FMS Case Designator:

XX-X-XXX

Reviewer Name:

_________________________________________

Reviewer Title/Position:

_________________________________________

Data 'As of' Date:

MM/YYYY

Review Event (check one)

____ Anniversary of basic case implementation
____ Preparation for FMS review with Purchaser
____ Case value adjustment

 

Item #

Checklist Item

Item Verified
(Yes/No/ N/A)
(Circle One)

Remarks

Section 1: General Case Data

1

LOA values in DSAMS, DIFS and IA systems equal.

YES - NO - N/A

 

2

LOA line values and associated CAS and LSC in DSAMS, DIFS and IA systems equal.

YES - NO - N/A

 

3

Commitments posted.

YES - NO - N/A

 

4

Commitments, obligations and expenditures reviewed.

YES - NO - N/A

 

5

OA received does not exceed adjusted net case value.

YES - NO - N/A

 

6

Obligations do not exceed OA received.

YES - NO - N/A

 

7

Cumulative from inception (CFI) obligations in DIFS FIF2 equal CFI obligations recorded in IA system.

YES - NO - N/A

 

8

DSAMS/DIFS/IA system rounding variances corrected.

YES - NO - N/A

 

Section 2: Delivery-Related Data

9

Delivery quantities compared.

YES - NO - N/A

 

10

All deliveries reported in an accurate and timely manner.

YES - NO - N/A

 

11

Deliveries reported to correct line; DSCs, appropriation indicators, pricing elements, price codes and other variables verified.

YES - NO - N/A

 

12

DIFS deliveries compared with IA deliveries.

YES - NO - N/A

 

13

SDRs resolved.

YES - NO - N/A

 

Section 3: Expenditures/Disbursements

14

Admin, CAS, SCML and royalty fee disbursements do not exceed estimated Admin, CAS, SCML and royalty fees.

YES - NO - N/A

 

15

LSC disbursements do not exceed estimated LSC.

YES - NO - N/A

 

16

Accessorial costs in DIFS do not exceed estimated accessorials.

YES - NO - N/A

 

17

DIFS disbursements compared with IA disbursements.

YES - NO - N/A

 

18

DIFS FIC1 reconciled with DIFS FIS2.

YES - NO - N/A

 

19

Adverse Financial Condition (AFC)/ Financially Troubled Case (FTC) issues resolved.

YES - NO - N/A

 

20

Problem disbursements resolved.

YES - NO - N/A

 

21

Billings and current information obtained on all reimbursable documents.

YES - NO - N/A

 

22

All travel orders/vouchers liquidated.

YES - NO - N/A

 

23

Current information on contracts obtained.

YES - NO - N/A

 

24

Ensure SEC 21 LIQ plus SEC 22 LIQ delivered values equal PRG PMT RPT with the only difference allowable due to LSC LIQ

YES - NO - N/A

 

25

No credit values exist in DIFS.

YES - NO - N/A

 

Section 4: Summary Financial Review

26

Payment schedule reviewed.

YES - NO - N/A

 

27

FMS review data prepared.

YES - NO - N/A

 

 

LOA Document Revision

As a result of this review, the following LOA document revision information applies:

A new modification was prepared

YES NO N/A

If YES, cite mod #_____________________

A new amendment was prepared

YES NO N/A

If YES, cite amendment # _____________________

 

Verification

I certify that the above information is true and correct, to the best of my knowledge.

______________________________________ (Reviewer Signature)

 

______________________________________ (Date Review Completed)

 

Attachments

List each separately, as applicable

 

Distribution

FMS case file (mandatory repository)

 

Other (list separately, as applicable)