DJJ Form GC1900-1 "Statement of Personal Responsibility" - Florida

DJJ Form GC1900-1 or the "Statement Of Personal Responsibility" is a form issued by the Florida Department of Juvenile Justice.

The form was last revised in August 1, 2017 and is available for digital filing. Download an up-to-date DJJ Form GC1900-1 in PDF-format down below or look it up on the Florida Department of Juvenile Justice Forms website.

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Download DJJ Form GC1900-1 "Statement of Personal Responsibility" - Florida

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GC 1900-1
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
STATEMENT OF PERSONAL RESPONSIBILITY
I have been provided with a copy of the Department’s Employee Code of Ethics
1.
and Personal Responsibility.
2.
I understand that, by holding a position within state government, I have taken
on the mantle of public service.
3.
I am committed to maintaining an honest, ethical, and open system of
government for the people of Florida.
4.
I therefore pledge to honestly and faithfully comply with both the letter and spirit
of the Department’s Employee Code of Ethics and Personal Responsibility, as
well as the requirements set forth in federal and state law, and Chapter 112,
Part III, Florida Statutes, in the discharge of my duties and responsibilities as a
public servant.
5.
I further pledge that, should questions regarding appropriate behavior arise, I
will seek guidance from the Department’s Office of the General Counsel on how
to resolve the matter in question.
6.
I understand that by signing this Statement of Personal Responsibility, I am
acknowledging that I have received and read the Department’s Employee Code
of Ethics and Personal Responsibility and that this signed acknowledgement
will become a permanent part of my official personnel file.
Employee Name: __________________________________________________
Employee Signature*: ______________________________________________
Date: _____________________________
* Acknowledging receipt of this document in the department’s electronic acceptance system substitutes as your
signature. Provision within the Florida’s Electronic Signature Act of 1996 and the Uniform Electronic Transaction
Act, both provide that digital signatures or attestations may be substituted for the signature, unless otherwise
provided by law (see section 668.004, F.S. and subsection 668.50(7), F.S.).
Please print for your records.
HRES
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Revised 8/2017
GC 1900-1
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
STATEMENT OF PERSONAL RESPONSIBILITY
I have been provided with a copy of the Department’s Employee Code of Ethics
1.
and Personal Responsibility.
2.
I understand that, by holding a position within state government, I have taken
on the mantle of public service.
3.
I am committed to maintaining an honest, ethical, and open system of
government for the people of Florida.
4.
I therefore pledge to honestly and faithfully comply with both the letter and spirit
of the Department’s Employee Code of Ethics and Personal Responsibility, as
well as the requirements set forth in federal and state law, and Chapter 112,
Part III, Florida Statutes, in the discharge of my duties and responsibilities as a
public servant.
5.
I further pledge that, should questions regarding appropriate behavior arise, I
will seek guidance from the Department’s Office of the General Counsel on how
to resolve the matter in question.
6.
I understand that by signing this Statement of Personal Responsibility, I am
acknowledging that I have received and read the Department’s Employee Code
of Ethics and Personal Responsibility and that this signed acknowledgement
will become a permanent part of my official personnel file.
Employee Name: __________________________________________________
Employee Signature*: ______________________________________________
Date: _____________________________
* Acknowledging receipt of this document in the department’s electronic acceptance system substitutes as your
signature. Provision within the Florida’s Electronic Signature Act of 1996 and the Uniform Electronic Transaction
Act, both provide that digital signatures or attestations may be substituted for the signature, unless otherwise
provided by law (see section 668.004, F.S. and subsection 668.50(7), F.S.).
Please print for your records.
HRES
Save As
Print Form
Reset/Clear Form
Revised 8/2017
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