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Email: [email protected]
Phone: 304-480-5151
BUREAU OF THE FISCAL SERVICE
FedInvest System Access Administrator Form
Effective Date: ___________________
Agency Name & Address
Agency Name
Street Address: Line 1
Street Address: Line 2
City, State, Zip:
1. System Access Administrator Information:
Name: (First, MI, Last)
Job Title:
Telephone Number:
Fax Number:
E-mail Address:
System Access Administrator’s Signature:
2. Authorizing Official's Information:
Authorizing Official's Name: (First, MI, Last)
Telephone Number:
Email Address:
Authorizing Official's Signature: