UCLA Short Form Services Agreement (SFSA) Intake Form

Please review the standard SFSA form by downloading the template HERE.

Rates for all services can be found HERE.


Once your submission is received, you will receive an automated Smartsheet notification within 3-5 business days containing the draft service agreement document.

 

Name of Business that will receive invoices and issue payment for services

 

Example: California Corporation

 
 

 

Signatory Information

 

Representative who will receive the Docusign link to finalize & sign the SFSA

 
Phone
 
 
 

 
 
mm/dd/yyyy
 

Term should not exceed 1 year, unless it is a multi-year project.

 
mm/dd/yyyy
 

This is the estimated amount for all services that may be requested within a 12-month period, including any current requests; only the services completed will be invoiced.