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INSTRUCTIONS FOR SIGNATURE AUTHORIZATION FORM. <br />Thisform . identifies the persons who have the authority to sign contracts, amendments, <br />and .requests for reimbursement. It is required for the management of your contract with <br />the Military Die a4m.nt (MD). Please complete all sections. One copy with original <br />1P . e <br />signatures Is to be sent to MI) with the signed contract, and the, other should be kept with <br />your copy of the contract. <br />When a request for reimbursement is received, the sigriattire is checked to verify that It <br />matches the signature on file. The payment can be delay -ed, if the request Is, <br />presented without the proper signature. It is important that the signatures in MD's- files <br />are current. Changes in staffing or responsibilities will require a now signature <br />authorization form. <br />I Authorizing Authorit <br />y. Generally, .the person(s) Signing in this box heads <br />the governing body of the organization, such as the board chair or mayor. In <br />some cases, the chief executive officer may have been delegated this <br />authority. <br />2. Authorized to Sign ContractslContract Am end,men-ts. The person(s) with <br />this authority should sign in this space. Usually, it is the county <br />commissioner, mayor, executive director, city clerk, etc.* <br />3. Authorizedto Sign Requests for Relmlbursernent Often the executive, <br />director, city clerk, treasurer, or administrative assistant have this authority. <br />It is adyislblLe to have more than one person authorized to sign <br />reimbursement requests. This will helpprev ent delays in pr0c,,.es'4Iqg a <br />' <br />request if one per -son is temporarily unavailable. <br />If you have any questions regarding this form, or to request new forms, please call your <br />MD Program Manager. <br />F:H <br />