"Drop Leave Payment Request Form" - Florida

This Florida-specific printable "Drop Leave Payment Request Form" is a part of the legal paperwork issued by the Florida Department of Juvenile Justice.

Download the up-to-date PDF by clicking the link below and mail it as per the guidelines provided by the department.

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FLORIDA DEPARTMENT OF JUVENILE JUSTICE
DROP LEAVE PAYMENT REQUEST
You are entitled to be paid up to a maximum of 240 hours of annual leave (480 for SES/SMS) upon
entering DROP or terminating from the DROP. Should you decide to be paid upon entering the DROP,
any hours over 240 or 480 will be carried over into the DROP. (If you are paid the maximum number of
hours upon entering DROP, all annual leave accruals must be used prior to your termination from the
DROP or they will be forfeited.)
I, ____________________________________, __________________________, will be entering the
(Please print First , MI, Last name)
(PF ID #)
DROP on ____________________and will resign on ____________________.
I am requesting to be paid the following annual leave hours, which will be used in computing my Average
Final Compensation (AFC).
_________ Career Service (Please indicate the amount up to a maximum of 240 hours)
_________ SES/SMS (Please indicate the amount up to a maximum of 480 hours)
I do not wish to be paid for annual leave upon entering DROP.
_______________________________________________
_____________________________
(Signature)
(Date)
SPECIAL NOTES:
You will be paid for special compensatory leave earned prior to July 1, 2012 upon terminating from
DROP or transferring to another agency.
Should you desire to defer your annual leave payment to your deferred compensation account, please
contact your deferred compensation representative to complete the appropriate documents.
Return this form to:
DJJ HQ Bureau of Human Resources
Attn: Retirement Coordinator
2737 Centerview Drive
Tallahassee, FL 32399-3100
2737 Centerview Drive  Tallahassee, Florida  32399-3100 (850) 488-1850
http://www.djj.state.fl.us
The mission of the Department of Juvenile Justice is to increase public safety by reducing juvenile delinquency through effective
prevention, intervention, and treatment services that strengthen families and turn around the lives of troubled youth.
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FLORIDA DEPARTMENT OF JUVENILE JUSTICE
DROP LEAVE PAYMENT REQUEST
You are entitled to be paid up to a maximum of 240 hours of annual leave (480 for SES/SMS) upon
entering DROP or terminating from the DROP. Should you decide to be paid upon entering the DROP,
any hours over 240 or 480 will be carried over into the DROP. (If you are paid the maximum number of
hours upon entering DROP, all annual leave accruals must be used prior to your termination from the
DROP or they will be forfeited.)
I, ____________________________________, __________________________, will be entering the
(Please print First , MI, Last name)
(PF ID #)
DROP on ____________________and will resign on ____________________.
I am requesting to be paid the following annual leave hours, which will be used in computing my Average
Final Compensation (AFC).
_________ Career Service (Please indicate the amount up to a maximum of 240 hours)
_________ SES/SMS (Please indicate the amount up to a maximum of 480 hours)
I do not wish to be paid for annual leave upon entering DROP.
_______________________________________________
_____________________________
(Signature)
(Date)
SPECIAL NOTES:
You will be paid for special compensatory leave earned prior to July 1, 2012 upon terminating from
DROP or transferring to another agency.
Should you desire to defer your annual leave payment to your deferred compensation account, please
contact your deferred compensation representative to complete the appropriate documents.
Return this form to:
DJJ HQ Bureau of Human Resources
Attn: Retirement Coordinator
2737 Centerview Drive
Tallahassee, FL 32399-3100
2737 Centerview Drive  Tallahassee, Florida  32399-3100 (850) 488-1850
http://www.djj.state.fl.us
The mission of the Department of Juvenile Justice is to increase public safety by reducing juvenile delinquency through effective
prevention, intervention, and treatment services that strengthen families and turn around the lives of troubled youth.
Save As
Reset/Clear Form
Print Form
Email Form
ADVERTISEMENT