President of the Council of Ministers
The Italian order of precedence is fixed by Decree of the President of the Council of Ministers (D.P.C.M.) of April 14, 2006 and of April 16, 2008. It is a hierarchy of officials in the Italian Republic used to direct protocol. The President, being head of state, is first, and the Prime Minister (President of the Council of Ministers), the head of government, is fourth.