Update: The completed form should be uploaded to GA+SCORE by COB on March 5, 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.
The Office of Provider Management