Gpo Form 1026A PDF Details

GPO Form 1026A is a form used to submit information about your group health plan. This form is used to provide the government with specific details about your plan, including who is covered and what services are provided. Completing this form accurately is important, as it can help ensure that your group health plan meets all required standards. If you have any questions about completing this form, be sure to contact your benefits administrator for assistance.

QuestionAnswer
Form NameGpo Form 1026A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDiam, workdays, splices, Decollater

Form Preview Example

PRINT ORDER FOR MARGINALLY PUNCHED CONTINUOUS FORMS

GPO FORM 1026A

You are hereby authorized to manufacture and ship the following described product in accordance with the purchase and specifications indicated.

(Rev. 3/99) P. 57371-0

 

 

PROGRAM

PRINT ORDER NO.

JACKET NO.

OBJECT CLASS

ESTIMATED COST

DATE

DEPARTMENT

REQUISITION NO.

BAC

TITLE

FORM NO.

CONTRACTOR

PURCHASE ORDER

STATE CODE

CONTRACTOR’S CODE

FURNISHED MATERIAL

Negatives

Camera Copy

Reprint Copy

Revised Copy

Sample

QUANTITY (SETS plus/minus per contract)

STOCK FORM

Blank

3 Lines/inch

1/2” tint bar

CUSTOM FORM

SIZE (Overall): Width

Inches; Depth

inches

Equipment

Printer

 

 

 

 

 

 

 

 

 

 

 

and Usage:

 

Must meet Laser Forms Requirements

Burster/Decollater

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART

 

 

 

PAPER TO BE FURNISHED BY CONTRACTOR

 

TYPE OF

 

INK COLOR

 

 

 

 

 

BASIS 500 SHEETS 17 x 22”

 

 

 

CHANGE

 

(Pantone Number)

 

PRINTS

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

KIND

 

SUB. NO.

 

FACE

BACK

FACE

BACK

 

OVERPRINT

HEAD TO

 

COLOR

 

 

 

 

 

 

 

 

 

(LATITUDE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Copy Designations:

Black Ink

Red Ink

Warning Signal

Extended Warranty

MARGINS (Inches)

 

 

 

 

Head

 

 

Foot

 

Left

 

Right

Follow sample/copy

Face

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inadequate lockup

Back

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTERLEAVING CARBONS

 

 

 

 

 

 

 

 

 

 

 

 

 

Narrow

unpunched, carbon short

 

 

 

“ on left

 

 

 

 

“ on right

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JOINING

Join sets in the

 

 

 

 

 

 

 

 

 

margins by

 

 

None Required

Crimp

 

 

 

Line glue

 

 

 

 

 

 

 

 

 

 

 

Flexible Stub

 

 

 

Skip glue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERFORATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARGINAL

 

 

 

 

“ from

left side

 

 

from

right side

TEARLINE Horizontal tearline every

 

 

 

 

 

 

 

 

 

ADDITIONAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clean edge perforations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FILE PUNCHING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

Diam.

 

Inches C. to C.

 

 

Location - To Center of Hole

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Center holes in

 

 

 

 

 

dimension(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROOF REQUIRED

Send proofs and copy to -

Sets

will be withheld not more than

workdays, from receipt by Government to receipt in contractor’s plant. Contractor must not print prior to receipt of an “OK to print.”

PACKING

Pack

 

 

sets per shipping container.

CONTAINERS -

LEVEL B

C

One break per container (splices not acceptable)

Unbroken strips (splices acceptable)

Unbroken strips (splices not acceptable)

Bar Coding

Pallets - type A B

SCHEDULE

Copy will be furnished by

All sets must be received at destination(s) on or before

PARTIAL DELIVERY SCHEDULE:

sets by sets by sets by balance by

ADDITIONAL INSTRUCTIONS

SHIP TO

See attached distribution list

FOR INFORMATION CONCERNING THESE SPECIFICATIONS CALL

Date contractor notified of award

 

By

Departmental Authority (Signature and Title)

How to Edit Gpo Form 1026A Online for Free

optional form 89 can be filled in without any problem. Just try FormsPal PDF tool to do the job right away. To make our tool better and more convenient to utilize, we consistently implement new features, taking into account feedback from our users. Here's what you would want to do to get started:

Step 1: First, access the editor by pressing the "Get Form Button" above on this site.

Step 2: This editor allows you to customize PDF forms in a variety of ways. Change it by writing customized text, correct original content, and put in a signature - all when it's needed!

With regards to the blanks of this precise form, this is what you should do:

1. Firstly, when completing the optional form 89, beging with the section containing following fields:

Step no. 1 in submitting 1026A

2. Once your current task is complete, take the next step – fill out all of these fields - INTERLEAVING CARBONS, Narrow, unpunched carbon short, on left, on right, JOINING, Join sets in the, None Required, Crimp, Flexible Stub, margins by, Line glue, Skip glue, will be withheld not more than, and PACKING CONTAINERS with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

1026A completion process described (step 2)

3. This third part is going to be simple - fill in all the fields in SHIP TO, See attached distribution list, FOR INFORMATION CONCERNING THESE, Date contractor notified of award, and Departmental Authority Signature to complete this part.

SHIP TO, Date contractor notified of award, and See attached distribution list in 1026A

Be really careful while filling out SHIP TO and Date contractor notified of award, because this is the section in which a lot of people make some mistakes.

Step 3: Reread the details you have typed into the blanks and click on the "Done" button. Sign up with us today and instantly use optional form 89, all set for download. All alterations made by you are saved , helping you to edit the document later if necessary. FormsPal is dedicated to the confidentiality of all our users; we make sure that all information coming through our tool continues to be protected.