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Personnel


Forms

The Department's Forms Library lists all official Department forms as well as some informational documents and links to other departments' forms that may be needed by DJJ employees.  If a form listed is associated with a DJJ policy or procedure a link to that policy/procedure is provided. 

Specific questions about the form or a related policy/procedure should be directed to staff in the office with ownership of the policy listed below.  If you have trouble accessing the documents you can contact the Department's Forms Coordinator for assistance.


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
2013 Fillable OPS Timesheet
PDF
03/25/2013
Attendance & Leave Personnel
2013 Fillable Timesheet a-e with in-out
PDF
03/25/2013
Attendance & Leave Personnel
2013 Fillable Timesheet a-i with in-out
PDF
03/25/2013
Attendance & Leave Personnel
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
Affidavit of Application
10/01/2011
Personnel Personnel
Alternate Duty Notification Letter
1004.04
Attachment 4
11/01/2011
Personnel Personnel
Applicant Drug Testing Consent
PDF
4.07
Attachment A
08/01/2001
New Hire Personnel
Application for One-Time or Short-Term Volunteer
1003.17
04/22/2010
Volunteer Services Personnel
Attendance Leave Acknowledgment
PDF
02/01/2003
Attendance & Leave Personnel
Beneficiary Designation and Change Request Form
F43649B-10
10/01/2007
Benefits Personnel
Bonus Eligibility Processing Form
1002.04
Attachment 3
02/08/2012
Personnel Personnel
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
PDF
02/21/2012
Attendance & Leave Personnel
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
Classification and Pay
06/01/2009
Personnel Personnel
Classification Form
09/01/2010
Personnel Personnel
Code of Ethics
1003.17
04/22/2010
Volunteer Services Personnel
Cumulative Lump Sum Evaluation Rating Sheet for Supervisors
1002.04
Attachment 4
02/08/2012
Personnel Personnel
CVS Caremark (Prescription) Mail Order Form
PDF
P12-N
12/01/2008
Benefits Personnel
Direct Deposit Authorization Form
PDF
DFS-A1-26S
01/01/2007
Personnel Personnel
Disciplinary Action Checklist and Approvals
05/01/2010
Personnel Personnel
Disciplinary Action or Demotion Request
05/01/2010
Personnel Personnel
Drop Leave Payment Request
PDF
08/01/2006
Personnel Personnel
Drug Free Policy Statement
PDF
4.07
Attachment B
08/01/2001
New Hire Personnel
Drug Free Workplace Act - Confidentially
PDF
4.07
Attachment H
08/01/2001
New Hire Personnel
Dual Employment Authorization Request Inside State Government
PDF
1002.07
Attachment 2
12/01/2009
Personnel Personnel
Dual Employment Authorization Request Outside State Government
1002.07
Attachment 1
12/01/2009
Personnel Personnel
Employee Acknowledgement Workers' Compensation
1004.04
01/01/2009
Personnel Personnel
Employee Drug Testing Referral
PDF
4.07
Attachment F
08/01/2001
New Hire Personnel
Employee Handbook
04/01/2011
Personnel Personnel
Employee Handbook Receipt
04/01/2011
Personnel Personnel
Employee Notice of Separation
PDF
1003.11
Attachment 1
03/15/2011
Personnel Personnel
Employee Notification of Adulterated Test Results
PDF
4.07
Attachment C
08/01/2001
New Hire Personnel
Employee Notification of Positive Test Results
PDF
4.07
Attachment D
08/01/2001
New Hire Personnel
Employee Random Drug Testing Notice
PDF
4.07
Attachment E
08/01/2001
New Hire Personnel
Employee Recognition Request Form
1605
Attachment 2
05/05/2010
Volunteer Services Personnel
Employment Application
PDF
02/24/2012
New Hire Personnel
Employment Check Public Record Request Sample
10/24/2011
New Hire Personnel
Employment Verification and Reference Check - Current DJJ Employees
PDF
Attachment 3
12/01/2007
New Hire Personnel
Employment Verification and Reference Check - Other than DJJ
Attachment 1
12/01/2007
New Hire Personnel
First Report of Injury Form Instructions
PDF
1004.04
03/29/2012
Personnel Personnel
First Report of Injury or Illness
PDF
1004.04
DWC-1 Attachment 1
08/01/2004
Personnel Personnel
Flexible Spending Account Reimbursement Request
PDF
FL-01-04
07/01/2008
Benefits Personnel
Flexible Spending Accounts/Health Savings Account
PDF
07/01/2008
Benefits Personnel
Flextime Application
PDF
1002.03
Attachment 1
04/01/2010
Attendance & Leave Personnel
Florida Retirement System Certification
PDF
18
02/01/2012
New Hire Personnel
FMLA Approval Letter
1002.03
Letter 3
02/22/2012
Attendance & Leave Personnel
FMLA Expiration Letter
1002.03
Letter 4
08/01/2009
Attendance & Leave Personnel
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