Department Authorization Form

Form

To download a copy, click on the Department Authorization Form.

Requirements

Please fill out the form, have it signed, and fax it to the Associate Director of the Real Estate Department at (310) 794-2685. If you have any questions regarding the Form, call Robert Gray at (310) 794-2648

If you do not have Adobe Acrobat, please call the Financial Services Call Center for assistance at (310) 825-6000, or email the call center at mitshelpdesk@it.ucla.edu.

PLEASE NOTE that the individual signing the Department Authorization Form must have delegation of authority over the funding source.