REQUEST FOR WORK AUTHORIZATION NUMBER (WAN)

ON-LINE SUBMISSION

LAHD staff and Contract Agencies must submit this form to obtain a Work Authorization Number (WAN) from the Grants Accounts Section/LAHD Accounting, before requesting services from any Construction and Technical Services Contractors.
LAHD INFORMATION/CONTRACT AGENCY INFORMATION
Date Requested:  
Name & Title of LAHD / Contract Agency Requestor:
E-Mail Address:
Phone:
Type of Service Requested:
   
Name of Client
 
Site Address
 

Estimated Cost of Service

Reset: Submit:
LAHD CONTRACTOR ASSIGNMENT:
LAHD will assign a Contractor based on current compliance with all contracting requirements. LAHD will rotate Contractor assigments to ensure fairness.
Please do not request specific contractors.
 

If your Internet browser does not allow you to submit this form, please use the
pdf version to email or fax your request to:

Grants Accounts Section/LAHD Accounting
Phone: (213) 808-8449
Susana Verdejo sverdejo@lahd.lacity.org Fax: (213) 808-8410
Anabell Luna
aluna@lahd.lacity.org Fax: (213) 808-8410
Phone: (213) 808-8443
An Equal Opportunity Affirmative Action Employer
wanfrm.htm (rev. 09.28.06)