726DVR7525 Appendix IV Quarterly Acctg Form.xlsx

This file is a Quarterly Accounting Report form for vending machine commissions administered by the Alaska Department of Labor & Workforce Development, Division of Vocational Rehabilitation, Business Enterprise Program. The form serves as the reporting mechanism for vendors operating vending machines under a vending services agreement. Vendors are required to submit detailed transaction data for each machine, including meter readings, product type, gross sales figures, and applicable commission percentages. The report captures location designations (federal or non-federal) and calculates total commissions due based on the terms of the underlying vending services agreement. Completed reports must be submitted with payment by the 15th day of the month following the reporting period.

The submission process requires vendors to remit payment via check or money order along with the completed accounting report to the Business Enterprise Program office in Juneau, Alaska, attention Ellen Doig. Vendors must certify under penalty of perjury that all commission figures reported are accurate and comply with the applicable terms and conditions of their vending services agreement. The form permits use of computerized versions subject to program approval. This quarterly reporting structure ensures ongoing financial accountability and commission payment tracking for all vending machine operations under the contract.