An official website of the General Services Administration. OF17 may be furnished with each request for proposals to facilitate identification and handling of proposals, as specified in 15.210(c). Form Details: Released on October 1, 1987; (a) SF 1403 (Rev. This is a list of forms from GSA and other agencies that are frequently used by GSA employees. ), (f) SF 34 (Rev. (f) SF1449 (Rev. ), (h) SF1446 (Rev.4/2013. 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. 01/2014), Preaward Survey of Prospective Contractor-Accounting System. 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. @|%9_`V>L.8dzM 9~).$k$khL^Ov A$|k1CyfcS}0lA3utD1uV&_ , SF33 is prescribed for use in soliciting bids for supplies or services and for awarding the contracts that result from the bids, as specified in 14.201-2(a)(1), unless award is accomplished by SF26. 02. SF1424 is authorized for local reproduction. This subpart prescribes standard forms and references optional forms and agency-prescribed forms for use in acquisition. (See 28.106-1(i) and 28.202(a)(4). <<504bff9d7f0225448157413235c8b8a7>]>> payee's contract number and date . (d) SF1447 (Rev. It is also known as a Public Voucher for Purchases and Services Other Than personal. 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 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. (See 28.106-1(f). HUnF}WE-R4`ERj+_#Nms#gb7UwEm wI=A2AS!l{WS.UW/%\/(_L}-'?*"Yg:+2ZKVPj`E? PQR :K(J%(J/ B% 0)BP)% PDF versions of forms use Adobe 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. Executive agencies shall obtain standard and optional forms from the General Services Administration (GSA) Forms Library at https://www.gsa.gov/forms . Standard Form 1035 September 1973 4 Treasury FRM 2000 1035-110 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL SCHEDULE NO. department of the treasury itfrm 4-2000 . SF1413 is prescribed for use in obtaining contractor acknowledgment of inclusion of required clauses in subcontracts, as specified in 22.406-5. Note: Content in this archive site is NOT UPDATED, and external links may not function. 0000024349 00000 n Grant Application Attachments without Format Pages. (d) SF1424 (Rev.5/2004), Inventory Disposal Report (See 45.605). 01. (a) Alter a standard form prescribed by this regulation; or. If you are looking for current information, visit www.usaid.gov. ), (n) SF 1418 (Rev. Y["o#]"V`)eZ\\\\ startxref 0000000556 00000 n (g) OF309 (Rev.9/97), Amendment of Solicitation. 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. SF1449 is prescribed for use in solicitations and contracts for commercial products and commercial services. Decide on what kind of signature to create. Click the "Macro Security" button, and choose "Medium". Secure .gov websites use HTTPS Get the free sf1035 template form Description of sf1035 template U.S. Federal Form sf-1035 VOUCHER NO. 0000000750 00000 n paid by. (d) SF 1406 (Rev. 1. An official website of the U.S. General Services Administration. endstream endobj 806 0 obj <>/Metadata 79 0 R/OCProperties<>/OCGs[820 0 R]>>/Outlines 104 0 R/PageLayout/SinglePage/Pages 799 0 R/StructTreeRoot 155 0 R/Type/Catalog>> endobj 807 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 808 0 obj <>stream Page last reviewed July 2017 Page originally created July 2017 Internet Citation: 1034 Form: Public Voucher for Purchases and Services Other Than Personal. @a1]pyWQ8,Da^s=/Ttu_Z76kSYo#M[c8rRXt8qE*8 SF1402 is prescribed for use in appointing contracting officers, as specified in 1.603-3 . (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. (d) SF1165 (6/83Ed. signNow has paid close attention to iOS users and developed an . hb```, cb %}TXB6e0\`}a'C`-~l=:x? SF298(2/89), Report Documentation Page. (f) OF1419(11/88Ed. (e) OF347 (Rev.2/2012), Order for Supplies or Services. SF298 is prescribed for use in submitting scientific and technical reports to contracting officers and to technical information libraries, as specified in 35.010 . 12/2022), Solicitation/Contract. 