STATE OF CALIFORNIA
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
LIST OF AUTHORIZED AGENTS
OES-FPD-012 (Rev. 09-2022)
RECOVERY DIRECTORATE
FINANCIAL PROCESSING DIVISION
List of Authorized Agents
Entity Name:
Cal OES ID:
• Enter each Authorized Agent (AA) as listed on the Designation of Applicant's Agent Resolution (Cal OES 130) for Non-State Agencies or as it appears on the Signature Authority (Cal OES 130SA) for California State Agencies. • Check box to receive electronic copies of Cal OES Notification of Obligation and/or Payment packages. (Minimum 1 AA.) • Email addresses must use an email that shares the official entity URL.
Authorized Agent Name Authorized Agent Title Email Address Email
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•An Approved Contact may be designated by an AA to request or receive information on grant payment status. Add them by inputting their information below. (Ex. Accounting/Admin offices) Must use an official email URL.
Approved Contact Name Approved Contact Title Email Address Email
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Please use a second page if more space is needed.
OES-FPD-012 Rev. 09-2022