OF347, Order for Supplies or Services. CONTINUATION SHEET. 12/93), Offer Label. (g) OF17 (Rev. For example, SF1165 , which is prescribed by the Government Accountability Office (GAO), is identified as SF1165 (GAO). SF1165 (GAO) may be used for imprest fund purchases, as specified in 13.307(e). *?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 SF1449 , prescribed in 53.212 , shall be used to place orders for paid advertisements as specified in 5.503 . standard form 1034 revised october 1967 department of the treasury 1 tfm 4-2000 1034-121 . The valid OMB control number for this information collection is 0348-0061. SF252 is prescribed for use in awarding fixed-price contracts for architect-engineer services, as specified in 36.702(a). ), (o) OF 91 (1/90Ed. ), (b) DDForm441(DoD), Security Agreement. 2/2013), Request for Wage Determination and Response to Request. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. <>stream Feb 2021) Affidavit of Individual Surety. 0000003533 00000 n (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 (2) The form is in an electronic format covered by the American National Standards Institute (ANSI) X12 . Exception, as used in this part, means an approved departure from the established design, content, printing specifications, or conditions for use of any standard form. Follow the step-by-step instructions below to design your form 1035: Select the document you want to sign and click Upload. SF30, prescribed in 53.243, may be used for modifying purchase orders, as specified in 13.307(c)(3). These forms can be found at the GSA Forms Library at http://www.gsa.gov/forms . ++ department of the treasury itfrm 4-2000 . An official website of the United States government. 0000003205 00000 n 03/2016), Settlement Proposal (Inventory Basis). On the Home tab, in the Number group, select the small arrow to open the Dialog box. ), (h) SF 273 (Rev. VOUCHER NO. Exception approval for overprinting is not needed. SF18 is prescribed for use in obtaining price, cost, delivery, and related information from suppliers as specified in 13.307(b). SHEET NO. SFs 1094 and 1094A are prescribed for use in establishing exemption from State or local taxes, as specified in 29.302 (b). 0000003650 00000 n startxref xb```b``#fy 20p4xegra,a`:8)q w&3.gh>DE '\:pcY'e+nsuNAm~XML3=o@WBXW_9Ml]F(!=sug c:VL+,%ltjyGG{y9RBJ`T*/GP)C4 A`PPf4v)cRkR`FARubKETn1H0$0`l^ @rys7`@@|&ELhbtc1pcF@AR a (130k) SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet), SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet), Find out about career opportunities at USAID. @|%9_`V>L.8dzM 9~).$k$khL^Ov A$|k1CyfcS}0lA3utD1uV&_ , 01/2014), Preaward Survey of Prospective Contractor-Quality Assurance. " b#2$,3c&yg '7'S ]s;8Z`8LDEbrAH9p#n4k 441 22 P%Jc B$)P`EzY\ w_NM@ P Bm%% (d) SF1442 (Rev. 0000003924 00000 n 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. 9/1997), Settlement Proposal for Cost-Reimbursement Type Contracts. Pending issuance of a new edition of the form, Block8, Negotiation Authority, is deleted. RDK Imx4d z&F- Z}0 ~) (See 28.106-1(f). P%Jc B% RP BT0)BP)% Standard Forms (SF) (b) You can access the forms in Table 53-2 at the websites listed in the table. ), (2) SF 1435 (Rev. 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. The GSA Forms Library contains these forms and views: GSA Forms (GSA) 494 0 obj <>stream 53.215-1 Solicitation and receipt of proposals. SF30, prescribed in 53.243, shall be used in amending invitations for bids, as specified in 14.208(a). (d) SF1424 (Rev.5/2004), Inventory Disposal Report (See 45.605). Recommendations from within an executive agency shall be submitted to the cognizant council in accordance with agency procedures. P%Jc B% RP BT0)BP)% There are three variants; a typed, drawn or uploaded signature. (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. endstream endobj 427 0 obj<> endobj 428 0 obj<>stream 53.106 Special construction and printing. 