"Leave Adjustment/Correction Form" - Florida

Leave Adjustment/Correction Form 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, 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;
  • Fill out the form in our online filing application.

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 "Leave Adjustment/Correction Form" - Florida

304 times
Rate (4.3 / 5) 15 votes
Revised 7/10
Florida Department of Juvenile Justice
LEAVE ADJUSTMENT/CORRECTION FORM
Employee Name: __________________________ Circuit ____________
People First ID #: __________________________ Date: _____________
Last Pay Period Agreed with Personnel: ___________________________
“Please describe the discrepancy or error.”
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Please attach a copy of the manual leave record, time sheet(s) and
leave statement(s)
……………………………………………………………………………………….
Submitted By:________________________________________________
Telephone Number: __________________ or SunCom _______________
Mailing Address: ______________________________________________
Save As
Reset/Clear Form
Print Page
The completed form (and any attachments) should be returned to the Department of Juvenile Justice,
Bureau of Personnel, 2737 Centerview Drive, Tallahassee, Florida 32399-3100.
Revised 7/10
Florida Department of Juvenile Justice
LEAVE ADJUSTMENT/CORRECTION FORM
Employee Name: __________________________ Circuit ____________
People First ID #: __________________________ Date: _____________
Last Pay Period Agreed with Personnel: ___________________________
“Please describe the discrepancy or error.”
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Please attach a copy of the manual leave record, time sheet(s) and
leave statement(s)
……………………………………………………………………………………….
Submitted By:________________________________________________
Telephone Number: __________________ or SunCom _______________
Mailing Address: ______________________________________________
Save As
Reset/Clear Form
Print Page
The completed form (and any attachments) should be returned to the Department of Juvenile Justice,
Bureau of Personnel, 2737 Centerview Drive, Tallahassee, Florida 32399-3100.