Office of Management and Enterprise Services

Information Services
Deliverable Sign-Off Document

Project Title:

Deliverable Name:      

By signing this document I confirm that I have reviewed the above named deliverable for Project Title and
believe that it is complete. I agree with the information within the document. I understand that after signing
this document, any changes to the above named deliverable will be handled through the established
change management process and may require increased time or money to the project.

Project Sponsor Date

Project Manager Date

Stakeholder Date

Stakeholder Date

Stakeholder Date

Stakeholder Date

Stakeholder Date

Stakeholder Date

Stakeholder Date

Stakeholder Date

Authorized by: OMES-IS PMO Manager Issue: 02/01/2012

Maintained by: OMES-IS Project Management Office Page 1 of 1
Path: /conversion/tmp/activity_task_scratch/625998527.docx