TWA Form - OCFO/OCAO
Reimbursable Temporary Work Authority (TWA) Allotment Request Form
Fund Code: _______ LO: _______ Reimbursable Project Code: ____________________
Program Code: _____________________
TWA Number: _______________________________________
Period of Performance (only valid for 3months): ______________________ Exception c
Related Direct Project/Task Code: _____________________ (To be charged in the event of cost overrun)
Customer/Contact No. ______________ Name: ______________________________________
Description of Activity: _________________________________________________________
_____________________________________________________________________________
Type of Reimbursable Project: WIP c RSFF c
Temporary Work Authority:
(Check One) New c Increase c Decrease c Amount: $____________________
Allotment: New c Increase c Decrease c Amount: $____________________
Organization Code (FMC levels 1 & 2): ___________________
Allotment Distribution: First Quarter Second Quarter Third Quarter
Note: A TWA cannot be obtained after June 30th
(Dollars & Cents) $____________ $_____________ $____________
NOAA Line Office Contacts:
Billing Contact Name: _________________________ Phone Number: _________________
Program Contact Name: ________________________ Phone Number: _________________
Special Requirements: __________________________________________________________
______________________________________________________________________________
Approval Signature:
_________________________________________________________ ___________________
NOAA Line Office Chief Finance Officer Date
Name: John Potts
_________________________________________________________ ___________________
NOAA Chief Finance Officer Date
Name:
*Please note - All requests for TWAs must include the following:
- a written valid commitment (e.g., letter of intent, email from the sponsor, or email transmitting the unsigned agreement to the NOAA OGC for review)
- a summary of the scope of work
- TWA tracking number
RADG002 Control Number: ___________ RADG003 Control Number: _____________
(Use “N/A” for RSFF Projects) (for Finance Office use)