Agency Account Request for Authorization of Signature
Date
Department
I request the signature of
Begin Date: End Date:
Specimen Signature
Limits
(Accounts Payable, Personnel and Payroll, and travel)
Financial Manager of Agency Account
Revised 12/6/18
East Tennessee State University
Be honored for the type of transactions and accounts listed below for the period of dates indicated, not to
exceed one year from begin date. This does not apply to paperwork that goes through Registrar. TRS
approvals cannot be delegated.
_______________________
__________________
Type of Transaction
Agency Account
I have read the ETSU Business and Finance Policy, Delegation of Authority/Signature Authorization.
This delegation complies with the policy & procedures.