53.235 Research and development contracting (SF 298). 441 0 obj<> endobj 1/2016), Inventory Disposal Schedule-Continuation Sheet, shall be used to support termination settlement proposals listed in paragraph (a) of this section, as specified in 49.602-2. 53.300 Listing of Standard, Optional, and Agency forms. hb``c`f + Y8Z\(h@R*!Ve7K@ r@+>+")["D?. Unless otherwise specified, the per diem locality is defined as "all locations within, or entirely surrounded by, the corporate limits of the key city, including independent entities located within those boundaries. 53.212 Acquisition of commercial products and commercial services. ), (b) DDForm441(DoD), Security Agreement. The following forms are prescribed, as specified in this section, for use in reporting, reutilization, and disposal of Government property and in accounting for this property: (a) SF120 (GSA), Report of Excess Personal Property, and SF120A (GSA), Continuation Sheet (Report of Excess Personal Property). 53.106 Special construction and printing. standard form 1034 revised october 1967 department of the treasury 1 tfm 4-2000 1034-121 . XHF=q%`hbF =>G>1Po 4d.{(sm'Ymv7];o6Wg~7T`9{S})W)LLcG{+mR@2z)Fu|s`0Q)QeZL}$!05JK"!`8 ~r\>y}N>m7ygy_c(t8v5v\ A44[ZPD9&99%p;[@0Wm.VAs3"A\O*}! Agencies may prescribe additional detailed instructions for use of the form. 9/88), Abstract of Offers, and SF1410 (9/88), Abstract of Offers-Continuation. SFs 1094 and 1094A are prescribed for use in establishing exemption from State or local taxes, as specified in 29.302 (b). (Rev.10/1983), Continuation Sheet Forms 24, 25, and 25A (See 28.106-1(c). Create a custom number format - Microsoft Support standard form 1034# revised january 1980 . 0000038759 00000 n 0000000016 00000 n TAR PART 1232 - CONTRACT FINANCING - Transportation 5/2004), Settlement Proposal (Total Cost Basis). hbbd``b`>$4' / "Dx * U1DA{A7 be BVUVEK"Vsa "t@ @a,@d K?5HL`c`bdY8J#3r0 public voucher for purchases and services other than personal ; voucher no. 53.216-1 Delivery orders and orders under basic ordering agreements (OF 347). The following forms are prescribed for use in contracting for architect-engineer and related services: (a) SF252 (Rev.10/83), Architect-Engineer Contract. All the following forms are authorized for local reproduction, except for SF 25 B. (See 22.406-8(d). This is a legal form that was released by the U.S. Department of the Treasury on October 1, 1987 and used country-wide. Share sensitive information only on official, secure websites. Thecontractor'sownvoucherforms. 6/2007), Inventory Disposal Schedule, and Standard Form 1429 (Rev. 832 0 obj <>stream SF1442 is prescribed for use in soliciting offers and awarding contracts expected to exceed the simplified acquisition threshold for-, (1) Construction, alteration, or repair; or. Standard Forms (SF) Visit GSA SmartPay to find state tax exemption forms and/or links directly to state websites. The .gov means its official. The following standard forms are prescribed for use for bond and insurance requirements, as specified in part 28 . Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. (c) SF33 (Rev.9/97), Solicitation, Offer and Award. 03/2016), Settlement Proposal (Inventory Basis). (b) SF 1428 (Rev. (4) As otherwise specified in this chapter (e.g., see 5.503(a)(2), 8.406-1, 36.701(b), and 51.102(e)(3)(ii)). https://www.ahrq.gov/funding/contracts/1034-form.html. Authority or Regulation: 4 Treasury FRM 2000 1035-110. Sf1035: Fill out & sign online | DocHub In Excel, formatting worksheet (or sheet) data is easier than ever. u.s. department, bureau, or establishment and location : date voucher prepared ; schedule no. x- [ 0}y)7ta>jT7@t`q2&6ZL?_yxg)zLU*uSkSeO4?c. R -25 S>Vd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L` "AYA+Cb(R, *T2B- P%Jc B% RP BT0)BP)% Find federal forms and applications, by agency name on USA.gov. (See 28.106-1(e) and 28.203-1(b)(3). 53.201-1 Contracting authority and responsibilities (SF 1402). VOUCHER NO. Standard Form 1035 (EG) PUBLIC VOUCHER FOR PURCHASES - GSA 12/93), Offer Label. 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. 01. Agencies may prescribe additional detailed instructions for use of the form. 0000003924 00000 n (See 22.406-3(a) and 22.1019. 