0000004504 00000 n %%EOF %PDF-1.6 % Please note that the forms should be downloaded to your computer BEFORE they are filled out, and not opened in a browser, to ensure proper functionality. Fill Out The Travel Voucher Online And Print It Out For Free. @B2PxdpZ=>5cDzh] -f ), (j) SF 275 (Rev. (b) SF30, Amendment of Solicitation/Modification of Contract. 0 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. 0000002089 00000 n HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb (See 22.406-6(a).). Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 53.215-1 Solicitation and receipt of proposals. (b) The standards listed in paragraph (a)(2) of this section may also be used for submission of data set forth in other parts for which specific forms have not been prescribed. Categories: Format Pages. (Rev.10/1983), Continuation Sheet Forms 24, 25, and 25A (See 28.106-1(c). 1. public voucher for purchases and services other than personal . ), (2) SF 1435 (Rev. (a) The following forms are prescribed for use in connection with the termination of contracts, as specified in subpart 49.6. 0000001806 00000 n }4E>=wWU557` 7,KiD/m-[uW[)3R]:Q$ybSOi>c9!NS9#sb5&328gF933[Nrb{SME~{PA"]ud>OHW5]&]y4|oE>jln!`y'*;x:?zQ_ . Feb 2021) Affidavit of Individual Surety. (See 28.106-1(j) and 28.202(a)(4).). 749Ji'O;l>5JyKBDp}b!C-|A\y? 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. After that, your form forms is ready. PHS 416-5. All forms are in MS Word format unless otherwise noted. (f) OF308 (Rev.9/97), Solicitation and Offer-Negotiated Acquisition. Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. OF17 may be furnished with each invitation for bids to facilitate identification and handling of bids, as specified in 14.202-3(b). An official website of the United States government. hbbd```b``"Hfo; + (See 49.602-1(c) and 49.302. Go to the current USAID.gov website for up-to-date information, Archive - U.S. Agency for International Development. VOUCHER NO. SF294 is authorized for local reproduction. P%Jc B% RP BT0)BP)% 0000001407 00000 n 53.106 Special construction and printing. Standard Form 1035 (EG) September 1973 4 Treasury FRM 2000 1035-110. The End Date of your trip can not occur before the Start Date. (See 45.602-3 and 41 CFR 102-36.215. 10/98) Payment Bond for Other than Construction Contracts. SF1443 (Nov 2021), Contractors Request for Progress Payment. (2) The form is in an electronic format covered by the American National Standards Institute (ANSI) X12 Standards published by the Accredited Standards Committee X12 on Electronic Data Interchange or a format that can be translated into one of those standards. ) or https:// means youve safely connected to the .gov website. (f) Form SF1444 (Rev.4/2013), Request for Authorization of Additional Classification and Rate. 0 https://www.ahrq.gov/funding/contracts/1034-form.html. Nov 2021), Solicitation/Contract/Order for Commercial Products and Commercial Services . Reader. A lock ( ), Receipt for Cash-Subvoucher. Error, The Per Diem API is not responding. ), (d) SF 25B (For Standard Forms 24, 25, and 25A). What Is Form SF-1034? Instructions for Submission of a Reference Letter. endstream endobj 457 0 obj<>stream Rates for Alaska, Hawaii, U.S. Standard Form 1035 EG PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL September 1973 4 Treasury FRM 2000 1035-110 SCHEDULE NO. 0000000016 00000 n ), (b) SF126 (GSA), Report of Personal Property for Sale, and SF126A (GSA), Report of Personal Property for Sale (Continuation Sheet). P%Jc B% RP BT0)BP)% To sign up for updates or to access your subscriberpreferences, please enter your email address below. %PDF-1.5 % Contractors shall submit vouchers electronically in pdf format to the FEMA Finance Center at FEMA-F inance-Vendor-Payments@fema.dhs.gov, . (See 28.106-1(e) and 28.203-1(b)(3). 441 0 obj<> endobj endstream endobj 427 0 obj<> endobj 428 0 obj<>stream 03/2016), Settlement Proposal (Inventory Basis). (See 49.602-3. Examples of common exceptions are as follows: As die-cut stencils or reproducible masters. 