Kansas Department of Administration, Office of General Services
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Accounts and Reports


POLICY MANUAL

Filing No. 10,001
Revision date 07/01/2010
 

Date Issued:   9/25/2000

Revisions throughout

 

SUBJECT

To provide instructions for the preparation and use of Form DA-115, Authorized Agency Officials

PURPOSE

To provide instructions for the preparation and use of Form DA-115, Authorized Agency Officials

AUTHORITATIVE REFERENCES

K.S.A. 75-3728

GENERAL INFORMATION

Form DA-115, Agency Authorized Officials, is used by the agency head to designate the person or persons occupying the positions of Agency Head, Chief Financial Officer, SMART Security Liaison, and also to designate who can sign KPERS Withdrawal of Contributions. This form must be completed whenever the agency head or other listed official change.

In the event the Agency Head temporarily allows an individual to act in their place (i.e. for an extended absence), the form should be submitted indicating the range of dates it applies to and the word “Acting” should be added after “agency head” under POSITION. The permanent agency head should sign at the bottom.

PROCEDURES

Each time a change in authorization takes place, a new form should be completed with each authorized individual's name printed. Each form (except for the temporary agency head referenced above) submitted replaces in total the previous form. The agency head must sign, not stamp, the bottom of the form. If the agency is governed by a board or commission, the agency head is considered to be the chairperson.

The completed DA-115 should be forwarded to the Division of Accounts and Reports, office of the Director.

CONTACT SOURCES

Division of Accounts and Reports
Administrative Operations Section