Form Hud-27054e - Access Authorization Form - 2017 Page 2
Download a blank fillable Form Hud-27054e - Access Authorization Form - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Hud-27054e - Access Authorization Form - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Use one of the blocks below to enter requested authorizations as needed for the Type of Function checked in block 1. Most users should use block 9.
Use block 10 if you are requesting access for multiple organizations under the same program area (for example, SCMF users need access to many
organizations). Use multiples of this Authorization page as needed. Enter the number of Authorization pages used in block 4.
9. Program Area Authorizations
Reason:
Organization
Organization Tax ID:
Name:
Q =Query
Program Area
Program Area Name
D=Drawdown
10. Multiple Organizations for a Single Program Area
Reason:
Program
Program Area:
Area Name:
Q =Query
Organization Tax ID
Organization Name
D=Drawdown
11a. Authorized User’s Initials and date
11b. Approving Official’s Initials and date
11c. HUD Program Office Initials and date
Warning:
HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
Previous editions are obsolete.
Page 2 of 2
Form HUD-27054E (4/2017)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal