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Printed Date: 9/22/2015
On the initial application submitted by an entity, the supplier is required to choose from the list above in order to assign authorized and/or delegated officials. On the initial application the authorized official(s) will sign section 15 and the delegated official(s) will sign section 14 (along with the authorized official's signature). Once the authorized and/or delegated official(s) are chosen, they are the only individuals who will be able to sign in order to change any information or add an additional location.
The certification statement must have the original signature of an individual that meets the definition of an authorized official before it can be processed or that of a delegated official when appropriate.
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Last Updated: 03/16/2020