805 0 obj <> endobj Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. ), (f) SF 34 (Rev. DOC M E M O R A N D U M - Florida A&M University Choose a link below to begin downloading. Standard Form 1035 (EG) September 1973 4 Treasury FRM 2000 1035-110. Nov 2021), Solicitation/Contract/Order for Commercial Products and Commercial Services. 2/2012) Prescribed by GSA-FAR (48 CFR) 53.212 . 12/2022), Solicitation/Contract. Contracting offices may request exceptions (see 53.103 ) to standard forms for special construction and printing. OF347 , prescribed in 53.213(f), may be used by contractors when requisitioning from the VA, as specified in 51.102 (e)(3)(ii). ), (i) FormWH-347 (DOL), Payroll (For Contractor's Optional Use). 0000004504 00000 n The form may also be used to amend solicitations for negotiated contracts, as specified in 15.210 (b). VOUCHER NO. 12/2022), Solicitation, Offer and Award. SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) (130k) 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) Date Wednesday, November 25, 2015 - 12:45pm NUMBER AND DATE OF ORDER. 02. *?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 Rates for Alaska, Hawaii, U.S. ), (h) SF 273 (Rev. Subpart 1232.9 - Prompt Payment | Acquisition.GOV Other non-federal funding agencies may provide specific formats as specified in the award agreement. 48 CFR 53.301-1035 - Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation Sheet. endstream 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 @! 0000004310 00000 n 0 endstream endobj 457 0 obj<>stream ), Labor Standards Investigation Summary Sheet. Recommendations from other than executive agencies should be submitted directly to the FAR Secretariat. 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). SF1449 is prescribed for use in solicitations and contracts for commercial products and commercial services. Hj0@cXR&PrH4IZ6_#xO{Oq?b3u)Ln%\(qkm/|b[ZS=iu?C-_Ct8Id_ld9][AVFdU;wMs3mHE,m b1 Hp1: `h@Q8 ` {l 6 p@Qq +NX o0 \r 0\I- i- J.EE( (ynsh YLY7-^4 ^\?=41_7=6ibCA61|K}c'_ A+ :K(J%(J/ B% 0)BP)% XLS The United States Social Security Administration (2) Dismantling, demolition, or removal of improvements (and may be used for contracts within the simplified acquisition threshold), as specified in 36.701(a). ++ 0000002089 00000 n (See 28.106-1(i) and 28.202(a)(4). Note: Content in this archive site is NOT UPDATED, and external links may not function. SF30, prescribed in 53.243, may be used for modifying purchase orders, as specified in 13.307(c)(3). These forms are available at the GSA Forms Library at https://www.gsa.gov/forms. 494 0 obj <>stream (See 22.406-6(a).). 422 0 obj<>stream 0000001806 00000 n Use the same basic instructions for the SF 1035 as used for the SF 1034. HS]k0} dJ!q,,P`'V_+Y>X`-]:{ke} l]tMp4M5QJ :WVn;>[Swpw}=@Wg"thp=F0dK wh[[IZ-yOn{7a5$&"IiyV {Ba;-:gJ Kz2OXY(iGf0kT[2vLs=s?pL 0d dzzksPvxk O3fgx *K12BbJ$z Sy]-vP/0@Tf.sKui,},&N})be^DZ`rL*3G PDF r - DHS HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb A lock ( startxref 8/2016) Bid Bond. endobj PDF DoD Financial Management Regulation Volume 10, Chapter 8 CHAPTER 8 xbbR``b``3 A-` d 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. Ll[0}>j"&z*tS)nJ7MtS)nJ7M{g~jn)y+M;C?` U>stream 48 CFR 53.301-1035 - Standard Form 1035, Public Voucher for - GovInfo 4/2013) Reinsurance Agreement for a Bond statute Performance Bond. Create your signature and click Ok. Press Done. Form: SF1035 Public Voucher for Services Other than Personal (Continuation Sheet) Current Revision Date: 09/1973 Authority or Regulation: 4 Treasury FRM 2000 1035-110 DOWNLOAD THIS FORM: Choose a link below to begin downloading. 