"Ops Employee Certifications" - Florida

Ops Employee Certifications is a legal document that was released by the Florida Department of Economic Opportunity - a government authority operating within Florida.

Form Details:

  • Released on April 1, 2019;
  • The latest edition currently provided by the Florida Department of Economic Opportunity;
  • 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 printable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Economic Opportunity.

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Department of Economic Opportunity
OPS Employee Certifications
State rules and/or Department policy requires certain information be provided to all OPS employees
and that each employee certify, in writing, he/she has received and/or had this information discussed
with them. After you have received the information indicated below or it has been discussed with
you, sign and date in the spaces provided. When completed, this form is to be forwarded to Human
Resource Management to be placed in the official personnel file.
__________________________________
______________________________
Employee Name (please print)
Social Security Number
STATE OF FLORIDA FICA ALTERNATIVE RETIREMENT PLAN FOR OPS EMPLOYEES: This is
to certify that I have been provided information.
__________________________________
______________________________
Signature
Date
STANDARDS FOR DISCIPLINARY ACTION: This is to certify I have received and have had discussed
with me the Disciplinary Standards set forth in Section 60L-36.005, Florida Administrative Code.
__________________________________
______________________________
Signature
Date
MANDATORY USE OF SEAT BELT/SAFE OPERATION OF VEHICLES POLICIES:
This is to certify I have been provided information contained in Section 60B-1.012, Florida Administrative Code
and
DEO Assignment and Control of DEO Vehicles Policy,
#4.06, which explains the official policies of the
State of Florida and AWI on the mandatory use of seat belts and safe operation of vehicles.
__________________________________
_______________________________
Signature
Date
DRUG FREE WORKPLACE: This is to certify I have been provided a copy of the
DEO Drug Free
Workplace Policy
Directive.
__________________________________
________________________________
Signature
Date
FEDERAL FAMILY AND MEDICAL LEAVE ACT: This is to certify I have been provided information on
the Family and Medical Leave Act. (http://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf)
__________________________________
_________________________________
Signature
Date
SEXUAL HARASSMENT: This is to certify I have been provided a copy of the
DEO Sexual
Harassment Policy, #2.04
and Section 60L-36.004, Florida Administrative Code.
_______________________________
_______________________________
Signature
Date
Revised 04/19
Department of Economic Opportunity
OPS Employee Certifications
State rules and/or Department policy requires certain information be provided to all OPS employees
and that each employee certify, in writing, he/she has received and/or had this information discussed
with them. After you have received the information indicated below or it has been discussed with
you, sign and date in the spaces provided. When completed, this form is to be forwarded to Human
Resource Management to be placed in the official personnel file.
__________________________________
______________________________
Employee Name (please print)
Social Security Number
STATE OF FLORIDA FICA ALTERNATIVE RETIREMENT PLAN FOR OPS EMPLOYEES: This is
to certify that I have been provided information.
__________________________________
______________________________
Signature
Date
STANDARDS FOR DISCIPLINARY ACTION: This is to certify I have received and have had discussed
with me the Disciplinary Standards set forth in Section 60L-36.005, Florida Administrative Code.
__________________________________
______________________________
Signature
Date
MANDATORY USE OF SEAT BELT/SAFE OPERATION OF VEHICLES POLICIES:
This is to certify I have been provided information contained in Section 60B-1.012, Florida Administrative Code
and
DEO Assignment and Control of DEO Vehicles Policy,
#4.06, which explains the official policies of the
State of Florida and AWI on the mandatory use of seat belts and safe operation of vehicles.
__________________________________
_______________________________
Signature
Date
DRUG FREE WORKPLACE: This is to certify I have been provided a copy of the
DEO Drug Free
Workplace Policy
Directive.
__________________________________
________________________________
Signature
Date
FEDERAL FAMILY AND MEDICAL LEAVE ACT: This is to certify I have been provided information on
the Family and Medical Leave Act. (http://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf)
__________________________________
_________________________________
Signature
Date
SEXUAL HARASSMENT: This is to certify I have been provided a copy of the
DEO Sexual
Harassment Policy, #2.04
and Section 60L-36.004, Florida Administrative Code.
_______________________________
_______________________________
Signature
Date
Revised 04/19
EMERGENCY PROCEDURES: This is to certify I have been provided information to access
DEO
Emergency Management Policy,
#4.03.
_______________________________
__________________________________
Signature
Date
EQUAL EMPLOYMENT OPPORTUNITY: This is to certify I have been provided information to
access the
Equal Opportunity Is The Law Notice
.
_______________________________
__________________________________
Signature
Date
CODE OF ETHICS: This is to certify that I have been provided a copy of the
DEO Code of Ethics
Policy, #1.05
.
_______________________________
__________________________________
Signature
Date
CODE OF PERSONAL RESPONSIBILITY: This is to certify that I have been provided a copy of
the
DEO Code of Personal Responsibility Policy,
#1.07.
_______________________________
__________________________________
Signature
Date
OPS EMPLOYMENT INFORMATION SHEET: This is to certify that I have been provided an
OPS Employment Information Sheet outlining the terms and conditions of OPS employment.
_______________________________
__________________________________
Signature
Date
USE OF SOCIAL SECURITY NUMBER
All state employee personnel records contain social security numbers because it is imperative for us to
be able to identify state employees properly and definitively. The statewide accounting system FLAIR
requires social security numbers to be entered in order for disbursement of funds. The system has
utilized social security numbers to identify individuals by taxpayer ID number. DEO may also use
your social security number to conduct a criminal history background check, if applicable, in
accordance with Chapter 110, F.S. and in filing reports required by the Division of Workers’
Compensation. Your social security number may be used for any other purpose specifically required
or authorized by state or federal law.
Revised 04/19
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