"Career Service on-Call Form" - Florida

This "Career Service on-Call Form" is a Florida-specific form released by the Florida Department of Juvenile Justice on January 8, 2015.

Download the form by clicking the link below, fill it out by hand, and mail it as per the guidelines provided by the department or the applicable legal instructions.

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Download "Career Service on-Call Form" - Florida

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Department of Juvenile Justice
CAREER SERVICE ON-CALL
NAME:
PEOPLE FIRST ID:
First Name
MI
Last Name
CLASS TITLE:
POSITION NUMBER:
NORMAL WORKING HOURS:
0:00 am - 0:00 pm
PAY PERIOD DATES:
1/12/18
1/25/18
Computation of Payment for On-Call:
Weekday
$1.00 x
hours
0.00
$
Weekend and/or Holiday
$
(1/4 of statewide min. of the employee's class per hour) X
hours
0.00
$
TOTAL PAYMENT FOR ON-CALL
CALLED BACK PERIOD:
ASSIGNED TO ON-CALL DUTIES:
DATE
TIME(S)HOURS
DATE
TIME(S)HOURS
TOTAL
from:
to
from:
to
0:00
from:
to
from:
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0:00
from:
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from:
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0:00
from:
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from:
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0:00
from:
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from:
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0:00
from:
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from:
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0:00
from:
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from:
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0:00
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from:
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0:00
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from:
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0:00
from:
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0:00
from:
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from:
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0:00
from:
to
from:
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0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
(ADD ADDITIONAL SHEET IF NECESSARY)
TOTAL HOURS CREDITED FOR CALL BACK
.
I CERTIFY THAT THIS FORM REFLECTS A TRUE AND ACCURATE RECORD OF MY ON-CALL DUTY.
EMPLOYEE'S SIGNATURE
DATE
SUPERVISOR'S SIGNATURE
DATE
Revised 1/8/15
Print Form
Save As
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Department of Juvenile Justice
CAREER SERVICE ON-CALL
NAME:
PEOPLE FIRST ID:
First Name
MI
Last Name
CLASS TITLE:
POSITION NUMBER:
NORMAL WORKING HOURS:
0:00 am - 0:00 pm
PAY PERIOD DATES:
1/12/18
1/25/18
Computation of Payment for On-Call:
Weekday
$1.00 x
hours
0.00
$
Weekend and/or Holiday
$
(1/4 of statewide min. of the employee's class per hour) X
hours
0.00
$
TOTAL PAYMENT FOR ON-CALL
CALLED BACK PERIOD:
ASSIGNED TO ON-CALL DUTIES:
DATE
TIME(S)HOURS
DATE
TIME(S)HOURS
TOTAL
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
from:
to
from:
to
0:00
(ADD ADDITIONAL SHEET IF NECESSARY)
TOTAL HOURS CREDITED FOR CALL BACK
.
I CERTIFY THAT THIS FORM REFLECTS A TRUE AND ACCURATE RECORD OF MY ON-CALL DUTY.
EMPLOYEE'S SIGNATURE
DATE
SUPERVISOR'S SIGNATURE
DATE
Revised 1/8/15
Print Form
Save As
Reset/Clear Form
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