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. OF336, prescribed in 53.214(h), may be used as a continuation sheet in solicitations, as specified in 13.307(c)(1). Download Fillable Form Sf-1012 In Pdf - The Latest Version Applicable For 2023. (b) SF 1428 (Rev. P%Jc B% RP BT0)BP)% Territories and Possessions are set by the Department of Defense. SF-1035 (Public Voucher for Purchases and Services other than Personal - Continuation Sheet) SF-1038 (Advance of Funds Application and Account) The following forms are prescribed for use in conducting preaward surveys of prospective contractors, as specified in 9.106-1 , 9.106-2 , and 9.106-4 . Contracting offices may request exceptions (see 53.103 ) to standard forms for special construction and printing. 1. xb```b``c`f`fe@ ^0x $62Q:%|;H00}nRf0u'=Qp'#& cKK iiFZZ6W9X ,}U14g`XtH300Ng 5+ 2A, ABGi V)gB0iW8#8w8_QQj@&A)/g>'K t;\ $FZUn(4T%)0C&Zi8bxEB;PAom?W= This subpart contains requirements and information generally applicable to the forms prescribed in this regulation. You are entering the 2017-2020 Archive for the United States Agency for International Development web site. (b) SF 1404 (Rev. Select Custom. Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. The form prescriptions in subpart 53.2 and the FAR forms located at https://www.gsa.gov/forms contain current edition dates. SF1449, OFs 347 and 348 (or approved agency forms/automated formats) may be used as follows: (1) To accomplish acquisitions under simplified acquisition procedures, as specified in 13.307. Rates are available between 10/1/2020 and 09/30/2023. Agencies may prescribe additional detailed instructions for use of the form. ~r\>y}N>m7ygy_c(t8v5v\ A44[ZPD9&99%p;[@0Wm.VAs3"A\O*}! The valid OMB control number for this information collection is 0348-0061. U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT. Agencies may prescribe additional detailed instructions for use of the form. u.s. department, bureau, or establishment and location . (See 22.406-7(b). Information released online before January, 2021. Other Forms As of today, no separate filing guidelines for the form are provided by the issuing department. 53.204-1 Safeguarding classified information within industry (DDForm254, DDForm441). 10/93), Consent of Surety. CONTINUATION SHEET. ~ROE:d="mw|FAN[1AXM B7k)N#REF/Q >Rg>oN|Pz'\e?;/\!|'7WX/dcwY?%#P+c!Fj$%OhCq2WNqhUY;Sb22"?9v(F0, (See 49.602-1(a). standard form 1034# revised january 1980 . Looking for U.S. government information and services? standard form 1034 revised october 1967 department of the treasury 1 tfm 4-2000 1034-121 . Just email your documents for editing or formatting . (h) OF336 (Rev.3/86), Continuation Sheet. Pending issuance of a new edition of the form, Block8, Negotiation Authority, is deleted. ), Labor Standards Investigation Summary Sheet. SF1449 (Rev. 53.109 Forms prescribed by other regulations. 5/2004), Settlement Proposal (Total Cost Basis). endstream endobj 453 0 obj<> endobj 454 0 obj<> endobj 455 0 obj<> endobj 456 0 obj<>/Width 42/Height 42/BitsPerComponent 1/ImageMask true/Type/XObject/Subtype/Image>>stream Ensure that the contract and, if applicable, order number, are shown on each continuation sheet. 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. The .gov means its official. Before sharing sensitive information, make sure youre on a federal government site. QUAN- TITY. %PDF-1.4 % Subpart 53.3 - Forms Used in Acquisitions. Contracting officers shall use the current editions unless otherwise authorized under this regulation. For other Federal Government forms, please visit www.usa.gov. endstream endobj 462 0 obj<>/W[1 1 1]/Type/XRef/Index[122 319]>>stream ), Abstract of Offers-Construction, and OF1419A (11/88Ed. Standard Forms (SF) Download Fillable Form Sf-1035 In Pdf - The Latest Version Applicable For 2023. A lock () or https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. SFs 1094 and 1094A are prescribed for use in establishing exemption from State or local taxes, as specified in 29.302 (b). 9/1997), Settlement Proposal for Cost-Reimbursement Type Contracts. " b#2$,3c&yg '7'S ]s;8Z`8LDEbrAH9p#n4k ), (m) SF 1416 (Rev. Technical Editing & Document Formatting. 