Form IG/BSU-009 "Affidavit of Compliance With Level 2 Screening Standards for Law Enforcement Personnel" - Florida

What Is Form IG/BSU-009?

This is a legal form that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Florida Department of Juvenile Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IG/BSU-009 by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download Form IG/BSU-009 "Affidavit of Compliance With Level 2 Screening Standards for Law Enforcement Personnel" - Florida

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IG/BSU-009
Revised 05/2019
DEPARTMENT OF JUVENILE JUSTICE
OFFICE OF THE INSPECTOR GENERAL
BACKGROUND SCREENING UNIT
Affidavit of Compliance with Level 2 Screening Standards
For Law Enforcement Personnel
STATE OF FLORIDA
COUNTY OF
I,
, with the
,
Law Enforcement Representative Name/Title
Law Enforcement Agency Name
hereby affirm that all law enforcement personnel, who represent the law enforcement agency listed
above and provide service on our behalf in a Department of Juvenile Justice (DJJ) or DJJ contracted
provider facility or program, meet Level 2 employment screening standards as outlined in section
435.04, Florida Statutes, and have been:
Fingerprinted by our agency and/or the Florida Department of Law Enforcement (FDLE)
Determined eligible for employment
________________________________________________________________
SIGNATURE OF AFFIANT
Sworn to and subscribed before me this _______ day of ________________________, 20_________.
__________________________________________________
SIGNATURE OF NOTARY PUBLIC, STATE OF FLORIDA
(Print, Type, or Stamp Commissioned Name of Notary Public)
Affiant personally known to notary
or
Affiant produced Identification
(Check One)
Type of Identification Produced:
Page 1 of 2
IG/BSU-009
Revised 05/2019
DEPARTMENT OF JUVENILE JUSTICE
OFFICE OF THE INSPECTOR GENERAL
BACKGROUND SCREENING UNIT
Affidavit of Compliance with Level 2 Screening Standards
For Law Enforcement Personnel
STATE OF FLORIDA
COUNTY OF
I,
, with the
,
Law Enforcement Representative Name/Title
Law Enforcement Agency Name
hereby affirm that all law enforcement personnel, who represent the law enforcement agency listed
above and provide service on our behalf in a Department of Juvenile Justice (DJJ) or DJJ contracted
provider facility or program, meet Level 2 employment screening standards as outlined in section
435.04, Florida Statutes, and have been:
Fingerprinted by our agency and/or the Florida Department of Law Enforcement (FDLE)
Determined eligible for employment
________________________________________________________________
SIGNATURE OF AFFIANT
Sworn to and subscribed before me this _______ day of ________________________, 20_________.
__________________________________________________
SIGNATURE OF NOTARY PUBLIC, STATE OF FLORIDA
(Print, Type, or Stamp Commissioned Name of Notary Public)
Affiant personally known to notary
or
Affiant produced Identification
(Check One)
Type of Identification Produced:
Page 1 of 2
IG/BSU-009
Revised 05/2019
DEPARTMENT OF JUENVILE JUSTICE
OFFICE OF THE INSPECTOR GENERAL
BACKGROUND SCREENING UNIT
List of Law Enforcement Personnel
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Page 2 of 2
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