Attachment B - Contact Form~1.docx

This is a General Information Form attachment for a Request for Response (RFR) issued by the Massachusetts Department of Elementary and Secondary Education (DESE) for Problem Resolution System complaint resolution assistance. The form serves as a submission document to be completed and uploaded to COMMBUYS by vendors interested in providing temporary support to DESE's Problem Resolution System Office. The form requires vendors to investigate state complaints received by PRS from intake through resolution under DESE oversight.

The General Information Form requires vendors to provide their organization name, vendor code, address, authorized signatory information (including name, title, phone, and email), and contact person details for substantive questions about the submission. Additionally, vendors must identify a local representative from their organization who would serve as the first point of contact for work conducted with DESE and districts, including that person's name, title, phone, and email. The form does not contain specific pricing terms, set asides, incumbent information, funding amounts, or contract duration details, as it functions solely as a vendor information collection document to be submitted alongside the formal RFR response.