"Appointing Authority Signatures Form" - Alaska

Appointing Authority Signatures Form is a legal document that was released by the Alaska Department of Administration - a government authority operating within Alaska.

Form Details:

  • Released on February 20, 2017;
  • The latest edition currently provided by the Alaska Department of Administration;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.

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Appointing Authority Signatures
State of Alaska
Department of Administration
Questions? Contact DOA.DOF.System.Security@alaska.gov
Please Print or Type
USER INFORMATION
EMPL ID NUM:
AGENCY NAME:
CONTACT NAME:
According to
AS
44.17.010, “the principal executive officer of each state department may assign the
functions vested in the department to subordinate officers and employees.” As provided in
AAM
15.040, the
Commissioner (department head) is required to sign as the appointing authority on all Certifying Officers’
Affidavits for the department. In order to delegate this function to a subordinate officer or employee, the
department head and the duly appointed authority(s) are required to complete the appropriate sections of this
form and return the form to the Division of Finance.
AGENCY HEAD SIGNATURE
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
The Department Head has delegated to the following person (people) the function of signing as the appointing authority
on the following forms: ALDER User Affidavit, Authorized Security Contact Form, Field Warrant Certifying Officer
Affidavit, IRIS Access Affidavit, and One Card Alaska Program Administrator AccessOnline Entitlement Authorization.
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
The Division of Finance must be notified immediately on revocation of delegated authority.
Submit an updated form to the Division of Finance
Email: DOA.DOF.System.Security@alaska.gov
Fax: (907) 465-2169
Page 1 of 1
Revised 02/20/2017
Appointing Authority Signatures
State of Alaska
Department of Administration
Questions? Contact DOA.DOF.System.Security@alaska.gov
Please Print or Type
USER INFORMATION
EMPL ID NUM:
AGENCY NAME:
CONTACT NAME:
According to
AS
44.17.010, “the principal executive officer of each state department may assign the
functions vested in the department to subordinate officers and employees.” As provided in
AAM
15.040, the
Commissioner (department head) is required to sign as the appointing authority on all Certifying Officers’
Affidavits for the department. In order to delegate this function to a subordinate officer or employee, the
department head and the duly appointed authority(s) are required to complete the appropriate sections of this
form and return the form to the Division of Finance.
AGENCY HEAD SIGNATURE
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
The Department Head has delegated to the following person (people) the function of signing as the appointing authority
on the following forms: ALDER User Affidavit, Authorized Security Contact Form, Field Warrant Certifying Officer
Affidavit, IRIS Access Affidavit, and One Card Alaska Program Administrator AccessOnline Entitlement Authorization.
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
PRINTED LEGAL NAME
SIGNATURE
DATE
EMPLOYEE ID
The Division of Finance must be notified immediately on revocation of delegated authority.
Submit an updated form to the Division of Finance
Email: DOA.DOF.System.Security@alaska.gov
Fax: (907) 465-2169
Page 1 of 1
Revised 02/20/2017