Welcome to the new DJJ Website!
Find out how to use the new site.

Forms Library


Review DJJ forms by office or by subject. Forms are available for download in multiple file formats.

The Department's Forms Library stores all official agency forms, some miscellaneous informational documents, as well as provides links to other departments' forms that may be needed by DJJ employees.  Many of the forms in this library are associated with official Department policies and procedures.  A link to those policies is provided if one is applicable.

Forms listed on this page are in alphabetical order.  Some forms have multiple format types that can be accessed by selecting the applicable icon found by the form name.  In addition to this alphabetical listing, forms can be viewed by the Department office that maintains ownership of the policy by utilizing the menu to the left.  There is also provided below several categories that can be used to display and access forms related to a certain subject matter.

If you have problems accessing or finding any form contact the Department's Forms Coordinator for assistance.


Browse Forms by Subject


Form Policy Form Number Effective Date Subject Office
101 Ways to Give Recognition to Volunteers DJJ Volunteer Mentoring Report
1605
Attachment 3
05/07/2010
Volunteer Services Personnel
2014 Fillable OPS Timesheet
PDF
12/17/2013
Attendance & Leave Personnel
2014 Fillable Timesheet - Excluded
PDF
12/17/2013
Attendance & Leave Personnel
2014 Fillable Timesheet - Included
PDF
12/17/2013
Attendance & Leave Personnel
Accident Investigation Form
1305
SD 1305-5
02/23/2012
Risk Management Program Accountability, Director's Office
Acknowledgement of Receipt of Clinical Psychotropic Progress Note
PDF
HS 001
08/01/2007
Health Services Health Services
Acknowledgement of Receipt of MFMP Confidentiality Policy
1415
AD-FS 1415C
05/15/2007
Finance & Accounting Finance and Accounting
ADA Authorization for Release of Medical Information in Reference to the ADA
1060
1060-4
08/01/2011
Personnel Personnel
ADA Certification of Health Care Provider
1060
1060-6
08/01/2011
Personnel Personnel
ADA Notice of ADA Barrier
1060
1060-5
08/01/2011
Personnel Personnel
ADA Request for Reasonable Accommodation DJJ Applicant
1060
1060-1
08/01/2011
Personnel Personnel
ADA Request for Reasonable Accommodation Employee
1060
1060-2
08/01/2011
Personnel Personnel
ADA Sample Letter To Medical Provider Requesting Supporting Documentation for Reasonable Accommodation under the ADA
1060
1060-3
08/01/2011
Personnel Personnel
Additional Reviews to Comprehensive Physical Assessment
HS 052
07/01/2009
Health Services Health Services
Address Verification
02/16/2005
Finance & Accounting Finance and Accounting
Administrative Monitoring Tool
2000
12/14/2012
Contracting Contracts
Affidavit of Application
10/01/2011
New Hire Personnel
Affidavit of Compliance with Level 2 Screening Standards for Law Enforcement Officers
1800
IG-BSU-009
10/01/2013
New Hire Inspector General
Affidavit of Compliance with Level Screening Standards for School Board Teachers
1800
IG-BSU-008
10/01/2013
New Hire Inspector General
Alternate Duty Notification Letter
1004.04
Attachment 4
11/01/2011
Personnel Personnel
American Academy of Pediatrics PPPEval Form
PDF
02/22/2012
Health Services Health Services
Annual Affidavit of Compliance with Level 2 Screening Standards
1800
IG-BSU-006
05/21/2012
New Hire Inspector General
Applicant Drug Testing Consent
PDF
4.07
Attachment A
08/01/2001
New Hire Personnel
Application for Individuals Requesting Special Examination Accommodations
04/01/2011
Training Staff Development & Training
