Kansas Department of Administration

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

DATE: May 19, 2000
SUBJECT: New Signature Verification Form (previously called "Card" rather than Form)
A & R CONTACT: Audit Services Team -
Randy Kennedy

(785) 296-2125

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.


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

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