Blocks 1 and 2: order number and date
The order number and the date of the transfer order.
OF122C
Transfer Order - Computers For Learning Program
Optional Form 122C (OF 122C), Transfer Order, Computers For Learning Program, is a one-page order for property that a holding agency transfers to an educational organization. The form names no issuing or prescribing agency, and GSA hosts it in its forms library. Its footer prints OPTIONAL FORM 122C 9/2022.
The form records the order number and date, the holding agency point of contact and custodian, the ordering educational organization, where the property is and where it ships, and a table of the property ordered with acquisition costs. The educational organization signs block 9, which has a statement acknowledging receipt of the listed items transferred in accordance with Executive Order 12999, and the holding agency signs block 11. The form prints no other instructions.
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The order number and the date of the transfer order.
The holding agency point of contact, the ordering educational organization (full name and address) and the holding agency custodian (name and address).
Ship To (consignee and destination), the location of the property and shipping instructions.
Signature, date and title, with a checkbox statement acknowledging receipt of the listed items transferred by the holding agency in accordance with Executive Order 12999.
Columns for (a) item control number (ICN), (b) item number, (c) description, (d) unit, (e) quantity and acquisition cost by (f) unit and (g) total, with a Total of Property Ordered.
Signature, title and date for the holding agency.
Enter the order number in block 1 and the date in block 2.
Fill in the holding agency point of contact, the ordering educational organization's full name and address and the holding agency custodian's name and address.
Enter the consignee and destination, the location of the property and any shipping instructions in blocks 6 to 8.
For each line in block 10, enter the ICN, item number, a description that the column says should include the item name, Federal Supply Class and Condition Code, the unit, quantity and acquisition cost.
The signer completes block 9 with a signature, date and title, next to the receipt acknowledgment.
The holding agency signs block 11 and adds a title and date.
The form gives no written instructions. These steps follow its numbered blocks.
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Block 3 addresses the order to the holding agency point of contact. The PDF prints no mailing address or filing instructions.
The acknowledgment in block 9 cites Executive Order 12999. GSA's page lists no authority or regulation for the form.
The footer prints OPTIONAL FORM 122C 9/2022, which matches the current revision date of 09/2022 on GSA's page.
OF122C-A
201 fields, 1 page
SF122
132 fields, 1 page
SF122A
201 fields, 1 page
SF123
145 fields, 3 pages
SF120
248 fields, 1 page
Block 4 takes its full name and address. In block 9 a signer gives a signature, date and title, next to a statement acknowledging receipt of the listed items.
Block 3 addresses the order To: Holding Agency Point of Contact.
Block 5 takes the custodian's name and address, and block 7 the location of the property.
Block 11, Holding Agency Approval, takes a signature, title and date.
The form prints blocks for these parties. It gives no other instructions.
The agency’s own page for Form OF122C.
The official blank form, to print or fill by hand.
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The form names no issuing or prescribing agency. Its footer prints OPTIONAL FORM 122C 9/2022, and GSA hosts it in its forms library.
The ordering educational organization signs block 9 with a date and title, and the holding agency signs block 11, Holding Agency Approval, with a title and date.
The statement reads: I acknowledge receipt of the listed items below transferred to my educational organization by the holding agency in accordance with Executive Order 12999.
The column heading says to include the item name, Federal Supply Class, and Condition Code.
GSA's forms library also lists OF 122C-A, Transfer Order, Computers For Learning Program (Continuation Sheet). Its property table is numbered 10, Property Ordered, like block 10 of OF 122C.