02. Download Adobe Reader, GSA 3516A - Solicitation Provisions (For Simplified Acquisition of Leasehold Interests in Real Property) - Canceled - 2/21/2023, GSA 3516 - Solicitation Provisions (Acquisition of Leasehold Interests in Real Property) - Canceled - 2/21/2023, OF 2211 - Build America Buy America Waiver Request Data Collection - Created - 2/9/2023, SF 186 - Federal Write-In Absentee Ballot (FWAB) - Revised - 2/6/2023, SF 76 - Voter Registration and Absentee Ballot Request: Federal Post Card Application (FPCA) - Revised - 2/6/2023, GSA 1364A-1 - Simplified Lease Proposal Data - Renewed - 1/30/2023, GSA 1364A - Simplified Lease Proposal - Renewed - 1/30/2023, GSA 1217 - Lessor's Annual Cost Statement - Renewed - 1/18/2023, GSA 1364 - Proposal to Lease Space - Revised - 1/18/2023, GSA 7662 - U.S. Bank Travel Card Approval Application - Revised - 1/9/2023, GSA 1364WH - Proposal to Lease Space (Warehouse Request) - Renewed - 1/6/2023, OF 873A - Annual Attendance Record (Clients) (Part-Time Employees) - 2023 - Revised - 1/5/2023, OF 873 - Annual Attendance Record (Clients) - 2023 - Revised - 1/5/2023, SF 1447 - Solicitation/Contract - Revised - 12/30/2022, SF 1442 - Solicitation, Offer and Award (Construction, Alteration, or Repair) - Revised - 12/29/2022, SF 33 - Solicitation, Offer, and Award - Revised - 12/29/2022, SF 26 - Award/Contract - Revised - 12/28/2022, GSA 3590 - Authorization for Release of Information - Canceled - 12/21/2022, GSA 873A - Annual Attendance Record (Part-Time Employees) - 2023 - Revised - 12/21/2022, GSA 873 - Annual Attendance Record - 2023 - Revised 12/13/2022, SF 3102 - Designation of Beneficiary - Civil Service and Federal Employees Retirement Systems - Revised - 12/2/2022. These forms are available at the GSA Forms Library at https://www.gsa.gov/forms. The following forms, which are prescribed by the Department of Defense, shall be used by DoD components and those nondefense agencies with which DoD has agreements to provide industrial security services for the National Industrial Security Program if contractor access to classified information is required, as specified in subpart 4.4 and the clause at 52.204-2: (a) DDForm254(Department of Defense (DoD)), Contract Security Classification Specification. Standard Form 1035 EG PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL September 1973 4 Treasury FRM 2000 1035-110 SCHEDULE NO. SF 1035 Form: Public Voucher for Services Other than Personal (Continuation Sheet) $12.99: SF 1038 Form: Advance of Funds Application and Account: $12.99: . 0000001993 00000 n endobj (d) SF1165 (6/83Ed. Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation Sheet. (b) SF 1404 (Rev. 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. u.s. department, bureau, or establishment and location : date voucher prepared ; schedule no. %%EOF Agencies may prescribe additional detailed instructions for use of the form. 53.204-1 Safeguarding classified information within industry (DDForm254, DDForm441). ), (j) SF 275 (Rev. Create your signature and click Ok. Press Done. (See 28.106-1. Direct Hire from Overseas Mission), AID 451-3 (Employee Exit Clearance: USAID Personal Service Contractor Departure from Washington), AID 451-4 (Employee Exit Clearance: USAID Personal Service Contractor Departure from Overseas Mission), AID 456-1 (On-the-Spot/Special Act (OTS/SA) Program), AID 460-7a (IDI Performance Evaluation Report for AID/W Training), AID 461-2 (AEF Foreign Service Employee Statement), AID 461-3 (Foreign Service Skills Assessment Worksheet), AID 461-4 (Foreign Service Quarterly Conversation Record (QCR) for Employees and Supervisors) [New], AID 461-5 (Foreign Service Annual Accomplishment Record), AID 461-6 (AEF Senior Foreign Service) and AID 461-6 (AEF Senior Foreign Service Instructions), AID 462-2 (AEF Civil Service Feedback Worksheet), AID 462-3 (AEF Civil Service Employee Statement), AID 462-4 (Appraisal Input form for Supervisory & Non Supervisory Staff - Civil Service), AID 463-1 (Authorization for Release of Information Under the Privacy Act), AID 463-3 (Senior Foreign Service Promotion Application), AID 463-4 (Foreign Service Promotion Input Form (PIF)), AID 463-4a (Supplemental Instructions for Signing the Employee Promotion Input Form (PIF)), AID 463-5 (Operating Unit Context Statement), AID 463-6 (Foreign Service Promotion Waiver Request), AID 467-1 (Retention Allowance Recommendation and Allowance Approval Form), AID 467-2 (Recruitment/Relocation Incentive Approval Form), AID 467-3 (Recruitment Incentive Service Agreement), AID 467-4 (Relocation Incentive Service Agreement), AID 467-5 (Superior Qualifications and/or Special Needs Appointment Approval Form), AID 467-6 (Service Agreement for Payment of Travel and Transportation Expenses), AID 467-7 (Retention Incentive Service Agreement), AID 476-1 (Checklist for Employees called to Active Duty), AID 476-2 (Checklist for Employees Returning from Active Duty), AID 476-3 (Federal Employees' Group