(b) SF 1404 (Rev. Authority or Regulation: 4 Treasury FRM 2000 1035-110. OF347, prescribed in 53.213(f) (or an approved agency form), may be used for contracts under the simplified acquisition threshold for-. OF17 may be furnished with each invitation for bids to facilitate identification and handling of bids, as specified in 14.202-3(b). https://www.govinfo.gov/app/details/CFR-2010-title48-vol2/CFR-2010-title48-vol2-sec53-301-1035. ++ (See 49.602-1(d). OF17 may be furnished with each request for proposals to facilitate identification and handling of proposals, as specified in 15.210(c). Official websites use .gov F|}NYr}-vYt5?6&kPgEV#fw]2 hL;^$heiIk$,J(LZfymRW7+ ]q4Ow|-xWNEnEUYTZHya:?lydc94Y&=U9C8/uEi)2B78|Vut$ wbUM-/eE^7!CwpC8XkCX`hauq8Ow8_kd@NP2 oA;Y @! (b) SF 1428 (Rev. 12/2022), Award/Contract. SF1449, OFs 347 and 348 (or approved agency forms/automated formats) may be used as follows: (1) To accomplish acquisitions under simplified acquisition procedures, as specified in 13.307. Create your signature and click Ok. Press Done. 0 (e) OF347 (Rev.2/2012), Order for Supplies or Services. The requirements for use of the forms prescribed or referenced in this part are contained in parts 1 through 52 , where the subject matter applicable to each form is addressed. 0000005030 00000 n Share sensitive information only on official, secure websites. @B2PxdpZ=>5cDzh] -f P%Jc B% RP BT0)BP)% 01/2014), Preaward Survey of Prospective Contractor (General). The SF 1035, Public Voucher for Purchases and Services Other Than Personal (Continuation Sheet), shall be completed in accordance with the below instructions. (See 28.106-1(c). (a) Prescribes standard forms (SFs) and references optional forms (OFs) and agency-prescribed forms for use in acquisition; and. (See 45.602-1, 49.303-2, 52.245-1, and 53.249(b).) ), (b) DDForm441(DoD), Security Agreement. ?KByPqy(. Page last reviewed July 2017 Page originally created July 2017 Internet Citation: 1034 Form: Public Voucher for Purchases and Services Other Than Personal. 53.201-1 Contracting authority and responsibilities (SF 1402). Decide on what kind of signature to create. 0000004287 00000 n (See 28.106-1(m). In the Type list, select an existing format, or type a new one in the box. Telephone: (301) 427-1364, 1034 Form: Public Voucher for Purchases and Services Other Than Personal, https://www.ahrq.gov/funding/contracts/1034-form.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, National Action Alliance To Advance Patient Safety, U.S. Department of Health & Human Services. SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) SF-1038 (Advance of Funds Application and Account) (b) SF30 (Rev.11/2016), Amendment of Solicitation/ Modification of Contract. (d) SF1165 (6/83Ed. (b) You can access the forms in Table 53-2 at the websites listed in the table. 5/2004), Settlement Proposal (Total Cost Basis). DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply payee's ), (m) SF 1416 (Rev. Select the numeric data. %%EOF -Ep0$E8853B3Jg40w64ykDH>Zfh0Yu( For each of these forms, the prescribing agency is identified by means of a parenthetical notation after the form number. Individual Fellowship Activation Notice. Htn0E@e,Dc pn492T *f xQ|c3m'U71. ), Solicitation, Offer and Award (Construction, Alteration, or Repair). This is a list of optional government forms that start with the letters "OF". 53.106 Special construction and printing. After that, your form forms is ready. SHEET NO. Complete Form SF-1034 according to instructions found in Part 2: SF-1034 Instructions. date voucher prepared ; schedule no. L,#u9$| P%Jc B% RP BT0)BP)% Overview of the SF 132, SF 133, Schedule P, and SBR 2. Nov 2021) Solicitation/Contract/Order for Commercial Products and Commercial Services prescribed in 53.212, OF347 (Rev.2/2012), Order for Supplies or Services, and OF348 (Rev.4/06), Order for Supplies or Services-Schedule Continuation. SF18 is prescribed for use in obtaining price, cost, delivery, and related information from suppliers as specified in 13.307(b). ), (5) SF 1438 (Rev. :Ba5!1u\ )=Tc These are most often used by GSA employees, contractors and customers. (f) SF1409 (Rev. OFs 1419 and 1419A are prescribed for use in recording bids (and may be used for recording proposal information), as specified in 36.701(c). V)gB0iW8#8w8_QQj@&A)/g>'K t;\ $FZUn(4T%)0C&Zi8bxEB;PAom?W= 03/2016), Settlement Proposal (Inventory Basis). standard form 1034 revised october 1967 department of the treasury 1 tfm 4-2000 1034-121 . NUMBER AND DATE OF ORDER. signNow has paid close attention to iOS users and developed an . Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. (a) The forms prescribed by this part may be computer generated without exception approval (see 53.103), provided-, (1) There is no change to the name, content, or sequence of the data elements, and the form carries the Standard or Optional Form number and edition date (see 53.111); or. Before sharing sensitive information, make sure youre on a federal government site. *9|5]W13Chv=N iqC\|J2B=H%Z[4JiLa(R*RRIIKXT))$)zoL,*/v}s^ F 9K'iHZ"=O.sI f Zr D-~UiJI%JbIRT))$)JI%JbIRT))$)JI%JbIRT))$)JI%JbIRT))$)JI%JbIRT))$)JI%JbIRT))$)JI%JbIRT))$)JI%JbIRT))$)JI%JbIRmTR;kq'zT3}C#D0c{l#`lxeL?z_N hbbd``b`>$4' / "Dx * U1DA{A7 be BVUVEK"Vsa "t@ @a,@d K?5HL`c`bdY8J#3r0 (l) SF 1415 (Rev. SF1402 is prescribed for use in appointing contracting officers, as specified in 1.603-3 . Nov 2021), Solicitation/Contract/Order for Commercial Products and Commercial Services . This subpart prescribes standard forms and references optional forms and agency-prescribed forms for use in acquisition. (See 22.406-8(d). (1) SF 1034 (GAO), Public Voucher for Purchases and Services Other than Personal. 7/1989), Schedule of Accounting Information. (a) The following forms are prescribed for use in connection with the termination of contracts, as specified in subpart 49.6. Agencies may prescribe additional detailed instructions for use of the form. When a military installation or Government - related facility(whether or not specifically named) is located partially within more than one city or county boundary, the applicable per diem rate for the entire installation or facility is the higher of the rates which apply to the cities and / or counties, even though part(s) of such activities may be located outside the defined per diem locality. 5/2004), Settlement Proposal (Short Form). The following standard forms are prescribed for use for bond and insurance requirements, as specified in part 28 . (c) SF44 (Rev.10/83), Purchase Order Invoice Voucher. *?u 3g1k:@V0J6J=c)\,f2}jxC0pfS'}B?tI )q2S5 -)c ^43@,u 3y a8.`^7 X R ) F c Ie~&, |0~"@{b@#%``q@*cu2FE ?1 :K(J%(J/ B% 0)BP)% )), (c) SF1423 (Rev.5/04), Inventory Verification Survey. ), (b) SF 25 (Rev. (See 45.602-3 and 41 CFR 102-36.215. Reader. (See 28.106-1(n). SF1413 is prescribed for use in obtaining contractor acknowledgment of inclusion of required clauses in subcontracts, as specified in 22.406-5. 53.213 Simplified acquisition procedures (SFs 18, 30, 44, 1165, 1449, and OFs 336, 347, and 348). P%Jc B% RP BT0)BP)% endstream endobj 809 0 obj <>stream ), (g) SF 35 (Rev. (See 45.602-1(b)(1).). TheStandardForm(SF)1034,Public VoucherforPurchasesOtherthan Personal(withcontinuationsheetSF 1035);or 2. (See paragraph (b) of the clause at 52.204-2.). xref xbbR``b``3 A-` d Standard Forms (SF) ), (h) SF 273 (Rev. startxref There are three variants; a typed, drawn or uploaded signature. @ 53.222 Application of labor laws to Government acquisitions (SFs 308, 1413, 1444, 1445, 1446, WH-347). (a) Alter a standard form prescribed by this regulation; or. P%Jc B% RP BT0)BP)% Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation Sheet. SF30, prescribed in 53.243, may be used for modifying purchase orders, as specified in 13.307(c)(3). Subpart 53.3 - Forms Used in Acquisitions. public voucher for purchases and services other than personal ; voucher no. (f) SF1449 (Rev. (b) SF330 (Rev. (k) SF 1414 (Rev. 0000000750 00000 n For example, you can use document themes for a uniform look throughout all of your Excel spreadsheets, styles to apply predefined formats, and other manual . 441 0 obj<> endobj contract number and date . Block 18 may only be used for sealed-bid procurements. The commercial bill of lading is the preferred document for the transportation of property, as specified in 47.101 . 1. (d) SF1442 (Rev. Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. (b) SF30, Amendment of Solicitation/Modification of Contract. (d) OF17 (Rev.12/93), Offer Label. SF1449 , prescribed in 53.212 , shall be used to place orders for paid advertisements as specified in 5.503 . The following forms are prescribed as stated in this section for use in simplified acquisition procedures, orders under existing contracts or agreements, and orders from required sources of supplies and services: (a) SF18 (Rev.6/95), Request for Quotations, or SF1449 (Rev. The following forms are prescribed for use in contracting for architect-engineer and related services: (a) SF252 (Rev.10/83), Architect-Engineer Contract. (g) OF17 (Rev. contractor'sownformsareused,the seIfthe billing content should agree ith the requirem of the SF 1034 and 1035ents NumberofCopies:Eachvoucherwillbeprepared inanoriginaland4copies cL~6N40h^bPe+,oSae&D##@ O93 0000004310 00000 n SF1449, as prescribed in 53.212, or other agency forms/automated formats, may also be used to obtain price, cost, delivery, and related information from suppliers as specified in 13.307(b). Standard Form 425 OMB Approval Number: 0348-0061 Paperwork Burden Statement According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 h mA r i a l 1 @ mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 mA r i a l 1 A r i a l 1 A r i a l 1 A r i a l 1 4 A r i a l 1 A r i a l 1 A r i a l 1 A r i a l 1 , 8 A r i a l 1 8 A r i a l 1 8 A r i a l 1 > A r i a l 1 4 A r i a l 1 . 53.204-1 Safeguarding classified information within industry (DDForm254, DDForm441). 0000003650 00000 n 1034-118. Jul 2021), Architect-Engineer Qualifications . 2 of 11 19. 9/1997), Settlement Proposal for Cost-Reimbursement Type Contracts. 420 13 P%Jc B$)P`EzY\ w_NM@ P Bm%% 53.236-2 Architect-engineer services (SFs 252 and 330). Select OK. 0000002475 00000 n This is a list of all GSA forms. The following forms are prescribed, as stated in the following paragraphs, for use in contracting by negotiation (except for construction, architect-engineer services, or acquisitions made using simplified acquisition procedures): (a) SF26 (Rev.3/2013), Award/Contract. endstream endobj 457 0 obj<>stream SF26 is prescribed for use in awarding sealed bid contracts for supplies or services in which bids were obtained on SF33, Solicitation, Offer and Award, as specified in 14.408-1(d)(1). Please try again later. 0000024349 00000 n 0000002479 00000 n Content last reviewed July 2017. The SF 1034 is your cover sheet with dates of service and total invoiced amount for the current billing period. P%Jc B% RP BT0)BP)% <>stream Budget. SF1424 is authorized for local reproduction. Fill & Sign Online, Print, Email, Fax, or Download Get Form Form Popularity sf 1035 form Get Form eSign Fax AID 11 (Application for Approval of Commodity Eligibility), AID 101-1 (Feed the Future Public-Private Partnership Opportunity Explorer), AID 110-1 (Notification of Federal Employee and Retaliation (NO FEAR) Reporting Requirements), AID 110-5 (Informal or Formal Complaint of Discrimination Withdrawal Form), AID 110-6 (Notice of Informal EEO Case Closure for Non-U.S. Citizen Foreign Service National (FSN) Employees and Locally Employed Staff (LES)), AID 110-7 (Agreement to Extend EEO Counseling Time Period), AID 110-8 (Designation of Complainant's Attorney or Representative), AID 110-9 (Notice of Right to File a Formal Complaint of Discrimination), AID 111-3 (Denial of Reasonable Accommodation Request), AID 111-4 (Reasonable Accommodation Information Reporting), AID 111-6 (Confirmation of Request for Reasonable Accommodation), AID 111-8 (USDH Request for a Medical Exception to the COVID-19 Vaccination Requirement), AID 111-9 (U.S. hVmOH+yw-UC|p_m;5vH F}vSBhA - \1Jbhq1&) endstream endobj 432 0 obj<>/W[1 1 1]/Type/XRef/Index[43 377]>>stream (Rev.10/1983), Continuation Sheet Forms 24, 25, and 25A (See 28.106-1(c). Data equivalent to the SF 1035 must be included in a separate electronic file and attached to the cost voucher in WAW F. Vouchers must be prepared and submitted in accordance with the terms of the contract, including any special billing or payment instructions. Optional Forms (OF) . 0000027019 00000 n SF252 is prescribed for use in awarding fixed-price contracts for architect-engineer services, as specified in 36.702(a). GENERAL The federal funding agencies require recipients to prepare and submit forms SF 270, SF 1034, SF 425, or SF 1035 according to the terms and conditions of the award. 1. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. SF30 (Rev.11/2016), Amendment of Solicitation/ Modification of Contract. requisition number and date . SF26, prescribed in 53.214(a), may be used in entering into negotiated contracts in which the signature of both parties on a single document is appropriate, as specified in 15.509. endstream Standard and optional forms (obtained as required by 53.107 ) may be overprinted with names, addresses, and other uniform entries that are consistent with the purpose of the form and that do not alter the form in any way. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. XHF=q%`hbF =>G>1Po 4d.{(sm'Ymv7];o6Wg~7T`9{S})W)LLcG{+mR@2z)Fu|s`0Q)QeZL}$!05JK"!