0 The following forms are prescribed for use in contracting by sealed bidding (except for construction and architect-engineer services): (a) SF26 (Rev. (k) SF 1414 (Rev. 0000005107 00000 n TheStandardForm(SF)1034,Public VoucherforPurchasesOtherthan Personal(withcontinuationsheetSF 1035);or 2. endstream endobj 462 0 obj<>/W[1 1 1]/Type/XRef/Index[122 319]>>stream Part 53 - Forms | Acquisition.GOV Personal Services Contractor Request For A Medical Exception To The COVID-19 Vaccination Requirement), AID 114-1 (Anti-Harassment Program Notice of the Rights and Responsibilities), AID 1420-17 (Contractor Employee Biographical Data Sheet), AID 1420-40 (Contractor's Release and/or Assignment of Refunds, Rebates, Credits, and Other Amounts), AID 1440-3 (Contractor's Certificate & Agreement with USAID Contractor's Abstract), AID 1450-4 (Supplier's Certificate & Agreement with USAID for Project Commodities), AID 1550-4 (Commodity Request for Foreign Distribution), AID 1550-12 (Food for Peace Commodity Request), AID 1570-13 (Narrative/Time-Line Report (NTL)), AID 1570-14 (Report on Commodities (ROC)), AID 201-1 (Mission Concurrence Request Form), AID 252-1 (Conditions of Sponsorship for U.S.-Based Activities), AID 252-2 (Exemption of Requirement to Use USAID-Sponsored J-1 Visa), AID 3-12 (Request and Authorization of Official Entertainment Expenses), AID 3-252 (USAID Directives System - Issuance Request), AID 302-1 (Nondisclosure Agreement for USAID Personal Services Contractors), AID 306-1 (Participating Agency Program Agreement), AID 306-2 (Participating Agency Service Agreement), AID 309-1 (Contract With An Individual For Personal Services), AID 309-2 (Offeror Information For Personal Services Contracts With Individuals), AID 330-7 (Facsimile Transmittal Cover Sheet), AID 352-3 (Report of Accident Other Than Motor Vehicle), AID 4-483 (Request for Employment of Consultant or Expert), AID 400-1B (Appraisal Input Form - Foreign Service), AID 400-21 (Individual Learning and Training Plan), AID 400-23 (Tuition Assistance Program Application Form), AID 400-24 (Tuition Assistance Program Reimbursement Agreement), AID 400-25 (Tenure Evaluation Form - Foreign Service), AID 400-29 (FSN Fellowship Program Application), AID 400-31 (Authorization for Release of Medical Information), AID 400-32 (Certification of Waiver - Foreign Service Annuity), AID 400-33 (Conditions of Employment for Foreign Service Career Employees), AID 400-34 (Conditions of Employment for Time-Limited Foreign Service Career Candidate Employee), AID 400-35 (Conditions of Employment for Time-Limited Foreign Service Non-Career Employees Assigned to Overseas Mission), AID 400-37 (Credit of Prior Service for Determining Annual Leave Accrual Rate Approval Form), AID 411-1 (Checklist for Employees called to Active Duty), AID 411-2 (Checklist for Employees Returning from Active Duty), AID 411-3 (Federal Employees' Group Life Insurance (FEGLI) Program Election Form: Extension of Coverage When Called to Active Duty), AID 415-1 (Foreign Service Assignment System: Civil Service Minimum Qualifications & Bidding Form), AID 415-2 (CS-to-FS Conversion Evaluation Form), AID 418-1 (Upward Mobility Program (UMP) Training Plan and Agreement), AID 421-1 (SES Performance Management System Executive Performance Agreement), AID 421-2 (Executive Development Plan Template), AID 425-1 (Performance Appraisal Plan for Senior-Level and Scientific Technical Professionals), AID 430-3 (Overtime Authorization and Report), AID 430-4 (Overseas Position Evaluation Form), AID 437-1 (Intergovernmental Personnel Act (IPA) Assignment Agreement), AID 450-1 (Emergency Locator Information), AID 451-1 Employee Exit Clearance: U.S. Direct-Hire Employee from Washington, AID 451-2 (Employee Exit Clearance: U.S. NIH Forms & Format Pages | grants.nih.gov 2/2013), Request for Wage Determination and Response to Request. A .gov website belongs to an official government organization in the United States. xref startxref Just email your documents for editing or formatting . 4/2013) Reinsurance Agreement for a Bond statute Payment Bond. Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. %PDF-1.6 % The following standard form is prescribed for use in reporting small business (including Alaska Native Corporations and Indian tribes), veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business (including Alaska Native Corporations and Indian tribes) and women-owned small business subcontracting data, as specified in part 19 : SF294 , (Rev. OF17 may be furnished with each invitation for bids to facilitate identification and handling of bids, as specified in 14.202-3(b). 0000000847 00000 n Exception approval for overprinting is not needed. https://www.govinfo.gov/app/details/CFR-2010-title48-vol2/CFR-2010-title48-vol2-sec53-301-1035. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. 12/2022), Award/Contract. nQt}MA0alSx k&^>0|>_',G! hb```, cb %}TXB6e0\`}a'C`-~l=:x? }~EG8pZiq8vwo;_%\c|Kcqm[FQ Official websites use .gov Nov 2021) Subcontracting Report for Individual Contracts. 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). PDF Public Voucher for Purchases and Services Other Than Personal (c) SF33 (Rev. Add a space to separate the number and text. 8/2016) Payment Bond. (c) SF 1405 (Rev. It is also known as a Public Voucher for Purchases and Services Other Than personal. 3 !1AQa"q2B#$Rb34rC%Scs5&DTdEt6UeuF'Vfv7GWgw 5 !1AQaq"2B#R3$brCScs4%&5DTdEU6teuFVfv'7GWgw ? (d) SF1165 (6/83Ed. (e) SF 1407 (Rev. SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) SF-1038 (Advance of Funds Application and Account) Share your form with others Send it via email, link, or fax. (e) OF336 (4/86Ed. Contracting officers shall insert the clause at 52.253-1 , Computer Generated Forms, in solicitations and contracts that require the contractor to submit data on Standard or Optional Forms prescribed by this regulation; and, unless prohibited by agency regulations, forms prescribed by agency supplements. These forms are authorized for local reproduction and can be found at the GSA Forms Library at https://www.gsa.gov/forms . (See 28.106-1(h) and 28.202(a)(4). Rates are available between 10/1/2020 and 09/30/2023. These forms are available at the GSA Forms Library at https://www.gsa.gov/forms. Page last reviewed July 2017 Page originally created July 2017 Internet Citation: 1034 Form: Public Voucher for Purchases and Services Other Than Personal. 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) OF17 (Rev.12/93), Offer Label. SHEET NO. 420 0 obj <> endobj 53.209-1 Responsible prospective contractors. 819 0 obj <>/Filter/FlateDecode/ID[<58A6A8FB923A4144879AD19DF1692852><0CF703C740192343A90227F8DA78B63B>]/Index[805 28]/Info 804 0 R/Length 84/Prev 567544/Root 806 0 R/Size 833/Type/XRef/W[1 3 1]>>stream 10/98) Reinsurance Agreement in Favor of the United States. hbbd```b``"Hfo; + To change this, launch Microsoft Word and go to: Tools -> Options -> Security. An official website of the United States Government, FAC Number: 2023-02 Effective Date: 03/16/2023. 01/2014), Preaward Survey of Prospective Contractor-Accounting System. Categories: Fellowships and Training. The information which a contractor is required to submit in its Standard Form 1035 is set forth as follows: U.S . 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. OF336 may be used as a continuation sheet in solicitations, as specified in 14.201-2(b). (See 49.602-3. 03. (See 28.106-1(f). 01/2014), Preaward Survey of Prospective Contractor-Production. Territories and Possessions are set by the Department of Defense. 53.215-1 Solicitation and receipt of proposals. SF 1034 IN EXCEL : Public Voucher for Purchases and Services Other Than Personal-IN EXCEL . Please enter a search term in the box above, GSA 3516A - Solicitation Provisions (For Simplified Acquisition of Leasehold Interests in Real Property), GSA 3516 - Solicitation Provisions (Acquisition of Leasehold Interests in Real Property), OF 2211 - Build America Buy America Waiver Request Data Collection, SF 186 - Federal Write-In Absentee Ballot (FWAB), SF 76 - Voter Registration and Absentee Ballot Request: Federal Post Card Application (FPCA), GSA 1364A-1 - Simplified Lease Proposal Data, GSA 1217 - Lessor's Annual Cost Statement, GSA 7662 - U.S. Bank Travel Card Approval Application, GSA 1364WH - Proposal to Lease Space (Warehouse Request), OF 873A - Annual Attendance Record (Clients) (Part-Time Employees) - 2023, OF 873 - Annual Attendance Record (Clients) - 2023, SF 1442 - Solicitation, Offer and Award (Construction, Alteration, or Repair), GSA 3590 - Authorization for Release of Information, GSA 873A - Annual Attendance Record (Part-Time Employees) - 2023, GSA 873 - Annual Attendance Record - 2023, SF 3102 - Designation of Beneficiary - Civil Service and Federal Employees Retirement Systems, Presidential & Congressional Commissions, Boards or Small Agencies, Diversity, Equity, Inclusion and Accessibility.
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