Delegation of Authority
Note: If authority is delegated to another person, then it is important that the individual
understands the limit of their authority and that they may not further sub-delegate
this authority. The delegation authority can be authorized for more than one person
according to the business requirement (Part A & B).
Part A

During my absence from _______________ to _______________ the following names will be in charge


Authority delegated To:

Name: _______________________
Signature ____________________
Title/Salary Grade ______________

I understand and agree to comply with the authorized authority delegated to me. Any misuse by me may result in disciplinary action.

Approved:

Name: _______________________
Signature ____________________
Title/Salary Grade ______________
Date: ________________
Part B
Authority delegated To:

Name: _______________________
Signature ____________________
Title/Salary Grade ______________


I understand and agree to comply with the authorized authority delegated to me. Any misuse by me may result in disciplinary action.		 Approved:

Name: _______________________
Signature ____________________
Title/Salary Grade ______________
Date: ________________