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Webpublisher Authorization Form

Web Publisher Authorization Form (office & CSS use only)

Department Name * Required
Date * Required
MM slash DD slash YYYY
Website URL * Required
Director's Agreement (Authorizing Chief of Office)
Director's Name * Required
First Last
Director's Email * Required
Phone * Required
Web Publisher's Agreement (incoming web publisher's information)
Name * Required
First Last
Web Publisher's Email * Required
Phone * Required

Last modified: July 6, 2017