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MUST choose method of payment: o Check (mailed) o ClinCardSMALLDOLLARREIMBURSEMENTVOUCHERFORM Smalldollarreimbursementsareconsideredexpensesof$250.00orless. PLEASE READ INSTRUCTIONS & COMPLETE FORM
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How to fill out sole sourcesingle sourceexemption form
How to fill out sole sourcesingle sourceexemption form
01
Download the sole source/single source exemption form from the relevant department or agency website.
02
Fill out the top section with your personal information, including your name, address, and contact information.
03
Provide a detailed description of the goods or services you are requesting and explain why they can only be obtained from a single source.
04
Include any supporting documentation, such as quotes or invoices, to justify the sole source request.
05
Sign and date the form, and submit it to the appropriate department or agency for review and approval.
Who needs sole sourcesingle sourceexemption form?
01
Contractors or vendors who believe that there is only one source available to provide the goods or services requested.
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What is sole source/single source exemption form?
The sole source/single source exemption form is a document that allows a company or individual to request an exception to the competitive bidding process for a specific procurement.
Who is required to file sole source/single source exemption form?
Any company or individual who believes they meet the criteria for a sole source/single source exemption may be required to file the form.
How to fill out sole source/single source exemption form?
The form typically requires the applicant to provide detailed information about the procurement, justification for the exemption, and any supporting documentation.
What is the purpose of sole source/single source exemption form?
The purpose of the form is to justify and document the need for an exemption to the competitive bidding process, usually due to unique circumstances or specifications.
What information must be reported on sole source/single source exemption form?
The form may require information such as the description of the procurement, reasoning for the exemption, estimated cost, and any potential conflicts of interest.
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