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, used to request facility-related services and authorize cost charges to tenant agencies. The form captures project scope details, labor and material cost estimates, building and location information, and requires signatures from both the requesting tenant and DGS Facility Administration leadership before project authorization. The document functions as an internal approval mechanism within the state's facilities management system, with cost estimates subject to tenant authorization before project initiation.
The voucher request form is a standardized internal control document (RDA SW-25 GS-1128, revised 02-2017) designed to facilitate inter-agency cost allocation for facility maintenance and improvement projects. It requires identification of the complex, organization number, speed chart, location chartfield, and cost center information to ensure proper financial tracking and departmental charging. The form establishes an audit trail through signature requirements from both the tenant's authorized fiscal representative and DGS leadership, ensuring accountability and budget oversight for all facility-related expenditures processed through the state's accounting 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 .