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 document is an Inter-Agency Journal Voucher Request Form issued by the Tennessee Department of General Services (DGS) Facilities Management division. The form serves as a template for state agencies to request facility-related services and project work from DGS. The form requires submission of a detailed scope of work, identification of the requesting agency, building location, and cost center information. Upon completion, the form must be signed by both the tenant agency's authorized fiscal representative and the DGS Stream Director of Facility Administration to authorize the requested work. Project costs are estimated by DGS personnel, and the tenant agency must approve the estimated labor and material costs before the project proceeds. The form includes fields for routing to multiple DGS Coordinators and tracking through a legacy cost center system, indicating this is part of Tennessee's standard internal procurement process for facility management services across state agencies.
This voucher request form is a supporting administrative document used in conjunction with the larger Facility Protection Services RFP (32110-22726). The form facilitates the internal authorization and cost tracking mechanism that would be utilized by state agencies requiring facility protection services under the primary contract. As an internal administrative tool, the voucher form itself contains no pricing information, set-asides, or funding allocations; rather, it establishes the procedural mechanism through which state agencies charge DGS for facility-related services. The form was last revised in February 2017 and represents standard government accounting practices for inter-agency cost allocation and project authorization within Tennessee's state system.
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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 .