Kansas Department of Administration

00-a-022 - New Signature Verification Form (previously called "Card" rather than Form) (May 19, 2000)

Posted on 10/21/2021 at 12:49 PM by Kansas Department of Administration

INFORMATIONAL CIRCULAR NO. 00-A-022
DATE: May 19, 2000
SUBJECT: New Signature Verification Form (previously called "Card" rather than Form)
EFFECTIVE DATE: Immediately
A & R CONTACT: Audit Services Team -
Randy Kennedy

(785) 296-2125

(Randy.Kennedy@da.state.ks.us)
Leroy Charbonneau (785) 296-2255 (Leroy.Charbonneau@da.state.ks.us)
Shirley Gilchrist (785) 296-2882 (Shirley.Gilchrist@da.state.ks.us)
Mark Handshy (785) 296-7021 (Mark.Handshy@da.state.ks.us)
APPROVAL: Approved by Dale Brunton
SUMMARY: Revised Signature Verification Form, DA-115, is available at our Internet site.

The Signature Verification Form, DA-115, has been revised. The form is available, either for printing or download in EXCEL format, at our Internet site ( http://www.da.ks.gov/ar/forms/). It is not necessary to complete a new form except as noted below.

On the DA-115, the agency head designates the individuals who are authorized to sign documents on behalf of the agency. This form must be completed any time the agency head changes or if a change in the individuals authorized to sign documents occurs. When a change takes place, all individuals authorized to sign must be listed on the DA-115 along with their signature, regardless of whether they were listed on a previous DA-115. In addition, the names of the individuals having their signature authority revoked should be printed on the bottom half of the DA-115. The agency head then signs the completed form at the bottom. The agency sends the completed form to the Central Accounting Services Section of the Division of Accounts and Reports.

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Attachment: DA-115 (see A&R forms page)

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