Instructions for completing the signature authorization form below:
(1) The date when the form was filled out
(2) The complete name of the Agency
(3) The Agency Account Number (2980xxxxx)(Assigned by Office of the Comptroller)
(4) The signature of the person who will sign the Parked Vendor Invoices along with their title, campus phone, address, and email address. (This person is usually the agency treasurer or president.)
(5) An additional person who may also sign the Requests for Checks
(6) The signature of the Faculty Sponsor along with their campus phone, address, and email address.
This form must be on file in the Office of the Comptroller before any requests for checks will be approved. If there is a change of officers or advisors, a new signature authorization form must be completed.
Any questions regarding this form may be addressed to ext. 5261.
TO: A/P Specialist Date: (1)_______________
RE: (2)______________________ Account #: (3)_______________
I/We certify that the signature(s) shown below is/are authorized to approve expenditures for the organization.
Student organizations are required to have a faculty sponsor signature on file.
Organization Administrator:
Signature (4)____________________________________
Title ______________________________________
Campus Phone/Address ______________________________________
Email Address ______________________________________
Organization Administrator:
Signature (5)____________________________________
Title ______________________________________
Campus Phone/Address ______________________________________
Email Address ______________________________________
Faculty Sponsor:
Signature (6)_____________________________________
Title Faculty Sponsor __________________________
Campus Phone/Address __________________________________________
Email Address _________________________________________
Forms can be returned to the Accounts Payable Office in AC 612, or faxed to x6471.