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
Protective Action Response Performance Evaluation Program Staff
PDF
ADSD-008
08/15/2003
Training Staff Development & Training
Protective Action Response Performance Evaluation State Operated Facility
PDF
ADSD-006
06/01/2006
Training Staff Development & Training
Protective Action Response Training Plan Contracted Facility Staff
ADSD-010
12/11/2006
Training Staff Development & Training
Protective Action Response Training Plan Program Staff
PDF
07/25/2006
Training Staff Development & Training
Provider Access User Agreement
PDF
1205.60
09/30/2015
IT Bureau of Information Technology
Provider Self-Evaluation & Request Document Cover Letter
08/01/2010
Contracting Contracts
Provider Self-Evaluation Tool
08/01/2010
Contracting Contracts
Public Records Disclosure Exemption Questionnaire
06/01/2008
New Hire Human Resources
Public Records Request Charges
PDF
1910
Attachment 2
12/01/2014
Public Records Request General Counsel
Public Service Announcement for Newspapers
1003.17
04/22/2010
Volunteer Services Prevention & Victim Services
Qualifying Status Change
PDF
QSC Form
07/01/2008
Benefits Human Resources
Quote Form for Services and Commodities
1675
04/29/2013
General Services General Services - Purchasing/Leasing
Radio Public Service Spot
1003.17
04/22/2010
Volunteer Services Prevention & Victim Services
Reasonable Determination
PDF
1675
04/14/2006
General Services General Services - Purchasing/Leasing
Receipt of Drug Free Workplace Policy
PDF
4.07
Attachment B
04/02/2015
New Hire Human Resources
Records Disposition Document
01/03/2013
Property Management General Services - Support Services
Records Request
01/03/2013
Property Management General Services - Support Services
Records Storage Box Labels
1316
LS5E200R01-2003
03/09/2004
Property Management General Services - Support Services
Refusal of Treatment Form
HS 027
10/31/2006
Health Services Health Services
Reimbursement Invoice - Sample
Exhibit 1
08/23/2011
Contracting Contracts
Reimbursement Voucher for Expense Other Than Travel
PDF
1407.03
Attachment 2
01/26/2007
Finance & Accounting Finance and Accounting
Rental Car vs Pesonal Vehicle Costs
01/04/2017
Finance & Accounting Finance and Accounting
Repair and Maintenance Work Order
PDF
1390
03/17/2005
Property Management General Services - Facility Services
Report of Accident/Incident
1004.04
Attachment 3
02/01/2005
Human Resources Human Resources
Report of On-Site Health Care by Non-Health Care Staff
PDF
HS 049
12/01/2006
Health Services Health Services
Request for Acquisition of Motor Vehicle(s) and Mobile Equipment
PDF
1306
DMS MP-6301
07/01/2016
Vehicles General Services - Support Services
Request for Approval of Perquisites or Sale of Goods and Services
1002.24
Attachment 1
10/07/2013
Human Resources Human Resources
Request for Authority to Pay Moving Expense
1675
Attachment 1
12/03/2003
General Services General Services - Purchasing/Leasing
Request for CLEARINGHOUSE SCREENING - Provider Employment
1800
IG/BSU-002
08/01/2016
New Hire Inspector General
Request for CLEARINGHOUSE SCREENING - Provider Volunteers
1800
IG-BSU-005
08/01/2016
New Hire Inspector General
Request for Desk Review Documents List for Recipients/Subject
08/01/2010
Contracting Contracts
Request for Desk Review Documents List for Vendor
08/01/2010
Contracting Contracts
Request for Disposal of Mobile Equipment
PDF
1306
DMS MP-6401
08/07/2007
Vehicles General Services - Support Services
Request for Exemption Part 1
1800
IG-BSU-007
12/17/2012
New Hire Inspector General
Request for Exemption Part 2
1800
IG-BSU-007
05/21/2012
New Hire Inspector General
Request for Extending OPS Employment
05/01/2003
Human Resources
Request for Live Scan Background Screen - DJJ Personnel Only
1800
IG/BSU-001
08/01/2014
New Hire Inspector General
Request for Parent/Guardian Signature on the Authority for Evaluation and Treatment
HS 028
10/01/2006
Health Services Health Services
Request for Reassignment, Transfer, Change in Duty Station, Promotion
DMS Form # TPRC10-12
03/29/2007
Human Resources Human Resources
Request for Records Return
01/03/2013
Property Management General Services - Support Services
Request for Release of Juvenile Records
PDF
07/02/2013
Public Records Request General Counsel
Request for Re-Screening Check - DJJ Personnel Only
1800
IG/BSU-004
12/17/2012
New Hire Inspector General
Request for Transfer
Form RS 010
09/01/2006
Residential Services Residential Services
Request Log Sheet
PDF
10/31/2006
Finance & Accounting Finance and Accounting
Request Notification When Youth Ready for Release
PDF
Form RS 009
09/01/2006
Residential Services Residential Services
Request to Access Electronic Mail of Others
1220
Attachment 1
06/12/2017
Information Technology Bureau of Information Technology
Request to Repeal a Policy Form
PDF
1000
FDJJ-1000-5
03/13/2017
Forms & Policy Development Program Accountability, Director's Office
Request to Use FMLA
1002.03
Letter 1
08/01/2009
Attendance & Leave Human Resources
Residential Programming Profile
07/01/2016
Monitoring and Quality Improvement Monitoring and Quality Improvement
Resignation Acknowledgement Letter
PDF
1003.11
Attachment 1a
08/04/2014
Human Resources Human Resources
RPACT
Form RS 012
09/01/2009
Residential Services Residential Services
Safety Checklist
1305
07/15/2011
Risk Management Program Accountability, Director's Office
Safety Checklist, State and Federal Code Violations
1305
SD 1305-2
12/03/2009
Risk Management Program Accountability, Director's Office
Sample Delegation Memo
12/14/2012
Contracting Program Accountability, Director's Office
Secretarys Forum Suggestion/Issue Form
04/10/2012
Human Resources Secretary's Office
Sexual Harassment Receipt
1003.22
04/02/2015
New Hire Human Resources
Sexually Transmitted Infections Screening Form
PDF
HS 029
01/20/2011
Health Services Health Services
Sick Call Index
PDF
HS 030
10/01/2006
Health Services Health Services
Sick Call Request
PDF
HS 032
02/01/2010
Health Services Health Services
Sick Call/Referral Log
PDF
HS 031
10/01/2006
Health Services Health Services