Form C-0039 "Staff Roster" - Pinellas County, Florida

What Is Form C-0039?

This is a legal form that was released by the Florida Department of Health - a government authority operating within Florida. The form may be used strictly within Pinellas County. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2011;
  • The latest edition provided by the Florida Department of Health;
  • 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 printable version of Form C-0039 by clicking the link below or browse more documents and templates provided by the Florida Department of Health.

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Download Form C-0039 "Staff Roster" - Pinellas County, Florida

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NAME OF CENTER:_______________________________
DATE:______________________________
STAFF ROSTER
NORMAL DAILY ATTENDANCE FOR INFANTS AND PRESCHOOL CHILDEREN:
NAME
1. List ALL personnel including director, child care staff, support staff, and regular substitutes.
3. Use the graph to document work hours. Indicate breaks and lunch times.
2. Indicate who is in charge during director's absence by placing * next to the name(s).
4. Use the area on top of the form where time is listed to shade in the planned
activity time.
C-0039 Required Form (09/11)
C:\Documents and Settings\SchneiderKX\Desktop\C-0039 Staff Roster
Page 3 of Application
NAME OF CENTER:_______________________________
DATE:______________________________
STAFF ROSTER
NORMAL DAILY ATTENDANCE FOR INFANTS AND PRESCHOOL CHILDEREN:
NAME
1. List ALL personnel including director, child care staff, support staff, and regular substitutes.
3. Use the graph to document work hours. Indicate breaks and lunch times.
2. Indicate who is in charge during director's absence by placing * next to the name(s).
4. Use the area on top of the form where time is listed to shade in the planned
activity time.
C-0039 Required Form (09/11)
C:\Documents and Settings\SchneiderKX\Desktop\C-0039 Staff Roster
Page 3 of Application