"Employee Id Information Form (New or Replacement)" - Florida

Employee Id Information Form (New or Replacement) is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on July 1, 2018;
  • 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.

ADVERTISEMENT
ADVERTISEMENT

Download "Employee Id Information Form (New or Replacement)" - Florida

647 times
Rate (4.8 / 5) 32 votes
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Employee ID Information Form (New or Replacement)
PLEASE PRINT
This card remains the property of the Department of Juvenile Justice and must be surrendered to your supervisor
when employment or other relationship with the department ceases.
For New or Replacement ID Cards please complete Sections I and II and obtain all
signatures before sending to the HQ ID Card Coordinator.
Send all completed forms along with staff photo in .jpg format to:
Employee.Identification@djj.state.fl.us
Section I (To be completed by Employee)
__________________________________________________
Preferred Name:
Employee’s Full Name:
__________________________________________________
___________________________________________________
Position Title:
___________________________________________________
Division:
______
_
__________________________
Circuit:
Location:
Employee’s Signature:___________________________________________________ Date:
_______
Supervisor’s Signature:__________________________________________________Date:
________
Section II (To be completed by Region/Office ID Coordinator)
Coordinator’s Name:
___________________________________________________
Coordinator’s Address:
__________________________________________________
________________________________________________________________
Coordinator’s Phone Number:
______________________________________________
Coordinator’s Signature:
_________________________________
______
Date:
Headquarters Access (Yes or No): YES
NO
Headquarters Unit Restricted Access Level (check all that apply): HR
IG
Server Room
_________________________________
Access Note/Instructions:
_________________________________
CIO/IG/HR Signature:
Section III (To be completed by HQ ID Coordinator)
Date Processed:___________________________________ Processed by:___________________________________
REVISED: 07/2018
Clear Form
Save As..
Print
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Employee ID Information Form (New or Replacement)
PLEASE PRINT
This card remains the property of the Department of Juvenile Justice and must be surrendered to your supervisor
when employment or other relationship with the department ceases.
For New or Replacement ID Cards please complete Sections I and II and obtain all
signatures before sending to the HQ ID Card Coordinator.
Send all completed forms along with staff photo in .jpg format to:
Employee.Identification@djj.state.fl.us
Section I (To be completed by Employee)
__________________________________________________
Preferred Name:
Employee’s Full Name:
__________________________________________________
___________________________________________________
Position Title:
___________________________________________________
Division:
______
_
__________________________
Circuit:
Location:
Employee’s Signature:___________________________________________________ Date:
_______
Supervisor’s Signature:__________________________________________________Date:
________
Section II (To be completed by Region/Office ID Coordinator)
Coordinator’s Name:
___________________________________________________
Coordinator’s Address:
__________________________________________________
________________________________________________________________
Coordinator’s Phone Number:
______________________________________________
Coordinator’s Signature:
_________________________________
______
Date:
Headquarters Access (Yes or No): YES
NO
Headquarters Unit Restricted Access Level (check all that apply): HR
IG
Server Room
_________________________________
Access Note/Instructions:
_________________________________
CIO/IG/HR Signature:
Section III (To be completed by HQ ID Coordinator)
Date Processed:___________________________________ Processed by:___________________________________
REVISED: 07/2018
Clear Form
Save As..
Print