"Acknowledgement of Receipt - Violence in the Workplace Policy and Procedure" - Florida

Acknowledgement of Receipt - Violence in the Workplace Policy and Procedure is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on December 1, 2017;
  • 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.

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FDJJ 1003.28
12/2017
DEPARTMENT OF JUVENILE JUSTICE
VIOLENCE IN THE WORKPLACE POLICY AND PROCEDURE
ACKNOWLEDGEMENT OF RECEIPT
This is to acknowledge that I understand it is my responsibility to read and adhere to the FDJJ policy on
Violence in the Workplace. If I need assistance on how to access DJJ policies and procedures or have any
questions, I am to contact my supervisor.
I also understand that this signed acknowledgement of receipt will become a permanent part of my official
personnel file.
___________________________________
_________________
Signature*
Print Name
__________________________
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.
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FDJJ 1003.28
12/2017
DEPARTMENT OF JUVENILE JUSTICE
VIOLENCE IN THE WORKPLACE POLICY AND PROCEDURE
ACKNOWLEDGEMENT OF RECEIPT
This is to acknowledge that I understand it is my responsibility to read and adhere to the FDJJ policy on
Violence in the Workplace. If I need assistance on how to access DJJ policies and procedures or have any
questions, I am to contact my supervisor.
I also understand that this signed acknowledgement of receipt will become a permanent part of my official
personnel file.
___________________________________
_________________
Signature*
Print Name
__________________________
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.
Save As
Print Form
Reset/Clear Form