Life Insurance (FEGLI) Program Election Form: Extension of Coverage When Called to Active Duty), AID-480-2 (Excess Leave Carryover Request Per FY 2021 NDAA), AID-480-3 (COVID-19 Emergency Paid Leave Request Form), AID-481-1 (Family and Medical Leave Application Request), AID 481-2 (Paid Parental Leave (PPL) Request Form), AID 481-3 (Paid Parental Leave Work Agreement), AID 494-1 (Annuity Calculation Request Form), AID 495-1 (Foreign Service National Senior Advisory Corps Application Form), AID 5-7 (Supplies Equipment Services Requisition), AID 5-8 (Request and Authorization for Official Travel), AID 5-18 (Printing or Distribution Request), AID 5-52 (Express Mail and Courier Services Request, AID 5-236 (Unsatisfactory Equipment Report), AID 500-3 (Security Investigation and Clearance Record), AID 500-8 (Agency Security Classification Management Program Data Reporting Sheet), AID 502-1 (Information Systems Inventory), AID 502-2 (USAID Records Management Exit Checklist for Employees), AID 502-3 (USAID Records Management Exit Checklist for Senior Officials), AID 507-1 (Certification of Identity Form), AID 507-2 (Freedom of Information Act (FOIA) Action Form), AID 508-1 (Authority to Release Diversity Information), AID 512-1 (Request for Business Cards for Official Use), AID 514-2 (Motorcycle Parking Application), AID 514-3 (Disability Parking Application), AID 514-4 (USAID Executive or Unusual Hours Parking Application), AID 515-1 (Application for Transit Benefit Program), AID 517-7 (Authorization to Provide Government-Furnished Space for Non-Direct Hire Personnel in Washington), AID 522-2 (Request for Other Than Coach Class Travel), AID 522-4 (Justification Certificate For Using A Non Contract Or Indirect Air Carrier), AID 522-6a (E2 Change Request For Creation Of New Office(s)), AID 522-7 (Request for Actual Lodging Subsistence Expense), AID 522-11 (Request for the Use of Non-Conventional Lodging), AID 524-2 (Personnel Accountability Exercise), AID 524-4 (Individual Emergency Action Plan), AID 529-1 (Notification of Potential Hazard), AID 529-3 (Health and Safety Self-Inspection Checklist for Office Space), AID 529-4 (Occupational Safety and Health Protection for Staff), AID 534-1mm (Personal Property Disposal Authorization and Report *Main Menu*), AID 534-1 (Personal Property Disposal Authorization and Report), AID 530-3 (Credit Card Purchases Transactions), AID 540-3 (Vehicle Dispatch Analysis Form Instructions), AID 547-1 (Business Waiver Request For Additional Government Furnished Equipment(GFE) Outside Standard Equipment Package), AID 549-1 (Long Distance Calling Card Request), AID 549-2 (Audio Conference Account Request), AID 552-1 (Classified Processing Compliance Review), AID 552-2 (Classified Information System User Agreement), AID 557-1 (USAID.gov Content Management System Access Request Form), AID 565-1 (Request for Federal Identification Card / Facility Access Card), AID 565-2 (Participating Agency Certification of Candidate's Security Clearance and Duration of Assignment), AID 566-6 (Certification of Security Clearance for USAID Employee), AID 568-2 (System Authorization Access Request (SAAR) - JWICS Account), AID 590-7 (Development Experience Clearinghouse (DEC) Submission Form), AID 621-1 (Application for Advance of Allowances), AID 7-7 (Miscellaneous Obligations Document), AID 7-49 (Notice of Allowable Travel/Transit Time), AID 7-128 (Notice of Collection/Adjustment), AID 760-23 (Travel Schedule and Projected Leave Charges and Post Differential Payments), AID 760-42 (Application for Advance of Pay for Overseas Assignment), Modified Acquisition and Assistance Request Document (maard), DS-1474 Request for Diplomatic or Consular Title, DS-1620 Claim for Private Personal Property Against the United States, DS-1620A Claim Investigating Officer's Report, DS-1622 Medical History and Examination for Foreign Service (For Children 11 Years and Under), DS-1838 Request for Building Pass Identification Card, DS-1843 Medical History and Examination for Foreign Service, DS-1921 Award/Modification of Interagency Acquisition Agreement, DS-1992 Allotment of Pay/Prior Service Credit (Foreign Service Employees) Application and Authorization to Make, Change, or Discontinue, DS-3069 Authorization for Medical Examination, DS-6570 ESCAPE Posts Pre-Deployment Physical Exam Acknowledgement form depending on the post of assignment, NA-14097 (Technical Description for Transfer of Electronic Records to