New Contract Router/Distribution Notification

Distribution Date:
Contract Number:
Contract Name:
Contract Type:
Date Received: Effective Date/PoP:
Customer Name: Customer PoC:
Customer Address:
Phone:

Email:

Contracting Office: Contracting Officer:

Contracting Office Address:
Phone:

Email:
Telos PM: Telos Contracts PoC:
SPOT Clause/Security Requirements:
CAS Covered? Fee? %
Telos Registered Size Status:
Summary of Contract Describe general program/purpose:

Special considerations/clauses to note:

Distribution: (Identify Employee Name)

F&A Contracts Program Other

FORM 4.3 -1A

Rev date: June 10, 2010