First Name
Phone #
Agency #
User Role
Last Name
Locally Held Funds
User Registration
Agency users must complete this Adobe fill-in form to register for access to the Office of the
Comptroller's Locally Held Fund Reporting System. All fields are required for each user. Use
additional forms, as needed. Please contact the Comptroller's Financial Reporting staff at
(217) 782-2052 if you have any questions regarding the completion of this form. Completed
forms should be printed and emailed to
Agency Staff
Print Form
Agency Manager (Data Entry)