Get General State Agency Exemption Request Form - Pia Ca

Filling out the General State Agency Exemption Request Form - Pia Ca is a crucial step for departments seeking exemption from CALPIA product and service purchases. This guide provides clear, step-by-step instructions to help you navigate the form effectively.

Follow the steps to complete your exemption request successfully.

1. Select the ‘Get Form’ button to access the form and open it for editing.
2. In the 'Department' section, enter the name of your department that is requesting the exemption.
3. For 'Approval required by,' indicate either the Procurement and Contracting Officer (PCO) or their designee.
4. Fill in the 'Department Contact Information' section, including the contact name, street address, telephone number, fax number, mailing address, and email for correspondence.
5. In the 'Vendor Information' section, list the vendor's name and address, along with the 'Purchase Order Total' and the 'Purchase Order Number.'
6. Specify the quantity for each line item requested and provide the requested delivery date.
7. Add a detailed description of the items or services being requested, ensuring to include all relevant information. If necessary, attach additional documents such as a catalog photocopy.
8. In the 'Justification for Exemption Request' section, provide a clear and thorough explanation of why the exemption is needed. Note that medical exemptions require attaching the CALPIA Medical Exemption Authorization Form.
9. Obtain the required approvals by having the Procurement and Contracting Officer (PCO) or designee and the California Prison Industry Authority Sales Manager or their designee sign and date the form.
10. Once completed, remit the form to the California Prison Industry Authority Sales Branch at the specified address or via the provided email.

Start filling out your General State Agency Exemption Request Form - Pia Ca online today for a smoother procurement process.