6104.1_exhibit02
Page 1 of 3
FSM 6100 – PERSONNEL MANAGEMENT
CHAPTER
– ZERO CODE
Supplement No.: R-10 6100-2006-3
Effective Date: June 9, 2006
Duration: This supplement is effective until superseded or removed.
Approved:
/s/ Mary Anne Young (for) Date Approved: 05/18/2006
DENNIS E. BSCHOR
Regional Forester
Posting Instructions: Supplements are numbered consecutively by title number and calendar year. Post by document; remove the entire document and replace it with this supplement. Retain this transmittal as the first page(s) of this document. The last supplement to this title was R-10
6100-2006-2 to chapter Zero Code.
New Document 6104.1_exhibit02 3 Pages
Superseded Document(s) by
Issuance Number and
Effective Date
6104.1 – Exhibit 02 (6100-93-6, 11/5/93) 3 Pages
Digest:
This supplement converts format and style to the FSM template using the agency’s current corporate word processing software.
Although some minor typographical and technical errors have been corrected, this supplement contains no changes to substantive direction.

R-10 SUPPLEMENT 6100-2006-3
EFFECTIVE DATE: 06/09/2006
DURATION: This supplement is effective until superseded or removed.
FSM 6100 – PERSONNEL MANAGEMENT
CHAPTER – ZERO CODE
6104.1_exhibit02
Page 2 of 3
6104.1 - Exhibit 02
Sample of a Delegation of Employment Authority Letter
Reply to: 6130/1230 Date: 5/10/2006
Subject: Delegation of Employment Authority
To: James Johnson
Employment authority is delegated to you as shown below. This authority will be exercised in accordance with the policies, procedures, and limitations specified in the Federal Personnel
Manual, Forest Service Manual and Handbooks, other appropriate manuals and directives, and in accordance with the Office of Personnel Management operating procedures. The jurisdictional area is: (specify
District or
Forest) .
1. Delegation.
This authority includes recruitment, appointment, placement, and other change and separation actions; health benefits and group life insurance; suitability actions; conflict of interest determinations; fitness-for-duty examinations; and the other authorities specified in 6104.1 -
Exhibit 02: a. All general schedule positions through GS-12 and all special authorities, such as
YV, YW, GG, etc.; b. All Federal Wage System positions, including WL and WS.
2. Special Provisions. a. No Employment Officer may approve an action on him/herself or on any person who is in direct line of supervision above him/her, except as provided in DPM 277. b. When exercising delegated employment authority, you will sign correspondence and personnel actions over the title, "Employment Officer." c. This delegated authority will remain in effect until it is withdrawn in writing, or until you leave the jurisdictional area or until you leave the position to which you are currently assigned. d. This authority may not be redelegated.

R-10 SUPPLEMENT 6100-2006-3
EFFECTIVE DATE: 06/09/2006
DURATION: This supplement is effective until superseded or removed.
FSM 6100 – PERSONNEL MANAGEMENT
CHAPTER – ZERO CODE
6104.1 - Exhibit 02--Continued
6104.1_exhibit02
Page 3 of 3
3. Basis for Qualifying.
(Document here the training courses satisfactorily completed, length and type of on-the-job training, and any other information that would indicate possession of the required knowledge and skills for exercising this authority.)
Delegated by: /s/ John Smith
Forest Supervisor
Concurrence: /s/ Janice Jones
5/12/2006
Date
5/12/2006
HR Specialist
Approved by: /s/ Samuel C. Martin
Regional Personnel Officer cc:
OPF
Regional Office, HR
Date
5/15/2006
Date