DOA-3428 Public or Legal Notice Order.docx

DOCX document 85 KB Posted

Attached to
Class 5 Legal Notices: Published in the Official State Newspaper for the State of Wisconsin
Contract number
505ENT-M25-LEGALNOTIC-01
Issued by
Wisconsin

About this file

This document is a public or legal notice order form (DOA-3428) issued by the Wisconsin Department of Administration's State Bureau of Procurement under Wisconsin Statutes section 16.75. The form is associated with statewide contract 505ENT-M25-LEGALNOTIC-01 and is designed to facilitate the placement of public or legal notices in newspapers by Wisconsin state agencies. The document serves as a standardized template for state agencies to communicate with newspapers regarding advertisement placement requirements.

The form covers services related to public notice advertising and includes structured fields for specifying publication requirements such as format options (single column, display, or other), logo preferences (State Coat of Arms, none, or other), and placement sections within newspapers (general, employment, Secretary of State notices, public meeting notices, bid/proposals, construction bids, or other classifications). The form requires agencies to specify publication dates, contact information for both the agency and newspaper, billing details, and any special instructions. Additional requirements can include tear sheets or affidavits with invoices, and the document notes that alternate formats are available for individuals with disabilities upon request.

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Text version

State of Wisconsin Department of Administration

s. 16.75 Wis. Stats.

DOA-3428 (R12/2015)

State Bureau of Procurement 101 E. Wilson Street, 6th Floor Madison, WI 53707-7867

Statewide Contract:

505ENT-M25-LEGALNOTIC-01

Public or Legal Notice Order Instructions: Tab to each section and complete the information indicated. Save a copy of the order form to your computer. Email or fax this form with your agency’s notice of publication. If ad proof is required, please indicate in the Special Instructions section.

1.TO: newspaper INFORMATION
No. of Pages to Fax including this page:
Newspaper Name
Newspaper Contact Name
Newspaper Contact Email Address
Newspaper Area Code & Phone
Fax
Address: Street or PO Box
City/State/Zip+4

2. FROM: AGENCY INFORMATION

State Agency Name
Billing Reference No. (Purchase Order / Account #)
Advertisement Contact Name
Advert. Contact Area Code & Phone
Advert. Fax
Billing Contact Person Name
Billing Contact Area Code & Phone
Billing Fax
Billing Address: Street or PO Box
Billing City/State/Zip + 4
3.PUBLICATION DATE(S)
Enter DAY(S) and DATE(S) advertisement should appear in the newspaper.
DAY
DATE (mm/dd/ccyy)
First Insertion
Second Insertion
Third Insertion
|_| Tear Sheet Required with Invoice
|_| Affidavit Required with Invoice

4. FORMAT

|_| Single column |_| Display |_| Other, specify

5. LOGO

|_| State Coat of Arms |_| None |_| Other, specify

6.PLACE AD IN FOLLOWING SECTION
These are generic classifications and may or may not appear in this newspaper. Contact the newspaper for a list of specific classifications.
|_| General
|_| Employment Ad
|_| Secretary of State
|_| Public Meeting Notice
|_| Bid / Proposals
|_| Construction Bids
|_| Other, specify
7.COMMENTS AND SPECIAL INSTRUCTIONS
Enter comments or special instructions below. This information will not be published in the newspaper.
8.TEXT
Enter the text of the notice or indicate “see attached.” Include the following at the top of each attached page: Agency name, Agency advertisement contact name, Agency advertisement contact area code and phone.

This document can be made available in alternate formats to individuals with disabilities upon request.

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File details come from the government source that posted it. Updated .