Feb 2009
REQUEST/APPROVAL FOR AUTHORITY TO ADVERTISE
TO: Human Resources Department
FROM:
DATE:
Authority is request to advertise in accordance with law and regulations in the publications indicated herein which are considered by me as the best
media for security publicity for the purposes of the Government.,
SUBJECT OF ADVERTISEMENT:
ESTIMATED COST:
FISCAL YEAR:
ADVERTISEMENT FOR ( Organization Name and Location):
NAMES OF PUBLICATIONS:
RECOMMENDATION
TYPED NAME OF REQUESTING OFFICIAL
DATE:
SIGNATURE OF REQUESTING OFFICIAL
__________________________________
TYPED NAME OF RECOMMENDING OFFICIAL
SIGNATURE OF RECOMMENDING OFFICIAL
__________________________________
APPROVAL
DATE:
Special authority to advertise in accordance with law and regulations in the abovementioned journals/publications is hereby granted, as requested, except -
TYPED NAME OF APPROVING OFFICIAL
SIGNATURE OF APPROVING OFFICIAL
William Coffin, Director, Human Resources Dept
This form, along with a copy of the proposed advertisement must be sent to HRD for authorization.
Once authorized, a copy of this form must be attached to the Purchase Card Order Form and
submitted to the APC with the Cardholder’s purchase card statement.
Appendix M