The DD Form 428, known as the Communication Service Authorization, plays a crucial role in facilitating communication services for official use within various governmental or military departments. This document serves as a formal authorization, allowing specific communications companies to establish or perform services as detailed within the contract to which this authorization is attached. The form encompasses a wide range of information, including multiple authorizations, circuit or bill numbers with corresponding dates, and detailed contact information for both the submitting and billing parties. Additionally, it includes the address and contact details of the communications company, descriptions of the services to be rendered including non-recurring and monthly rates, and the particulars of the officer responsible for payment. Significantly, the form ensures transparency and accuracy by requiring signatures from both the authorizing official and the accepting contracting firm, solidifying the agreement on services and payments. Created to streamline the process of securing essential communication services, the DD Form 428 underscores the importance of clear, concise, and direct communication between government entities and external service providers.
Question | Answer |
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Form Name | Dd Form 428 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | YYYYMMDD, CONTRACTING, dd form 428, OBSOLETE |
COMMUNICATION SERVICE AUTHORIZATION
1. AUTHORIZATION |
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2. AUTHORIZATION |
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3. CIRCUIT OR BILL NUMBER |
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a. NUMBER |
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b. DATE (YYYYMMDD) |
a. NUMBER |
b. DATE (YYYYMMDD) |
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4. FROM (Include ZIP Code) |
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5. SUBMIT BILLS FOR CERTIFICATION TO (Include ZIP Code) |
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6. TO (Communications Company) |
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7. TELEPHONE NUMBER TO CONTACT FOR DETAILS |
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(Include Area Code) |
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a. COMPANY NAME |
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8. AUTHORIZATION. In accordance with provisions of the contract |
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indicated above of which this authorization forms a part, authority |
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b. ADDRESS |
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is hereby given to Communications Company indicated in Item 6 to |
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(1) STREET |
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establish or perform services for official use as prescribed below at: |
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(2) CITY |
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(3) STATE |
(4) ZIP CODE |
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9. SERVICE(S) |
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d. RATE PER MONTH |
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DESCRIPTION |
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NUMBER |
CHARGE |
PER UNIT |
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TOTAL |
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b. |
c. |
(1) |
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(2) |
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10. DISBURSING OFFICER MAKING PAYMENT |
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11. DISTRIBUTION |
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a. NAME (Last, First, Middle Initial) |
b. GRADE |
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12. AUTHORIZING OFFICIAL |
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a. SIGNATURE |
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b. TITLE |
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c. GRADE |
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13. ACCEPTANCE |
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a. NAME OF CONTRACTING FIRM |
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b. SIGNATURE OF CONTRACTOR'S REPRESENTATIVE |
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c. DATE SIGNED |
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(YYYYMMDD) |
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DD FORM 428, MAY 1999 |
PREVIOUS EDITION IS OBSOLETE. |
Adobe Professional 7.0 |