Initial the appropriate authorization. Only one block must be initialed.
ADMINISTRATOR AUTHORIZATION
Please initial if administrator is employed by a BOEM Qualified company.
____ I authorize this administrator to have full access to all company data stored in
the BOEM Company and Bonding databases. The Administrator will be
responsible for granting entitlements/roles (View, Enter, Submit, et cetera) to
company data stored in the TIMS Web database for company users.
AGENT AUTHORIZATION
Please initial if administrator is employed by a third party company acting as an agent.
____ I authorize this administrator as an agent administrator. As an agent
administrator, they will have full access to all company data stored in the BOEM
Company and Bonding databases. The Administrator will be responsible for
granting entitlements/roles (View, Enter, Submit, et cetera) to company data
stored in the TIMS Web database for company users and agents.
SURETY COMPANY AUTHORIZATION
Please initial if administrator is employed by a Surety company.
____ I authorize this user as Surety administrator and certify that I have Power of
Attorney rights for the Surety as shown in the attached Power of Attorney
document. As a Surety administrator, the administrator will have full access to
all company data stored in the BOEM Surety Company and Bonding database.
The administrator will be responsible for granting entitlements/roles (View,
Enter, Submit, et cetera) to company data stored in the TIMS Web database for
users of this Surety company.
List all companies for which the administrator will grant entitlements/roles. These must be
BOEM companies for which the representative below has BOEM signature authority or a
Surety company for which the representative is designated as having Power of Attorney
(POA) on the attached POA document.
BOEM Company Number Company Name
(Leave blank for Surety companies) (Must match that on BOEM Qualification File
or the attached Surety POA)
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
Representative Name: ________________________________________
(print)
Representative Title: ________________________________________
Representative Signature: ____________________________ Date: ___________
click to sign
signature
click to edit
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