Signature Authority Form
NAME OF DELEGATE: TITLE:
REASON: | Effective Date: | End Date (For temporary delegation):
DIVISION (Authority to sign):
Academic Affairs
Business & Financial Affairs
President’s Office
Student Affairs
Technology & Innovation
University Advancement
AUTHORITY FOR FUNDS (Check all that apply):
Associated Students Inc.
CI Site Authority
Extended University
General Funds (list funds):
Parking Services
Restricted Funds (list funds):
Student Fees (list funds):
Student Housing
University Foundation
University Auxiliary Services
AUTHORITY FOR DEPARTMENTS (List by department number all that apply):
DOLLAR LIMITS:
AUTHORITY FOR THE FOLLOWING (Check all that apply):
After the Fact Justification
Authorization for Business-Related Cell Phones
Authorization for Extra Hours Worked
Business Expense Claim Form
Employee Requisition - Faculty/Staff
Employee Requisition - Student
CashNet Security Request Form
Chartfield Request Form
Check Request Form
Expense Transfer Justification Form
Technology & Communication Phone Configuration Form
International Travel Authorization Form
Lost/Missing Receipt Form
New Fund Agreement Form
Online Requisition for Goods & Services Request Form
Payment on invoices (purchase orders & direct pay/bill)
Payroll Expenditure Transfer Form
Pharos System Configuration Changes
Position Management Action Form
Pre-Authorization for Additional Employment
Pre-Authorization for Special Pay
ProCard Application, Maintenance, & Reconciliation
Request to Deposit Funds
Request to Issue Invoice
Sponsored/Complimentary Guest Parking Permit Request
Student Financial Item Type Request Form
Travel Expense Claim Form
Wire Transfer Request Form
Other – Explain:
OTHER SPECIAL INSTRUCTIONS:
ACCEPTANCE OF RESPONSIBILITY:
Per CSU Executive Order (EO) 1000, delegates shall ensure that the responsibility delegated by this EO is exercised in compliance
with all applicable statues, regulations, and policies of the Board of Trustees, and CSU policies, standards, and definitions.
Furthermore, delegates shall ensure that expenditure commitments do not exceed available resources and that budget plans are
fiscally sound and sustainable.
SIGNATURE
Name of Delegate:
Sign: Date:
Name of Delegator:
Sign: Date:
Name of Division VP/Provost/President: Sign: Date:
As of: 8/1/2017Once all approvals have been obtained, please submit original form to Angie Stamos and email scanned copies to sigauthority@csuci.edu. Thank you!
