Form Fa 0954 PDF Details

Form Fa 0954 is a form used to request an exception be made to the standard procurement process. The form can be used to request that an acquisition be conducted using an accelerated or simplified acquisition process, or that a purchase order be placed without following the normal competitive bid process. The form is also used to request permission to waive any of the statutory requirements associated with federal acquisitions. Use of Form Fa 0954 may be necessary in cases where there is not enough time to follow the usual procurement process, when there are only a few vendors who can provide the required goods or services, or when there is only one source for the required goods or services. Waivers may also be granted when it is determined that following the normal procurement process would not serve the best interests of the government. The use of Form Fa 0954 should not be taken lightly, as requesting an exception can have serious consequences if not done correctly. It is imp

QuestionAnswer
Form NameForm Fa 0954
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names0954 state of tennessee benefits administration form fa 0954

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STATE OF TENNESSEE

BENEFITS ACCOUNTING

DEPARTMENT OF FINANCE AND ADMINISTRATION

20TH FLOOR, WILLIAM R. SNODGRASS TENNESSEE TOWER

312 ROSA L. PARKS AVENUE

NASHVILLE, TENNESSEE 37243

FAX (615) 741-1789

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENT (ACH)

Agency Name:

Employer Identification Number (EIN):

I (we) hereby authorize the State of Tennessee, hereinafter called the State, to initiate debit and credit entries to my (our) Checking Savings Account (select one) indicated below, and the deposi- tory named below, hereinafter called the Depository, to debit the same to such account.

Depository Name:

 

Branch:

 

 

 

City:

 

State:

 

 

Zip:

 

Transit/ABA No.:

 

 

Account No.:

 

 

This authority is to remain in full force and effect until the State and Depository have received written notification from me (or either of us) of its termination in such time and in such manner as to afford the State and Depository a reasonable opportunity to act on it.

Name (s):

Please print

Date:

Signed:Signed:

Business Unit:

Please attach a voided check.

FA-0954 (rev 7/12)