*Directorate: I wish to ADD the staff member(s) listed below to the authorised signatory list for the Directorate selected above *Assigment *Employee Name *Job Title *Line Manager *Email Address Number I wish to REMOVE the staff member(s) listed below from the authorised signatory list for the Directorate selected above *Employee *Assigment *Job Title *Line Manager *Email Address Name Number *Authorisation: (This section must be signed by Authorised Signatory or copied to them in the email authorisation; the Line Managers details must also be provided to ensure records are up to date). Please tick this box to confirm this action: *Line Manager Name: *Authorised Signatory Name: Line Manager Job *Authorised Signatory Signature: Title: *Contact Number: Date: (in case of query) HR USE ONLY If any additional information has been sent with this form or is requested and received at a later date please ensure you print this and store with the form to comply with audit processes. Actioned By: Signature: Date Actioned on Database:
*Directorate: I wish to ADD the staff member(s) listed below to the authorised signatory list for the Directorate selected above *Employee Name *Assigment Number *Job Title *Line Manager *Email Address I wish to REMOVE the staff member(s) listed below from the authorised signatory list for the Directorate selected above *Employee Name *Assigment Number *Job Title *Line Manager *Email Address *Authorisation: (This section must be signed by Authorised Signatory or copied to them in the email authorisation; the Line Managers details must also be provided to ensure records are up to date). Please tick this box to confirm this action: *Line Manager Name: *Authorised Signatory Name: Line Manager Job Title: *Authorised Signatory Signature: *Contact Number: (in case of query) Date: HR USE ONLY If any additional information has been sent with this form or is requested and received at a later date please ensure you print this and store with the form to comply with audit processes. Actioned By: Signature: Date Actioned on Database: