SAM_Entity_Administrator_Letter_Template3_International_No_Banking_Info.docx

Template 3 - International Entity, No U.S. Banking Information 8/17/22 Background The System for Award Management (SAM) is a computer system accessed by the Internet managed by the U.S. Government. Entities must have an active registration in SAM to do business with the U.S. Government. An “entity” is the company, business, or organization registering in SAM. Each entity is represented by a Unique Entity ID, which is assigned in SAM.gov.

Only individuals who are authorized to represent a particular entity, or individuals representing themselves as an entity, may register an entity in SAM. Accessing or using SAM, or information contained therein, for any unauthorized or illegal purposes, may have civil and criminal penalties, and may negatively impact the status of the SAM registration maintained for the entity.

Information for Entity

1. International Entity, No U.S. Banking Information. Use this template to formally appoint an Entity Administrator for a single international entity only if your entity does not use banking information from a U.S. financial institution in your SAM entity registration.

2. Complete the template. Fill in the blanks. Enter the highlighted information on the next two pages. Do not include this instruction page in your letter.

3. Print the letter on your entity’s letterhead. If you don’t have letterhead, enter your entity’s legal business name and physical address at the top of the letter before printing.

4. Sign the completed letter. Make sure the person who signs the letter is someone with signatory authority, i.e. who can make commitments on behalf of the entity like an executive, officer, partner, or other authorized representative.

5. Send the completed, signed letter. Log in to FSD.gov, then click on “Create an Incident” to submit your request and attach the Entity Administrator Appointment Letter. Your letter will be reviewed for completeness upon receipt at the Federal Service Desk. Complete upload instructions can be found near the bottom of the article KB0016652.

Please make sure to submit the letter electronically to the FSD. GSA will not respond to paper correspondence, nor will GSA retain paper correspondence provided under this provision.

If incomplete or incorrect, you will be contacted by email.

End of information. Complete the template that follows.

[PRINT LETTER ON ENTITY LETTERHEAD]

[Insert Date] Purpose of Letter The purpose of this letter is to formally appoint an Entity Administrator for each named Entity and to attest to the accuracy of the information contained in the entity registration.

Designation of Entity Administrator I, [Insert Name and Title of Signatory], the below signed individual, hereby confirm that the appointed Entity Administrator holds a position within the entity (e.g. employees, officers, board members). This letter authorizes the appointed Entity Administrator to manage the Entity's registration record, its associated users, and their roles to the Entity, in the System for Award Management (SAM).

Entity Covered by this Letter Unique Entity ID:______________________________________ Legal Business Name:________________________________ Physical Address:____________________________________ Entity Administrator Contact Information Full Name (First and Last):________________________________________ Phone Number:____________________________________ Email Address:____________________________________ *The Entity Administrator must have an individual user account in SAM associated with the email address listed and hold a position with the entity being registered (e.g. employees, officers, board members), not a third party acting on behalf of the entity.

Attestation I, the below-signed, attest to the following:

● All information contained in this letter is complete and accurate.

● The Entity Administrator must have an individual user account in SAM associated with the email address listed and hold a position with the entity being registered (e.g. employees, officers, board members), not a third party acting on behalf of the entity.

Respectfully, X_____________________________ (SIGNATURE)

[Insert Full Name of Signatory] [Insert Title of Signatory, e.g. Director of Contracting, Managing Partner, Vice President for Research, etc.] [Insert Email of Signatory] [Insert Entity Legal Business Name] [Insert Entity Physical Address]