Application for One-Time or Short-Term Volunteer
1003.17
04/22/2010
Volunteer Services Personnel
Approved Perquisite Categories
PDF
1002.24
Attachment 2
03/01/2014
Personnel Personnel
Assessment of Suicide Risk
MHSA 004
08/01/2006
Mental Health and Substance Abuse Health Services
Authority for Evaluation and Treatment
PDF
HS 002
02/01/2010
Health Services Health Services
Authorization to Incur Travel Expenses
PDF
1407
DFS AA-13 (Attachment A)
04/02/2014
Finance & Accounting Finance and Accounting
Authorization to Incur Travel Expenses for FJJF Use Only
05/03/2010
Finance & Accounting Finance and Accounting
Authorization to Incur Travel Expenses Instructions
PDF
1407.01
DFS AA-13 (Attachment A)
04/02/2014
Finance & Accounting Finance and Accounting
Automobile Accident Report
PDF
1306
Attachment 2
02/22/2012
Vehicles General Services - Support Services
Badge Form 1-B
PDF
1003.30
AD-HR 1003.30-1
07/01/2004
General Services General Services - Support Services
Bencor 401(a) Plan Summary for OPS Employees
PDF
10/07/2014
New Hire Personnel
Beneficiary Designation and Change Request Form
F43649B-10
10/01/2007
Benefits Personnel
Best Interest Letter
1410
Attachment 4
02/22/2012
Finance & Accounting Finance and Accounting
Bonus Eligibility Processing Form
1002.04
Attachment 3
02/08/2012
Personnel Personnel
Budget Workbook for Internal Application
02/08/2012
Grants Prevention & Victim Services
Business Card Form
1675
02/20/2014
General Services General Services - Purchasing/Leasing
Career Service Grievance Form Step 1
1002.10
Attachment 1
03/01/2009
Personnel Personnel
Career Service Grievance Form Step 2
1002.10
Attachment 2
03/01/2009
Personnel Personnel
Career Service Grievances Step 2 Representatives
PDF
1002.10
Attachment 3
03/01/2009
Personnel Personnel
Career Service On Call 2013
PDF
01/01/2013
Attendance & Leave Personnel
Career Service On-Call 2014
PDF
01/07/2014
Attendance & Leave Personnel
CCC Incident/Complaint Report Form
05/03/2010
Inspector General Inspector General
Cellular Phone Verification
PDF
1309
Attachment 1
11/30/2011
General Services General Services - Support Services
Certificate of Availability of Records for Public Inspection
PDF
1675
02/01/2005
General Services General Services - Purchasing/Leasing
Certification of Health Care Provider - Serious Injury or Illness of Covered Service Member for Military Family Leave
1002.03
Attachment 3
01/01/2011
Attendance & Leave Personnel
Certification of Health Care Provider FMLA
1002.03
Attachment 2
01/01/2011
Attendance & Leave Personnel
Certification of Qualifying Exigency for Military Family Leave
1002.03
Attachment 4
01/01/2011
Attendance & Leave Personnel
Chain of Custody
PDF
4.07
Attachment G
08/01/2001
New Hire Personnel
Chronic Physical Health Conditions Roster
HS 004
10/01/2006
Health Services Health Services
Civil Citation Service Authorization Form
PDF
12/05/2013
Civil Citation Probation & Community Intervention
Clarification of Official HQ Point-to-Point Travel and Vicinity Travel
PDF
1407.01
Attachment D
09/26/2005
Finance & Accounting Finance and Accounting
Classification Request
09/11/2014
Personnel Personnel
Clinical Psychotropic Progress Note
PDF
HS 006
08/01/2007
Health Services Health Services
Close Supervision-Visual Checks Log
MHSA 020
08/01/2006
Mental Health and Substance Abuse Health Services
CMBE Exception Request
PDF
1675
08/01/2013
General Services General Services - Purchasing/Leasing
Code of Ethics
1003.17
04/22/2010
Volunteer Services Personnel
Collection and Usage of SSN Authorization
1700
Attachment 3
08/19/2009
New Hire Program Accountability, Director's Office