Attachment%20J%20P2Inter-AgencyVoucherReq.pdf
PDF 138 KB Posted
- Attached to
- Facility Protection Services - UPDATED State and local contract opportunity
- Solicitation number
- RFP 32110-22726
- Issued by
- Davidson County, Tennessee
About this file
This is an Inter-Agency Journal Voucher Request Form issued by the Tennessee Department of General Services (DGS) Facilities Management division to authorize facility-related project work and associated costs. The form serves as a cost authorization document between DGS and tenant agencies requesting facility services or improvements. The requesting agency completes the form by identifying the project scope of work, building location, cost center information, and organizational details. Once the DGS Facilities Management division estimates project costs for labor and materials, the form is returned to the tenant agency's authorized fiscal representative for signature approval. Upon approval and authorization by the DGS STREAM Director of Facility Administration, the project proceeds. The form documents the chain of authorization required before facility work can commence and establishes cost accountability between DGS and requesting tenant agencies.
The Inter-Agency Journal Voucher Request Form represents the administrative mechanism through which the State of Tennessee manages internal facility service requests and cost allocation among state agencies. This form is particularly relevant to the Facility Protection Services RFP 32110-22726, as successful contractors will need to process requests through similar authorization channels when tenant agencies request facility protection services across multiple state locations including Nashville, Knoxville, Chattanooga, Memphis, Jackson, Lawrenceburg, and Cookeville. The form ensures proper fiscal control, documentation, and authorization trails for all facility-related expenditures under the state's estimated fifty million dollar liability for facility protection services beginning January 1, 2027.
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Text version
Date:
Tennessee Department of General Services Facilities Management Inter-Agency Journal Voucher Request
To (DGS Coordinator):
From (Agency):
Complex:
Organization #:
Speed Chart #:
Location Chartfield #:
Building, Address
Example: 3210101000
Example: GS00000062
AKA Cost Center, Legacy #
Scope of Work:
Signature: Tenant Date
Above signature authorizes tenant to be charged with all costs associated with estimating this request.
For Tenant Requests Projects: This form will be returned to the tenant for signature after estimated project costs have been determined.
Estimated cost for Labor and Material to complete the above described scope of work: $
If this cost meets with your approval, please digitally sign and return as soon as possible. Project will proceed upon receipt of authorized signature.
Tenant’s Authorized Fiscal Rep Signature
STREAM Director of Facility Admin. Signature Date
DGS Internal Agency Journal Voucher Request Form (02-2017)
RDA SW-25
GS-1128
| undefined: |
| To DGS Coordinator 1: |
| To DGS Coordinator 2: |
| Building Address: |
| Example 3210101000: |
| Example GS00000062: |
| AKA Cost Center Legacy: |
| Date: |
| Date_2: |
| Text12: |
| Text14: |
File details come from the government source that posted it. Updated .