Signature Authorization Form printable pdf download

Signature Authorization Form

SIGNATURE AUTHORIZATION FORM

NAME OF ORGANIZATION

DATE SUBMITTED

AUTHORIZING AUTHORITY

SIGNATURE

PRINT OR TYPE NAME

TITLE

AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS

SIGNATURE

PRINT OR TYPE NAME

TITLE

AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT

SIGNATURE

PRINT OR TYPE NAME

TITLE

INSTRUCTIONS FOR SIGNATURE AUTHORIZATION FORM

This form identifies the persons who have the authority to sign contracts, amendments,

and requests for reimbursement. It is required for the management of your contract with

the Central Ohio Workforce Investment Corporation. Please complete all sections.

When a request for reimbursement is received, the signature is checked to verify that it

matches the signature on file.

The payment can be delayed if the request is

presented without the proper signature.

Authorizing Authority. Generally, the person(s) signing in this box heads

the organization, such as the Chief Operating Officer, President or Board

Chair. In some cases, the chief executive officer may have been delegated

this authority.

Authorized to Sign Contracts/Contract Amendments. The person(s) with

this authority should sign in this space.

Authorized to Sign Requests for Reimbursement. Often this is the Chief

Operating Officer or Chief Financial officer or Treasurer of the organization.

Signature Authorization Form