the National Archives), OF-126 (Foreign Service Residency and Dependent Report), OF-306 (Declaration for Federal Employment), OGE-450 (Confidential Financial Disclosure Report), OMB 83-C (Inventory Correction Worksheet), OMB 83-E (Paperwork Reduction Act Emergency Extension), OMB 83-I (Paperwork Reduction Act Submission), OMB 83-R (Executive Order 12866 Submission), OMB 1890-0014 (Survey on Ensuring Equal Opportunity for Applicants), OPM-71 (Request for Leave or Approved Absence), OPM-630 (Application to Become a Leave Recipient Under the Voluntary Leave Transfer Program), OPM 630-B (Request to Donate Leave to Leave Recipient Under the Voluntary Leave Transfer Program), OPM 630-C (Transfer of Leave Records for Leave Recipient Covered by the Voluntary Leave Transfer Program), SF-8 (Unemployment Compensation for Federal Employees (UCFE) Program), SF-1034 (Public Voucher for Purchases and Services Other Than Personal), SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet), SF-1038 (Advance of Funds Application and Account), SF-115 (Request for Records Disposition Authority), SF 1164 (Claim for Reimbursement for Expenditures on Official Business), SF-1190 (Foreign Allowances Application, Grant and Report), SF-120 (Report of Excess Personal Property), SF-182 (Authorization, Agreement, and Certification of Training), SF-258 (Agreement to Transfer Records to the National Archives), SF-256 (Self-Identification of Disability), SF-270 (Request for Advance or Reimbursement), SF-30 (Amendment of Solicitation/Modification of Contract), SF-312 (Classified Information Nondisclosure Agreement), SF-326-98a1 (Semiannual Report of Payments Accepted from a Non-Federal Source), SF-425A (Federal Financial Report Attachment), WH-380-E (Certification of Health Care Provider for Employee's Serious Health Condition), WH-380-F (Certification of Health Care Provider for Family Member's Serious Health Condition), AID 502 - 4 - Annual Record and Personally Identifiable Information (PII) Inventory (located in Service Central). Just email your documents for editing or formatting . (d) SF 1406 (Rev. Except as may be otherwise indicated in the FAR, all standard forms prescribed by the FAR may be continued on (a) plain paper of similar specification, or (b) specially constructed continuation sheets (e.g., OF336 ). 0000001806 00000 n 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. %%EOF 0000000556 00000 n 434 0 obj <>/Filter/FlateDecode/ID[<9323F8CEEA997E6B92F25FBC9F9A5F6F><3F06E63E3BCAE547AF2DC6786AB36C7F>]/Index[386 109]/Info 385 0 R/Length 139/Prev 43904/Root 387 0 R/Size 495/Type/XRef/W[1 2 1]>>stream Also, Word's macro security setting should be set to "Medium", as many forms may not work properly if Word's macro security setting is set to "High." OF347 , prescribed in 53.213(f), may be used by contractors when requisitioning from the VA, as specified in 51.102 (e)(3)(ii). (See 45.602-3 and 41 CFR 102-36.215. A lock ( 0 OF17 may be furnished with each invitation for bids to facilitate identification and handling of bids, as specified in 14.202-3(b). 2 of 11 19. Get the free sf1035 template form Description of sf1035 template U.S. Federal Form sf-1035 VOUCHER NO. 48 CFR 53.301-1035 - Standard Form 1035, Public Voucher for Purchases and Services Other Than Personal, Continuation Sheet. 12/2022. 0000004310 00000 n (See 28.106-1(i) and 28.202(a)(4). 0000000016 00000 n contract number and date . %PDF-1.5 % 0000005107 00000 n (e) OF307 (Rev.8/2016), Contract Award. -Ep0$E8853B3Jg40w64ykDH>Zfh0Yu( Forms often used are DD Form 1155, Order for Supplies or Services; SF 1034, Public Voucher for Purchases and Services Other Than Personal and SF 1035, Continuation Sheet; SF 44, Purchase. (c) SF33 (Rev. ), Release of Personal Property from Escrow. OF308 may be used to support solicitation of negotiated contracts as specified in 15.210(a). (a) Prescribes standard forms (SFs) and references optional forms (OFs) and agency-prescribed forms for use in acquisition; and. 20. . requisition number and date . In Excel, formatting worksheet (or sheet) data is easier than ever. 422 0 obj<>stream 1. Traveler reimbursement is based on the location of the work activities and not the accommodations, unless lodging is not available at the work activity, then the agency may authorize the rate where lodging is obtained. P%Jc B% RP BT0)BP)% 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.
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