Optional Form 294 PDF Details

Are you familiar with Optional Form 294? It is a required form used by U.S. federal government agencies for their employees to report financial interests and income from other sources when there may be a possible conflict of interest. Depending on your role within the organization, filing an OF-294 is generally either mandatory or discretionary, so it's important to make sure you understand its purpose and how it applies to you and your job. In this post, we'll discuss the OF-294 requirement in more detail – what kinds of information must be disclosed, who needs to complete an OF-294 form, and how often it should be done? Read on for more helpful insight into this common compliance issue faced by many federal employers.

QuestionAnswer
Form NameOptional Form 294
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names1989, USDI, Nomex, recorde

Form Preview Example

 

EMERGENCY EQUIPMENT RENTAL AGREEMENT

Page __ of __

1. PROCUREMENT AGENCY a. name and address:

 

 

 

 

2. AGREEMENT NUMBER (Must appear on all documents relating to this

 

 

 

 

 

 

 

 

agreement):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. EFFECTIVE DATES OF AGREEMENT:

 

 

 

 

 

 

 

 

 

 

 

a.

beginning

b. ending 03/01/2012

 

 

 

 

 

 

 

 

c.

Specific Incident only:

 

 

 

 

b. Phone Number:

 

 

 

 

 

 

Incident Name:

 

 

 

 

c. FAX Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Incident Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. CONTRACTOR a. name and address:

 

 

 

 

 

5. POINT OF HIRE (location when hired if

 

6. ORDERING

 

 

 

 

 

 

 

 

different than Block 4):

 

 

DISPATCH CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. THE WORK RATE IS BASED ON ALL OPERATING SUPPLIES

 

 

 

 

 

 

 

 

BEING FURNISHED BY:

 

 

 

 

b. EIN/SSN:

 

c. DUNS:

 

 

 

 

 

 

CONTRACTOR (wet)

GOVERNMENT

(dry) *(SEE NOTE BELOW)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. EMAIL Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. OPERATOR FURNISHED BY:

 

 

 

 

e. Telephone Number (day):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number (night):

 

 

 

 

 

 

 

CONTRACTOR

GOVERNMENT

Cell Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAX:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Contractor Authorized Commissary:

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

10. BUSINESS SIZE OF CONTRACTOR:

a.

Small

b.

Other c.

Women-Owned

d. Small Disadvantaged

 

 

 

e.

HUB Zone f.

Service Disadvantaged Vet

(Information for tracking purposes only not used for preferential hiring)

 

 

 

 

 

 

 

 

 

 

 

 

11. ITEM DESCRIPTION: equipment or animals (include VIN, make,

12. NO. OF

 

13. HRLY/ DAILY/MILEAGE/

14. SPECIAL

 

 

15. GUARANTEE

model, year, serial no., accessories or other identifying features).

OPERATORS

 

SHIFT BASIS (ss/ds: ref. Cl. 6)

 

 

 

(8 HOURS)

 

 

 

 

 

 

PER SHIFT

 

 

Rate

 

Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. SPECIAL PROVISIONS: Your signature constitutes acknowledgement of and agreement to abide by the terms and conditions of hire incorporated herein with the State of Alaska.

* The State of Alaska hires equipment at a DRY Rate with the State providing the fuel only.

 

17. CONTRACTOR'S OR AUTHORIZED AGENT'S SIGNATURE

18.

DATE

20.

CONTRACTING OFFICER'S SIGNATURE

21. DATE

 

 

 

 

a. Warrant No.

 

 

 

 

 

 

 

 

 

 

 

19. PRINT NAME AND TITLE

18.

DATE

22.

a. PRINT NAME AND TITLE

 

 

 

 

 

 

b. Phone Number:

c. FAX:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPTIONAL FORM 294(DRAFT)