EXHIBIT H- WORK ORDER AUTHORIZATION ACCEPTANCE FORM.pdf

This is a Work Order Authorization Acceptance Form designed to document the completion and approval of deliverables under a contractor work authorization. The form serves as the official record for both the contractor and the state to confirm that work has been completed and meets the specified requirements. The document is organized into three main sections: Part 1 captures general information including the contractor name and work authorization number; Part 2 provides a structured list for documenting completed deliverables with numbering and description fields; and Part 3 establishes a formal approval process requiring signatures from both authorized contractor and state representatives.

The approval mechanism in Part 3 allows for two outcomes: approval of deliverables as submitted or denial with required explanation of deficiencies. Both the contractor and state authorization representatives must provide printed names, signatures, titles, and approval dates, creating a dual-sign-off system that ensures accountability and mutual agreement on work completion. This form functions as a critical control document within the contract administration process, establishing an audit trail for deliverable acceptance and payment authorization.