Chancellor
Sr. Vice Chancellor
URGENT
(Please include explanation in
summary box. Also, please note
we cannot guarantee same day
signatures)
Will Pick up
Return via interoffice mail
Mail Code:
Signature:
Print Name:
Title:
Date:
Signature:
Print Name:
Title:
Date:
Signature:
Print Name:
Title:
Date:
***All signature request over $100,000 must include a copy of the Board Approved Action item and Minutes. This information can
be found on the HCC website via the following: www.hccs.edu/district/about-us/boardoftrustee/board-meetings/
To Ensure Timely Processing:
Signature request form must be typed, filled out entirely and correctly.
All pages requiring signature must be clearly flagged (please remove staples).
All documents must be completely filled out.
All signature request must be submitted a minimum of three (3) days before needed. Requested return date cannot
be guaranteed. All Approval Signatures must be obtained prior to submission to the Office of the Chancellor.
**Failure to do adhere to the above can result in your documents being returned and may affect processing time.
Office of the Chancellor Signature Request Form
OGC#
Do not write in this area
Date Needed:
Brief Summary:
(Include Document Type)
By signing and checking below I agree that I have reviewed the above referenced document(s) in its entirety and attest
that (1) I fully reviewed and understand all of its requirements, assertions, statements, and provisions (as applicable), (2)
that all business/financial terms are accurate, complete, and enforceable, and (3) that any goods/services covered by the
above referenced document have been procured in accordance with all applicable provisions of Texas law, regulations,
and HCC’s policies and procedures.
From:
Phone Number:
Amount: (if applicable)
Return to:
Contact Email:
Date Submitted:
