6104.1_exhibit04
Page 1 of 3
FOREST SERVICE MANUAL
ALASKA REGION (REGION 10)
JUNEAU, ALASKA
FSM 6100 – PERSONNEL MANAGEMENT
CHAPTER– ZERO CODE
Supplement No.: R-10 6100-2006-5
Effective Date: June 9, 2006
Duration: This supplement is effective until superseded or removed.
Approved: /s/ Mary Anne Young (for)
DENNIS E. BSCHOR
Regional Forester
Date Approved: 05/18/2006
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
6100-2006-4 to Zero Code chapter.
New Document
6104.1_exhibit04
3 Pages
Superseded Document(s) by
Issuance Number and
Effective Date
6104.1 Exhibit 04 (6100-93-8, 11/5/93)
3 Pages
Digest:
This supplement converts format and style to the new 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 6100-2006-5
EFFECTIVE DATE: 06/09/2006
DURATION: This supplement is effective until superseded or removed.
6104.1_exhibit04
Page 2 of 3
FSM 6100 – PERSONNEL MANAGEMENT
CHAPTER – ZERO CODE
6104.1 - Exhibit 04
Sample of a Delegation of Discipline/Adverse Action Authority Letter
Reply to: 6130/1230
Subject:
Delegation of Discipline/Adverse Action Authority
To:
James Johnson
Date: 5/12/2006
Discipline/Adverse Action authority is delegated to you for the (specify the Forest or Area).
You are delegated this authority for all General Schedule through GS-12 and Wage Grade
positions. The authority is to be exercised in accordance with the policies and procedures
specified in Forest Service Manual and Handbooks, Federal Personnel Manuals, other
appropriate manuals and directives and Regional Office guidance.
1. Delegation.
This authority includes termination of probationary, term and temporary employees; Letters of
reprimand; issuance of formal performance improvement plan; and (include the following Phase
as appropriate) minor suspensions (14 days or less); major suspensions (15 days or more);
demotion or removal for cause; demotion or removal for unacceptable performance. Letters of
decision to demote/remove for unacceptable require concurrence by the Regional Office.
2. Special Provisions.
a. You may not exercise this authority for any position which is in a direct line of
supervision above you.
b. When exercising this authority, you will sign all correspondence and personnel
actions over the title "Employment Officer."
c. This delegated authority will remain in effect until it is withdrawn in writing, until
you leave the jurisdictional area to which you are currently assigned, or until you
leave personnel management.
d. This authority may not be redelegated.
R-10 SUPPLEMENT 6100-2006-5
EFFECTIVE DATE: 06/09/2006
DURATION: This supplement is effective until superseded or removed.
6104.1_exhibit04
Page 3 of 3
FSM 6100 – PERSONNEL MANAGEMENT
CHAPTER – ZERO CODE
6104.1 - Exhibit 04--Continued
3. Basis for Qualifying.
(Document here the formal training courses satisfactorily completed, length and duration of onthe-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
5/12/2006
Date
Concurrence:
/s/ Janice Jones
HR Specialist
5/12/2006
Date
Approved by:
/s/ Samuel C. Martin
Regional Personnel Officer
5/15/2006
Date
cc:
OPF
Regional Office, HR