authorized signature form signature form university hall 360 phone: (818) 677 – 2305 . fax: (818)...
TRANSCRIPT
REV: 06/03/16
Financial Services
AUTHORIZED SIGNATURE FORM
University Hall 360
Phone: (818) 677 – 2305
Fax: (818) 677 – 3845
Mail Code: 8337
GUIDELINES:
The individual listed on the form is authorized to approve and sign documents and expend funds with the execution of
standard procedures for the named chartfields.
Anyone who is designated as a Financial Manager MUST complete this form.
Every individual with financial approver access to chargebacks, online requisitions and P-Card transaction approvers
are required to have an Authorized Signature form on file.
Refer to the Appropriate Fund Authorization for a listing of funds that require an Authorized Signature Form.
The form MUST be approved and signed by a person at a higher level than the signatory’s position within the
organization. Supervisors and Managers are NOT allowed to approve their own signature authorization.
An Authorized Signature form MUST be submitted when an authorized individual is NO longer responsible for a fund
and/or chartfields. Select the “Remove” checkbox on the form.
Forms are valid for a two-year period
Refer to the Fiscal Responsibility Policy (300-45)
INSTRUCTIONS:
1. Select (1) of the check boxes:
New/Renewal – For a new individual or renewal of authorization.
Remove –To remove the form on file. The individual is no longer authorized to approve expenses.
2. Complete the Authorized Signer’s Name and CSUN ID in the appropriate field.
3. This form MUST be signed in order to be valid. NO signature is required from the Authorized Signer being removed.
4. Complete the Department ID or Tree Node name in the appropriate field.
You may choose to authorize expenses by an individual Department Id or globally by Department Tree Node. It is not
necessary to list all of the departments when using the Department Tree Node.
Refer to the SOLAR Department Security Tree for valid node names located in the Campus Portal at:
MyNorthridge>Financials Inquiry>Reporting Pagelet>More…>View Trees >Dept Security Tree
5. Complete the fund field for the associated Department or Node.
6. A Financial Approver MUST sign, date, print name and title in the appropriate fields for new, renewal and removing
authorization.
REV: 06/03/16
Financial Services
AUTHORIZED SIGNATURE FORM
FISCAL YEAR:_______to______ NEW/RENEWAL REMOVE
Refer to the Appropriate Fund Authorizations for a listing of funds that require an Authorized Signature Form.
New/Renewal Authorized Signer Name:______________________________________ CSUN ID:_____________________
Signature:_______________________________________________________________ Date:________________________
Remove Authorized Signer Name*:_________________________________ CSUN ID:__________________ Date:_________ *(No Signature required)
This individual is authorized to sign documents and expend funds with the execution of standard procedures for the chartfields
listed below:
*Type Department ID or Tree Node. Please do not type both. Refer to the SOLAR Department Security Tree for valid node names.
Department ID or Tree Node:*_____________________________________ Fund:______________
Department ID or Tree Node:*_____________________________________ Fund:______________
Department ID or Tree Node:*_____________________________________ Fund:______________
Department ID or Tree Node:*_____________________________________ Fund:______________
Department ID or Tree Node:*_____________________________________ Fund:______________
Department ID or Tree Node:*_____________________________________ Fund:______________
Department ID or Tree Node:*_____________________________________ Fund:______________
Appropriate use of funds includes supplies and services, chargebacks, contracts, travel, utilities and construction.
For purchasing, contractual and leasing activities, California State University, Northridge uses Purchasing & Contract
Administration as the designee responsible for all activities in accordance with State, Chancellor’s office and campus policies.
Procurement cards (P-Card) are distributed by Purchasing & Contract Administration for allowable expenditures only.
ORIGINAL FORM MUST BE RETURNED TO FINANCIAL SERVICES – MD-8337.
This form MUST BE SIGNED before submission. Copies are distributed to Accounts Payable.
Authorized by:_______________________________________________ Date:_______________
Director/Dean
Print Name:__________________________________________________ Title:_______________
This form should not be modified. Modified forms will not be accepted.