Fillable UofG - Fund 301 Delegate Authority Form - Fillable Secure - Mar 2016

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UofG - Fund 301 Delegate Authority Form - Fillable Secure - Mar 2016

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Financial Services Division
G
RANT
H
OLDER
D
ECLARATION AND
D
ELEGATION OF
SIGNING AUTHORITY
Fund 301
A delegation of signing authority form must be completed for each account and each delegate.
Section 1. Research Fund Information
Name of Grant Holder (please print)
UofG Employee ID Number
Department/Division/Centre
Grant Number
Section 2. Declaration of the Grant Holder
As the named grant holder on the above identified research grant number:
• I acknowledge that I am accountable for all expenditures charged to this research grant and
this accountability cannot be delegated.
• I understand that I am responsible to initiate all expenditures against this research grant and
all expenditures must be made in accordance with sponsor/donor and university policies and
requirements.
• My signature below attests one of the following statements (please (√) check one of the
following). Please note there is no requirement to complete Section 3 if you select A or C.
A
I take sole responsibility for the initiation of all expenditures including:
• Payroll (stipend/salary/benefit/scholarship related transactions)
• Travel and Reimbursements (travel and subsistence costs, including personal reimbursements)
• Purchasing and Financial Transactions (including Procurement Card purchases, purchase
requisitions, cheque requisitions, journal entries, internal stores and internal charges, …)
B
I delegate signing authority on this research grant for the stated period of time and I have provided the
following named individual with all the details concerning this research grant.
Please complete Section 3.
C
I rescind the signing authority previously granted to:
Name:
UofG Employee/
Student ID:
Signature of Grant Holder
Date (dd/mmm/yyyy)
Page 1 of 2
Financial Services Division
G
RANT
H
OLDER
D
ECLARATION AND
D
ELEGATION OF
SIGNING AUTHORITY
Fund 301
Section 3. Affirmation of Delegate Accepting Signing Authority
Name of Delegate (please print)
UofG Employee ID Number or
Student ID Number
Term of Delegation – start date (dd/mmm/yyyy) Term of Delegation – end date (dd/mmm/yyyy)
The above mentioned delegate is given the authority to initiate all expenditures to this fund as follows:
Financial Spending Limit
$______________
Please check the appropriate boxes to indicate your delegation by expenditure type.
Payroll Journal Entries Procurement Card
Purchasing (SMCs,
LVPO/HVPO and Cheque
Requisitions)
Internal Stores and Internal
Charges
ALL expenditure types
Affirmation of Delegate Accepting Signing Authority:
• I accept responsibility as delegated signing authority for the above research grant.
• I have been provided with the terms of the research account by the grant holder
• I have the skill and knowledge necessary for the effective discharge of this signing authority
• I will use funds for the purposes for which they were awarded by ensuring all expenditures
o Are supported by appropriate documentation,
o Conform to the terms and conditions by the sponsor/donor,
o Are processed to the correct account and object codes,
o Occur within the research award period, and
o Are consistent with the research project budget, where applicable.
Signature of Delegate
Date (dd/mmm/yyyy)
Page 2 of 2
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UofG - Fund 301 Delegate Authority Form - Fillable Secure - Mar 2016

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Completed 18 November 2019

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