permohonan Penyetoran Data Retur ke Kas Negara | PER-44/PB/2015 | Unduh |
Surat Permintaan Pembayaran Kembali (SPPK) | PER-9/PB/2018 | Unduh |
SKPP PNS | ||
SKPP Pindah PNS | PER-2/PB/2018 | Unduh |
SKPP Pensiun PNS | PER-2/PB/2018 | Unduh |
SKPP Janda/Duda PNS | PER-2/PB/2018 | Unduh |
SKPP Pecat/Pemberhentian PNS | PER-2/PB/2018 | Unduh |
SKPP POLRI | ||
SKPP Pindah PNS Polri | PER-2/PB/2018 | Unduh |
SKPP Pindah PNS Polri (Kolektif) | PER-2/PB/2018 | Unduh |
SKPP Pindah Anggota Polri | PER-2/PB/2018 | Unduh |
SKPP Pindah Anggota Polri (Kolektif) | PER-2/PB/2018 | Unduh |
SKPP Pensiun PNS Polri | PER-2/PB/2018 | Unduh |
SKPP Pensiun Anggota Polri | PER-2/PB/2018 | Unduh |
SKPP Pensiun Janda/Duda/Warakawuri | PER-2/PB/2018 | Unduh |
SKPP TNI | ||
SKPP Pindah PNS TNI/Kemhan | PER-2/PB/2018 | Unduh |
SKPP Pindah PNS TNI/Kemhan (Kolektif) | PER-2/PB/2018 | Unduh |
SKPP Pindah Personel TNI | PER-2/PB/2018 | Unduh |
SKPP Pindah Personel TNI (Kolektif) | PER-2/PB/2018 | Unduh |
SKPP Pensiun PNS TNI/Kemhan | PER-2/PB/2018 | Unduh |
SKPP Pensiun Personel TNI | PER-2/PB/2018 | Unduh |
SKPP Pensiun Janda/Duda/Warakawuri | PER-2/PB/2018 | Unduh |
HIBAH UANG DAN BARANG/JASA/SURAT BERHARGA | ||
SPTMHL (Lamp. A) | PMK-99/PMK.05/2017 | Unduh |
Permintaan Register Hibah (Lamp. B) | PMK-99/PMK.05/2017 | Unduh |
Ringkasan Hibah (Lamp. C) | PMK-99/PMK.05/2017 | Unduh |
SP3HL-BJS (Lamp. D) | PMK-99/PMK.05/2017 | Unduh |
PENGEMBALIAN | ||
Permintaan Pengembalian Setoran (Satker) | PER-53/PB/2012 & PER-36/PB/2013 | Unduh |
Permintaan Pengembalian Setoran (Bank/Pos) | PER-65/PB/2007 & PER-53/PB/2012 | Unduh |
VOID/PEMBATALAN SP2D/SPHL/MPHL-BJS | ||
Permohonan Void Pembatalan SP2D/SP2D Retur/SP2D Nihil/SP3/SPHL/SP3HL/ Persetujuan MPHL-BJS/SP2B-BLU | PER-05/PB/2015 | Unduh |
SUPPLIER | ||
Perubahan Supplier SPAN Tipe 3 (Pegawai) | PER-58/PB/2013 | Unduh |
Perubahan Supplier SPAN SELAIN Tipe 3 (Pegawai) | PER-58/PB/2013 | Unduh |
Perubahan Data Kontrak (SPAN) | PER-58/PB/2013 | Unduh |
Penonaktifan Supplier Tipe 3 (Pegawai) | PER-58/PB/2013 | Unduh |
Pengaktifan Kembali Supplier Tipe 3 (Pegawai) | PER-58/PB/2013 | Unduh |
Penonaktifan Supplier SELAIN Tipe 3 (Pegawai) | PER-58/PB/2013 | Unduh |
Penambahan Informasi Supplier SPAN | PER-58/PB/2013 | Unduh |
Penggabungan (Merge) Supplier SPAN | PER-58/PB/2013 | Unduh |
Pembatalan Data Kontrak (SPAN) | PER-58/PB/2013 | Unduh |
PERBAIKAN NIP/NRP | ||
Surat Permintaan Perbaikan NIP/NRP | S-5715/PB/2017 | Unduh |
Surat Permintaan Perbaikan Tanggal Lahir/Kode Jenis Kelamin | S-5715/PB/2017 | Unduh |
Surat Keterangan Validitas NIP/NRP | S-5715/PB/2017 | Unduh |
