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REVENUE AUTHORITY DELEGATION EFFECTIVE START DATE EFFECTIVE END DATE * * COMPLETE FOR TEMPORARY - AUTHORITY WILL AUTOMATICALLY EXPIRE. INCUMBENT / RC INFORMATION LAST NAME FIRST NAME POSITION AS PER MATRIX EMPLOYEE # POSITION # DIVISION/ BRANCH NAME THIS POSITION HAS REVENUE AUTHORITY WITH A FULL DOLLAR LIMIT THIS POSITION IS AUTHORIZED TO: 1. RECEIVE PUBLIC MONEY 2. EXTEND CREDIT 3. ISSUE INVOICES 4. WRITE-OFF DEBT 5. CREDIT NOTES 6. APPROVE REFUNDS 7. APPROVE JOURNAL VOUCHERS 8. INITIATE SET OFFS 9. WAIVE DISHONOURED CHEQUE SERVICE FEES RESTRICTIONS/ COMMENTS NOTE: 1. POSITIONS GRANTED AUTHORITY TO RECEIVE PUBLIC MONEY WILL NOT HAVE ANY OTHER REVENUE AUTHORITY. 2. POSITIONS GRANTED AUTHORITY TO ISSUE INVOICES WILL NOT HAVE AUTHORITY TO WRITE OFF DEBTS OR EXTEND CREDIT. INCUMBENT ACKNOWLEDGEMENT & SIGNATURE I UNDERSTAND MY RESPONSIBILITIES AND AUTHORITIES AS A MINISTRY REVENUE AUTHORITY AND ACCEPT THE REVENUE FUNCTIONS DELEGATED TO MY POSITION. I ALSO CERTIFY THAT I AM FAMILIAR WITH THE REVENUE AUTHORITY MATRIX AND CORE POLICY AND PROCEDURES. (SIGN IN THE WHITE AREA OF THE BOX BELOW) INCUMBENT SUPERVISOR RECOMMENDATION I CERTIFY THAT THE INCUMBENT OF THIS POSITION HAS THE SKILLS AND KNOWLEDGE TO CARRY OUT THIS FINANCIAL FUNCTION, SUBJECT TO ANY LIMITS OR CENTRAL AGENCY AND/OR MINISTRY RESTRICTIONS. INCUMBENT SUPERVISOR SIGNATURE INCUMBENT SUPERVISOR SIGNING AUTHORITY OFFICER USE ONLY APPROVED NOT APPROVED CANCELLATION OF AUTHORITY (INCUMBENT SUPERVISOR) (PLEASE PRINT CLEARLY) INCUMBENT SUPERVISOR SIGNATURE Incumbent Supervisor SIGNING AUTHORITY OFFICER USE ONLY CANCELLED FS 388REV (06/2013) DATE SIGNING AUTHORITY OFFICER DATE EFFECTIVE DATE OF CANCELLATION RECOMMENDED BY DATE DATE PERMANENT TEMPORARY RECOMMENDED BY ONCE COMPLETED AND SIGNED, FORWARD A SCANNED COPY TO CSNR SIGNING AUTHORITY REQUEST MAILBOX OR MAIL TO: ATTENTION: SIGNING AUTHORITY OFFICER PO Box 9508 STN PROV GOVT Victoria, BC V8W 9C1 SIGNING AUTHORITY OFFICER Forests, Lands and Natural Resource Operations Energy and Mines Agriculture Environment Aboriginal Relations and Reconciliation YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CLIENT SERVICE CONTACT Natural Gas Development and Minister Responsible for Housing
