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AUTHORIZED SIGNATURE FORM

(1) Date :  
(2) Person Submitting Form:  
(3) Email Address:  
(4) Org: or Grant (if Applicable) :  

The personnel listed below are authorized to sign the following designated type(s) of accounting documents for this Fund/Grant or Org as of this date.

(4) TYPES OF APPROVED DOCUMENTS

A. Staff Payroll F. Petty Cash
B. Student Payroll G. Journal Entry
C. Requisitions H. Activity or Fund Only
D. Invoices/Check Requests I. Authorized to SUBMIT Budget
E. Travel Expense Reports Z. All (A-H)

* Please note: If Type H is not completed, the individual(s) will have the authority to sign on ALL Activity and Fund codes associated with the Org Code selected. If a person has more than one Activity or Fund code that t hey are authroized to sign for, those codes can be listed in the Special Instructions section of this form (#8).

 

Action Type

(5) Action
(6) Full Name
(7) Documents
(Select Below)
(Type in Name of Person)
(Type in Letter from Table Above)

(8)


(9) Primary Authorized Official: