Financial Delegation of Authority Form

Employee Information

Employee Name:
Employee ID:
Department:
Position/Title:
Date of Request:

Delegated Financial Authority Details

Type of Authority Delegated:
Authorized Spending Limit:
Effective Date of Delegation:
Expiration Date (if applicable):

Justification and Approval

Reason for Delegation:
Supervisor/Manager Approval:
Approval Date:

Terms and Conditions

By signing below, the employee acknowledges and agrees to the terms and conditions outlined in this Financial Delegation of Authority Form. Failure to adhere to these terms may result in disciplinary action.

Employee Signature: __________________________

Date:__________________________________________