State of Wisconsin Department of Administration Division of Enterprise Operations DOA-3060 (C 4/2024) s. 16.705(2), Wis Stats	State Bureau of Procurement 101 East Wilson Street, 6th Floor Post Office Box 7867 Madison, WI 53707-7867 Fax (608) 267-0600 TTY (608) 267-9629

JUSTIFICATION FOR USE OF IT CONTRACTED PERSONNEL

LOCATED OUTSIDE THE STATE OF WISCONSIN

NOTICE: This is a Required Form for Contractors under the IT VMS Contract, 505ENT-M21-SERVICESIT-01, operating outside of Wisconsin state lines.

Please route the documents for approval within your agency as defined by your agency policy.

Submit approved documents to the State Bureau of Procurement, DOADEOITVMScontract@wisconsin.gov, within 5-7 business days of the contractor’s start date.

CONTRACTOR INFORMATION
Contractor Name
Contractor Title
City & State of Residence
Request For Service # (RFS#)
Hiring Manager
Cost Benefit Analysis #
Supplier Company (Representing Contractor on RFS)
JUSTIFICATION
Section 1. List the failed in-state RFS# and provide a brief description as to why it failed.
Section 2. Is this contractor: ☐New ☐Rate Increase ☐Title Change ☐Other, Describe:
SIGNATURES
Originator’s Name	Date	Signature
Authorized Agency Approver	Date	Signature

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