Attachment 2 "Suncom Call Verification Form" - Florida

This "Attachment 2 - Suncom Call Verification Form" is a Florida-specific form released by the Florida Department of Juvenile Justice on November 30, 2011.

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 Attachment 2 "Suncom Call Verification Form" - Florida

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Attachment 2
Revised 11/30/11
Suncom Call Verification Form
I, _____________________________, certify that the calls and any other usage listed on the
(Print Name)
__________________, Suncom Call Report, made from my office phone, are business related
(Date of Invoice)
calls. No money is owed by me to the State of Florida for these calls.
__________________________________________
Signature
Date
Enter minutes and calculate amount owed. If less than $1.00 no money is due.
Enclosed, please find a check in the amount of $________________, made payable to the
Department of Juvenile Justice for ________minutes of Suncom long distance calls that were
not official state business.
Calls for which are not included in the check I, ______________________________________,
(Print Name)
certify these to be business related calls.
Failure to reimburse for personal use of State telephones results in a cost burden for the State and
is a violation of Department policy and may result in discipline up to and including dismissal.
Falsifying this document by failing to disclose personal usage will result in discipline up to and
including dismissal.
________________________________________________
Signature
Date
___________________________________________
Section/Office
___________________________________________
Bureau
___________________________________________
Org Code
Reset/Clear Form
Save As
Print Form
Attachment 2
Revised 11/30/11
Suncom Call Verification Form
I, _____________________________, certify that the calls and any other usage listed on the
(Print Name)
__________________, Suncom Call Report, made from my office phone, are business related
(Date of Invoice)
calls. No money is owed by me to the State of Florida for these calls.
__________________________________________
Signature
Date
Enter minutes and calculate amount owed. If less than $1.00 no money is due.
Enclosed, please find a check in the amount of $________________, made payable to the
Department of Juvenile Justice for ________minutes of Suncom long distance calls that were
not official state business.
Calls for which are not included in the check I, ______________________________________,
(Print Name)
certify these to be business related calls.
Failure to reimburse for personal use of State telephones results in a cost burden for the State and
is a violation of Department policy and may result in discipline up to and including dismissal.
Falsifying this document by failing to disclose personal usage will result in discipline up to and
including dismissal.
________________________________________________
Signature
Date
___________________________________________
Section/Office
___________________________________________
Bureau
___________________________________________
Org Code
Reset/Clear Form
Save As
Print Form
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