53.242-1 Novation and change-of-name agreements (SF 30). These forms are authorized for local reproduction and can be found at the GSA Forms Library at https://www.gsa.gov/forms . <>stream ), (6) SF 1439 (Rev. 832 0 obj <>stream 0000002041 00000 n Nov 2021), Solicitation/Contract/Order for Commercial Products and Commercial Services. JM|O%u\>.5}. Select the numeric data. (e) SF1428 (Rev.6/2007), Inventory Disposal Schedule, and SF1429 (Rev.5/2004), Inventory Disposal Schedule-Continuation Sheet. Award of such contracts may be made by either OF307, SF33, or SF26, as specified in 53.214(c) and 15.509. 0000003205 00000 n (b) Contains requirements and information generally applicable to the forms. (d) SF1442 (Rev. DEFENSE CONTRACT AUDIT AGENCY 8725 JOHN J. KINGMAN ROAD, SUITE 2135 FORT BELVOIR, VA 22060-6219 DCAAM 7641.90 2 5. 0000002479 00000 n 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." Overview of the SF 132, SF 133, Schedule P, and SBR 2. 0 53.222 Application of labor laws to Government acquisitions (SFs 308, 1413, 1444, 1445, 1446, WH-347). 53.216-1 Delivery orders and orders under basic ordering agreements (OF 347). 0000005030 00000 n ), (i) SF 274 (Rev. Share your form with others Send it via email, link, or fax. contract number and date ; paid by : requisition number and date ; payee's This is a list of all GSA forms. 01/2014), Preaward Survey of Prospective Contractor-Financial Capability. We are constantly updating our selection of forms. 0000000847 00000 n In Excel, formatting worksheet (or sheet) data is easier than ever. ), (7) SF 1440 (Rev. For other Federal Government forms, please visit www.usa.gov. (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. The SF 1035, Public Voucher for Purchases and Services Other Than Personal (Continuation Sheet), shall be completed in accordance with the below instructions. hbbd``b`>$4' / "Dx * U1DA{A7 be BVUVEK"Vsa "t@ @a,@d K?5HL`c`bdY8J#3r0 ), (4) SF 1437 (Rev. Agency for Healthcare Research and Quality, Rockville, MD. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. (a) You can access the forms in Table 53-1 at the GSA Forms Library at https://www.gsa.gov/forms. HS]k0} dJ!q,,P`'V_+Y>X`-]:{ke} l]tMp4M5QJ :WVn;>[Swpw}=@Wg"thp=F0dK wh[[IZ-yOn{7a5$&"IiyV {Ba;-:gJ Kz2OXY(iGf0kT[2vLs=s?pL 0d dzzksPvxk O3fgx *K12BbJ$z Sy]-vP/0@Tf.sKui,},&N})be^DZ`rL*3G Please try again later. P%Jc B% RP BT0)BP)% Download fillable Form SF-1034 (PDF, 116 KB). Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Certain forms referred to in subpart 53.2 are prescribed in other regulations and are specified by the FAR for use in acquisition. This is a list of standard government forms that start with the letters "SF". External links to other Internet sites should not be construed as an endorsement of the views contained therein. Adobe d Categories: Fellowships and Training. On the Home tab, in the Number group, select the small arrow to open the Dialog box. :Ba5!1u\ )=Tc The following example illustrates how the subjects are keyed to the parts in which they are addressed: SF1402 (10/83), Certificate of Appointment. (c) SF33 (Rev.9/97), Solicitation, Offer and Award. 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. 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). These forms are available at the GSA Forms Library at https://www.gsa.gov/forms. (See 28.106-1. (b) SF30 (Rev.11/2016), Amendment of Solicitation/ Modification of Contract. Make a general inquiry or suggest an improvement. (1) SF 1034 (GAO), Public Voucher for Purchases and Services Other than Personal. The following forms are prescribed for use in contracting for architect-engineer and related services: (a) SF252 (Rev.10/83), Architect-Engineer Contract. The SF 1034 is the standard form for public voucher for purchases and services other than personal for cost reimbursement. 0000003650 00000 n ), (b) SF 25 (Rev. 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 .

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