IPP_Waiver_attachment_NOV_2012_.pdf

Attachment A

Bureau of the Public Debt, Administrative Resource Center IPP Waiver Form

In accordance with DTAR 1052.232-7003, Electronic Submission of Payment Requests, the Contractor shall submit payment requests using the Internet Payment Platform (IPP) unless the Contracting Officer authorizes alternate procedures. The Contractor may submit a request to all the submission of invoices outside of the IPP as part of its proposal. The Contractor shall indicate the reason(s) outlined below and the duration for which it is requesting the waiver. If the contractor’s current invoicing system is not compatible with IPP, the Contractor shall provide contact information for the person who can work with the IPP administrator to develop an interface. The approval of such waiver will have a duration of no more than 6 months.

An individual (includes employees and sole proprietors) determines that the submission of invoices through IPP would impose a hardship due to either a physical or mental disability; a geographic, language, or literacy barrier, or a financial hardship. Please describe

The political, financial or communications infrastructure of a foreign country does not support access to IPP for submitting invoices electronically.

The contractor is in the process of transitioning to electronic submission of payment requests but needs additional time to complete such transition. Authorizations granted on this basis must specify a date by which the contractor will transition to electronic submission and a point of contact that the Government can work with to facilitate this process.

Contractor Point of Contact:

Phone No.

Email Address:

Contractor Name: DUNS:

Name of Person Submitting Waiver: Title:

Email: Phone No.:

Solicitation No. Date Submitted:

For Government Use Only

Approved Disapproved Additional Guidance

Duration of Waiver Contract/Order No.

Contracting Officer Signature: