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8a. NAME OF MTF COMMANDER DA FORM 5440A APR 2009 8b. COMMANDER S SIGNATURE PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 1 APD PE v1.00ES. APPROVAL OF CLINICAL PRIVILEGES/STAFF APPOINTMENT For use of this form see AR 40-68 the proponent agency is OTSG* 3. EFFECTIVE PERIOD YYYYMMDD 2. RANK/GRADE 1. NAME OF PROVIDER Last First MI FROM TO 4. PRIVILEGES REQUESTED. Specify discipline s a* Aerospace medicine k. Neurology u. Physician assistant b. Anesthesia l* Nurse anesthesia v* Podiatry c* Audiology...
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How to fill out da 5440a:

01
Start by obtaining a copy of the da 5440a form, which is the application for a U.S. Army General Fund Enterprise Business System (GFEBS) Vendor Request. This form is usually available on the GFEBS website or can be obtained from your unit's finance office.
02
Begin by providing the required information in the first section of the form, which typically includes personal details such as your name, contact information, and job title or position.
03
Next, proceed to fill out the Vendor Information section. Here, you will need to enter the vendor's name, address, Tax Identification Number (TIN), and DUNS (Data Universal Numbering System) number if applicable.
04
Move on to the Product/Service Information section and provide a detailed description of the product or service for which you are requesting vendor approval. Include relevant information such as the item's National Stock Number (NSN), unit of measure, pricing, and any additional specifications.
05
In the Review and Approval section, you will need to identify the approving official within your organization who will review and endorse the vendor request. Make sure to obtain their signature, date, and contact information.
06
Finally, review the completed da 5440a form for any errors or missing information. Ensure that all required fields have been filled out accurately and legibly. Sign and date the form before submitting it to the appropriate channels for processing.

Who needs da 5440a:

01
Government Contracting Officers: Contracting officers who are responsible for awarding and managing contracts within the U.S. Army or other government agencies may need to use the da 5440a form. This form allows them to request vendor approval and add new vendors to the GFEBS system, ensuring compliance with financial regulations and accounting practices.
02
Vendors: Businesses or individuals looking to provide goods or services to the U.S. Army or other government agencies may need to complete the da 5440a form. This form serves as an application for vendor approval and allows vendors to become registered within the GFEBS system, enabling them to receive payment and participate in government contracting opportunities.
03
Financial Officers: Financial officers or personnel within military units or government agencies who are tasked with managing finances, procurement, or vendor management may require the da 5440a form. This form helps ensure proper financial tracking and transparency by adding approved vendors to the GFEBS system, enabling accurate recording and payment processing.
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da 5440a is a form used for reporting information related to certain financial transactions.
Individuals or entities engaged in specified financial transactions are required to file da 5440a.
Da 5440a can be filled out online or submitted through traditional mail. It requires information such as the name, address, and details of the financial transactions.
The purpose of da 5440a is to provide the relevant authorities with information on financial transactions that may be subject to regulation or monitoring.
Information such as the nature of the financial transactions, the parties involved, and the amounts transacted must be reported on da 5440a.
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