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)