`8 (a) SF 24 (Rev. 749Ji'O;l>5JyKBDp}b!C-|A\y? (See 28.106-1. Learn how you can get involved and lend a hand. SF1035-73.pdf [PDF - 596 KB ] PDF versions of forms use Adobe Reader . (2) Dismantling, demolition, or removal of improvements, as specified in 36.701(b). 10/98) Reinsurance Agreement in Favor of the United States. SF1449 is prescribed for use in solicitations and contracts for commercial products and commercial services. 0000003533 00000 n (f) OF308 (Rev.9/97), Solicitation and Offer-Negotiated Acquisition. Fill Out The Public Voucher For Purchases And Services Other Than Personal (continuation Sheet) Online And Print It Out For Free. Standard Form 1035 EG PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL September 1973 4 Treasury FRM 2000 1035-110 SCHEDULE NO. 494 0 obj <>stream ), (c) SF 25A (Rev. This subpart identifies, in numerical sequence, Standard Forms (SF), Optional Forms (OF) and agency forms that are specified by the FAR for use in acquisitions. (d) SF1447 (Rev. Rates for foreign countries are set by the State Department. Looking for U.S. government information and services? (See 28.106-1(i) and 28.202(a)(4). (d) SF1424 (Rev.5/2004), Inventory Disposal Report (See 45.605). Visit GSA SmartPay to find state tax exemption forms and/or links directly to state websites. endstream endobj 427 0 obj<> endobj 428 0 obj<>stream OF347 , prescribed in 53.213 (f) (or an approved agency form), may be used to place orders under indefinite delivery contracts and basic ordering agreements, as specified in 16.703 (d)(2)(i). Continuation sheets shall be annotated in the upper right-hand corner with the reference number of the document being continued and the serial page number. Contractors shall submit vouchers electronically in pdf format to the FEMA Finance Center at FEMA-F [email protected], . To sign up for updates or to access your subscriberpreferences, please enter your email address below. 0000001993 00000 n ), Release of Personal Property from Escrow. u.s. department, bureau, or establishment and location : date voucher prepared ; schedule no. (h) OF336 (Rev.3/86), Continuation Sheet. Federal government websites often end in .gov or .mil. (2) To establish blanket purchase agreements (BPAs), as specified in 13.303-2, and to make purchases under BPAs, as specified in 13.303-5. endstream endobj startxref HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) Document SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) (130 KB) Information released online before January, 2021. 53.251 Contractor use of Government supply sources (OF 347). 0000001461 00000 n Contracting officers shall use the current editions unless otherwise authorized under this regulation. 8/2016) Performance Bond. ), (6) SF 1439 (Rev. 0000001032 00000 n The SF 1035, Public Voucher for Purchases and Services Other Than Personal (Continuation Sheet), shall be completed in accordance with the below instructions. :BYh1R{A[S.}Y+f5\j#UD$._D "F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VKYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()WT6U@P+!~mDe!hh/']B/?a0nhF!X8kc&5S6lIa2cKMA!E#dV(kel }}Cq9 Block 18 may not be used for negotiated procurements. Grant Application - Standard Form 424 (Research & Related) SF424 (R&R) Categories: Small Business, Competing Grant Applications. (b) Use for the same purpose any form other than the standard form prescribed by this regulation without receiving in advance an exception to the form. 20. . External links to other Internet sites should not be construed as an endorsement of the views contained therein. Agencies may prescribe additional detailed instructions for use of the form. The form may also be used to amend solicitations for negotiated contracts, as specified in 15.210 (b). P%Jc B% RP BT0)BP)% These forms are available at the GSA Forms Library at https://www.gsa.gov/forms. 0000003924 00000 n 01/1995), Application for Partial Payment. RDK Imx4d z&F- Z}0 ~) Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. (See 49.602-1(b). Use the same basic instructions for the SF 1035 as used for the SF 1034. 4/2013) Reinsurance Agreement for a Bond statute Payment Bond. (b) SF30 (Rev.11/2016), Amendment of Solicitation/Modification of Contract. Recommendations from other than executive agencies should be submitted directly to the FAR Secretariat. All the following forms are authorized for local reproduction, except for SF 25 B. PDF versions of forms use Adobe
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