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E-Blast: RBWO Contracts: Authorized Signer & Approval Information Form -- REQUIRED

March 15, 2021 12:50 PM

Dear Directors:

The Office of Provider Management has not received a required form from your agency. To ensure that your program(s) can receive an FY22 RBWO contract, this form must be uploaded to GA+SCORE by COB on March 16, 2021.

To assist DFCS in processing your contract, please fill out the Authorized Signer & Approver Information Form. In the "Authorized Signer Information" section, list all individuals who are authorized to sign the RBWO contract.

  • If the Provider is Non Profit, the authorized signer(s) must match the signer on the Corporate Resolution.
  • If the Provider is For Profit, please list approved names to sign the RBWO contract in the Authorized Signer(s) section.
Once the form is completed, save it as a PDF and upload it to GA+SCORE using the same process as other contract documents. When logged in as a super user, click on the orange Profile tab for any program site, then on Contract Docs. Click the link to upload a file and select "Authorized Signer Form" as the type.
 
If you have questions, please contact opm.leadership@dhs.ga.gov.

Thank you.

The Office of Provider Management