Agency Service Request Form for Online Volunteering service

?ONLINE VOLUNTEERINGSERVICE REQUEST FORM - for all non-Atlas UN EntitiesTo:UNV HQ, BonnGermanyFrom: [UN Entity Name]Attn:UNV Deputy Executive CoordinatorAuthorizing Officer: [UN Entity to complete]Signature: [Authorizing Officer]Agency References:(These INTERNAL references provided by the UN Entity are to assist the UN Entity in identifying the expenditures related to this request in the SCA report – up to 50 characters for each of the three options. At least one of the three options must be provided.)Agency Reference:Agency ULO / PO / Requisition Number:Agency Account Number/Project Code/CoA:Selected band based on maximum number of online volunteering opportunities (opp.) per calendar year:Band F: ? (1-5 opp. at USD 1,950 per year)Band E: ? (6-25 opp. at USD 9,125 per year)Band D: ? (26-50 opp. at USD 17,250 per year)Band C: ? (51-100 opp. at USD 33,000 per year)Band B: ? (101-200 opp. at USD 64,000 per year)Band A: ? (201-unlimited opp. at 126,000 per year)Confirm total amount UN Entity will cover as per the above selected band.(Please specify US$, US$ equivalent or local currency)$Service Request Instructions (any additional information)Request Date:[DD/MM/YYYY]The SCA account of the non-Atlas UN Entities should always have a sufficient fund balance and is replenishable at their own discretion. Via the monthly SCA report, all replenishments and expenses will be reported to the UN Entity.Should the total number of used opportunities in one year fall BELOW the Band authorized, the balance will roll forward and be credited toward the following year (e.g. Authorization for Band E provided but only 5 opportunities used, $7,175 credited toward next year’s Band).If the UN Entity or UNV should terminate all further Online Volunteering services, a reimbursement of the remaining funds will be paid back to the SCA of the UN Entity.ONLINE VOLUNTEERINGConfirmation of Funds Form - for all ATLAS-using UN EntitiesTo:UNV HQ, BonnGermanyFrom: [UN Entity Name]Attn:UNV Deputy Executive CoordinatorAuthorizing Officer: [UN Entity to complete]Signature: [Authorizing Officer]Selected band based on maximum number of Opportunities:Band F: ? (1-5 opp. at USD 1,950 per year)Band E: ? (6-25 opp. at USD 9,125 per year)Band D: ? (26-50 opp. at USD 17,250 per year)Band C: ? (51-100 opp. at USD 33,000 per year)Band B: ? (101-200 opp. at USD 64,000 per year)Band A: ? (201-unlimited opp. at 126,000 per year)Confirm total amount UN Entity will cover as per the above selected band.(Please specify US$, US$ equivalent or local currency)$Request Date:[DD/MM/YYYY]The following Chart of Account (CoA) is to be used to cover the above-chosen Band.AccountOper. UnitFundDeptPC Business UnitProject Nr.Impl. AgentDonorActivity*Budget %*To be completed if fee is funded by multiple CoAs with different %Should the total number of used opportunities in one year fall BELOW the Band authorized, the balance will roll forward and be credited toward the following year (e.g. Authorization for Band E provided but only 5 opportunities used, $7,175 credited toward next year’s Band).If the UN Entity or UNV should terminate all further Online Volunteering services, a reimbursement of the remaining funds will be credited back to a CoA provided by the UN Entity. ................
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