DJJ Form IG/BSU-009 "Affidavit of Compliance With Level 2 Screening Standards for Law Enforcement Personnel" - Florida

What Is DJJ Form IG/BSU-009?

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 1, 2013;
  • 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 IG/BSU-009 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 IG/BSU-009 "Affidavit of Compliance With Level 2 Screening Standards for Law Enforcement Personnel" - Florida

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Fax to (850) 921-6348 or (850) 922-7997
IG/BSU-009
Revised 08/13
DEPARTMENT OF JUVENILE JUSTICE
OFFICE OF THE INSPECTOR GENERAL
BACKGROUND SCREENING UNIT
Affidavit of Compliance with Level 2 Screening Standards
For Law Enforcement Personnel
STATE OF FLORIDA
COUNTY OF
I,
, with the
,
Law Enforcement Representative
Law Enforcement Agency
hereby affirm that all law enforcement personnel, representing the above named law enforcement
agency while in a Department of Juvenile Justice or contract provider facility or program, have been
fingerprinted by the law enforcement agency and the results have been received. I further affirm that
these law enforcement personnel meet Level 2 employment screening standards as outlined in section
435.04, Florida Statutes.
________________________________________________________________
SIGNATURE OF AFFIANT
Sworn to and subscribed before me this _______ day of _______________________, 20________.
_______________________________________________
SIGNATURE OF NOTARY PUBLIC, STATE OF FLORIDA
(Print, Type, or Stamp Commissioned Name of Notary Public)
Affiant personally known to notary
or
Affiant produced Identification
(check one)
Type of Identification Produced:
Page 1 of 2
Fax to (850) 921-6348 or (850) 922-7997
IG/BSU-009
Revised 08/13
DEPARTMENT OF JUVENILE JUSTICE
OFFICE OF THE INSPECTOR GENERAL
BACKGROUND SCREENING UNIT
Affidavit of Compliance with Level 2 Screening Standards
For Law Enforcement Personnel
STATE OF FLORIDA
COUNTY OF
I,
, with the
,
Law Enforcement Representative
Law Enforcement Agency
hereby affirm that all law enforcement personnel, representing the above named law enforcement
agency while in a Department of Juvenile Justice or contract provider facility or program, have been
fingerprinted by the law enforcement agency and the results have been received. I further affirm that
these law enforcement personnel meet Level 2 employment screening standards as outlined in section
435.04, Florida Statutes.
________________________________________________________________
SIGNATURE OF AFFIANT
Sworn to and subscribed before me this _______ day of _______________________, 20________.
_______________________________________________
SIGNATURE OF NOTARY PUBLIC, STATE OF FLORIDA
(Print, Type, or Stamp Commissioned Name of Notary Public)
Affiant personally known to notary
or
Affiant produced Identification
(check one)
Type of Identification Produced:
Page 1 of 2
Fax to (850) 921-6348 or (850) 922-7997
IG/BSU-009
Revised 08/13
DEPARTMENT OF JUENVILE JUSTICE
OFFICE OF THE INSPECTOR GENERAL
BACKGROUND SCREENING UNIT
List of Law Enforcement Personnel
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