"Request for Years of Service Lapel Pins" - Florida

Request for Years of Service Lapel Pins is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on May 5, 2010;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download "Request for Years of Service Lapel Pins" - Florida

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Attachment 2
Revised 5/5/10
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
EMPLOYEE RECOGNITION PROGRAM
REQUEST FOR YEARS OF SERVICE LAPEL PINS
Regional Liaison:
Program Area or Office:
Region:
Mailing Address:
City and Zip Code
Telephone Number:
Organization Code:
Expansion Option:
Date Ordered:
Date Shipped:
Service Pins
Quantity Cost Each
Total
5 Years of Service
$
1.57
$
-
0.00
10 Years of Service
$
1.57
$
-
0.00
15 Years of Service
$
1.57
$
-
0.00
20 Years of Service
$
1.57
$
-
0.00
25 Years of Service
$
1.90
$
0.00
-
30 Years of Service
$
1.90
$
-
0.00
35 Years of Service
$
1.90
$
-
0.00
40 Years of Service
$
1.90
$
-
0.00
0.00
TOTAL
$
-
Complete shaded sections only.
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Attachment 2
Revised 5/5/10
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
EMPLOYEE RECOGNITION PROGRAM
REQUEST FOR YEARS OF SERVICE LAPEL PINS
Regional Liaison:
Program Area or Office:
Region:
Mailing Address:
City and Zip Code
Telephone Number:
Organization Code:
Expansion Option:
Date Ordered:
Date Shipped:
Service Pins
Quantity Cost Each
Total
5 Years of Service
$
1.57
$
-
0.00
10 Years of Service
$
1.57
$
-
0.00
15 Years of Service
$
1.57
$
-
0.00
20 Years of Service
$
1.57
$
-
0.00
25 Years of Service
$
1.90
$
0.00
-
30 Years of Service
$
1.90
$
-
0.00
35 Years of Service
$
1.90
$
-
0.00
40 Years of Service
$
1.90
$
-
0.00
0.00
TOTAL
$
-
Complete shaded sections only.
Save As
Reset/Clear Form
Email Form
Print Page