Minnesota Management & Budget Number 0802-02.02F Revised: June 2, 2015 Warrant Special Handling Authorized Signatures Part 1: Agency Information Business Unit # Date Agency / Division Name: Part 2: Authorized By Name (Typed) Title: Signature: Phone: Part 3: Authorized Employees Additions – Warrant Special Handling Request Form The employees listed below are authorized to the sign the Warrant Pick-Up List Warrant Special Handling Request - Form 0802.02.1F The employees listed below are authorized to pick-up warrants from MMB Name (Typed): Name (Typed): Signature: Signature: Name (Typed): Name (Typed): Signature: Signature: Name (Typed): Name (Typed): Signature: Signature: Name (Typed): Name Signature: Signature: Name (Typed): Name (Typed): Signature: Signature: Name Name (Typed): Signature: Signature: Name (Typed): Name Signature: Signature: Name (Typed): Name (Typed): Signature: Signature:
Minnesota Management & Budget Warrant Special Handling Authorized Signatures Number 0802-02.02F Revised: June 2, 2015 Part 1: Agency Information Business Unit # Date Agency / Division Name: Part 2: Authorized By Name (Typed) Title: Signature: Phone: Part 3: Authorized Employees – Additions Warrant Special Handling Request Form The employees listed below are authorized to the sign the Warrant Special Handling Request - Form 0802.02.1F Name (Typed): Signature: Name (Typed): Signature: Name (Typed): Signature: Name (Typed): Signature: Name (Typed): Signature: Name Signature: Name (Typed): Signature: Name (Typed): Signature: Warrant Pick-Up List The employees listed below are authorized to pick-up warrants from MMB Name (Typed): Signature: Name (Typed): Signature: Name (Typed): Signature: Name Signature: Name (Typed): Signature: Name (Typed): Signature: Name Signature: Name (Typed): Signature:
0802-02-02-f-authorized-signature-form.docx