DJJ Form 1060-1 Attachment 1 "Americans With Disabilities Act (Ada) Request for Reasonable Accommodation - DJJ Applicant" - Florida

What Is DJJ Form 1060-1 Attachment 1?

This is a legal form that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 17, 2011;
  • The latest edition provided by the Florida Department of Juvenile Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DJJ Form 1060-1 Attachment 1 by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download DJJ Form 1060-1 Attachment 1 "Americans With Disabilities Act (Ada) Request for Reasonable Accommodation - DJJ Applicant" - Florida

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Attachment 1
FDJJ 1060 – 1
New 8/17/11
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Americans with Disabilities Act (ADA)
Request for Reasonable Accommodation
DJJ Applicant
Date of Request:
Name of Applicant:
Name of Agency Hiring Authority:
Telephone Number of Agency Hiring Authority:
Office/Facility/Program Name:
Office/Facility/Program Address:
City:
State:
Zip Code:
Accommodation(s) requested:
Accommodations approved:
Yes
No
Accommodation(s) granted:
Signatures:
Applicant
Date
Supervisor
Date
Human Resources Bureau Chief
Date
Reset/Clear Form
Save As
Print Form
Email Form
Attachment 1
FDJJ 1060 – 1
New 8/17/11
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Americans with Disabilities Act (ADA)
Request for Reasonable Accommodation
DJJ Applicant
Date of Request:
Name of Applicant:
Name of Agency Hiring Authority:
Telephone Number of Agency Hiring Authority:
Office/Facility/Program Name:
Office/Facility/Program Address:
City:
State:
Zip Code:
Accommodation(s) requested:
Accommodations approved:
Yes
No
Accommodation(s) granted:
Signatures:
Applicant
Date
Supervisor
Date
Human Resources Bureau Chief
Date
Reset/Clear Form
Save As
Print Form
Email Form