PENGEMBALIAN PNBP/PFK/SETORAN PAJAK/SETORAN CUKAI | ||
Permintaan Pengembalian PFK (BPJS, Taperum, dll) | SE-61/PB/2015 | Unduh |
Permintaan Pengembalian PNBP | PMK 96/PMK.05/2017 | Unduh |
E-REKON | ||
Permintaan User & Password e-Rekon & LK | - | Unduh |
Surat Pernyataan Perbedaan Data e-Rekon | S-5568/PB/2016 | Unduh |
Permohonan Reset BAR e-Rekon | S-5568/PB/2016 | Unduh |
SETORAN | ||
Surat Setoran Pajak (SSP) | PER-38/PJ/2009 & PER-23/PJ/2010 | Unduh |
Surat Setoran Bukan Pajak (SSBP) | PER-78/PB/2007 | Unduh |
Surat Setoran Pengembalian Belanja (SSPB) | PER-78/PB/2007 | Unduh |
Surat Setoran Pabean, Cukai & Pajak (SSPCP) | PER-39/BC/2008 & PER-05/BC/2009 | Unduh |
Faktur Pajak Rupiah | PER-13/PJ/2010 | Unduh |
Faktur Pajak Valas | PER-13/PJ/2010 | Unduh |
CONTOH FORMAT LAPORAN KEUANGAN | ||
Contoh Laporan Keuangan Tingkat Satker (UAKPA) | PMK-222/PMK.05/2016 | Unduh |
Contoh Laporan Keuangan Tingkat Wilayah (UAPPA-W) | PMK-222/PMK.05/2016 | Unduh |
Contoh Laporan Keuangan Tingkat Eselon I (UAPPA-E1) | PMK-222/PMK.05/2016 | Unduh |
Contoh Laporan Keuangan Tingkat Kementerian (UAPA) | PMK-222/PMK.05/2016 | Unduh |
BERITA ACARA DAN MEMO PENYESUAIAN | ||
BA Keadaan Kas >50 juta | PER-3/PB/2014 | Unduh |
BA Koreksi Pembukuan Bendahara | PER-3/PB/2014 | Unduh |
Memo Jurnal Penyesuaian | S-1690/PB/2015 | Unduh |
Kertas Kerja Telaah Laporan Keuangan | - | Unduh |
UANG MUKA KONTRAK | ||
Surat Kuasa Pencairan Jaminan Uang Muka (Lamp.1) | PER-13/PB/2013 | Unduh |
Surat Pernyataan Keabsahanan Jaminan Uang Muka (Lamp.2) | PER-13/PB/2013 | Unduh |
CONTOH DOKUMEN KONTRAK | ||
Contoh Surat Perintah Kerja (SPK) | PERMEN PU No. 09/PRT/M/2009 | Unduh |
Surat Perintah Mulai Kerja (SPMK) | PERMEN PU No. 09/PRT/M/2009 | Unduh |
Berita Acara Pembayaran (BAP) | PERMEN PU No. 09/PRT/M/2009 | Unduh |
Berita Acara Prestasi Pekerjaan | PERMEN PU No. 09/PRT/M/2009 | Unduh |
Berita Acara Serah Terima (Pengadaan Barang) | PERMEN PU No. 09/PRT/M/2009 | Unduh |
Berita Acara Serah Terima (Konstruksi) | PERMEN PU No. 09/PRT/M/2009 | Unduh |
SYARAT-SYARAT AKHIR TAHUN 2018 | ||
SPTJM Honor/tunjangan/vakasi/penghasilan PPNPN bulan Desember (Lamp. B) | PER-13/PB/2018 | Unduh |
Surat Perjanjian Pembayaran (Lamp. C) | PER-13/PB/2018 | Unduh |
Surat Pernyataan Keabsahanan Jaminan Bank (Lamp. E) | PER-13/PB/2018 | Unduh |
Surat Kuasa Pencairan Jaminan Bank (Lamp. F) | PER-13/PB/2018 | Unduh |
Surat Pernyataan Kesanggupan (Lamp. G) | PER-13/PB/2018 | Unduh |
SPTJM sebagai Penjaminan untuk sisa kontrak dibawah 50jt (Lamp. H) | PER-13/PB/2018 | Unduh |
Format Jaminan Bank/Garansi Bank (Lamp. D) | PER-13/PB/2018 | Unduh |