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Personnel Services Forms

The documents on this page are pdf files identified by the symbol Adobe pdf symbol and require the free Adobe Acrobat Reader Software.

Bureau Forms

 

Other DEP Forms
File
Size		 Effective
Date		 Form
Number		  Form Name
254KB 12/2011 Microsoft Word symbol 54-001 Application for ID Badge/Access Card - Tallahassee Offices
659KB 04/2011 Microsoft Word symbol 54-101 Instructions for Filing a Career Service Employee Grievance
446KB 12/2010 Microsoft Word symbol 54-102 Discrimination & Harassment Policy Statement & Complaint Procedure
237KB 01/2010 Microsoft Word symbol 54-103 Official Oral Reprimand
238KB 01/2010 Microsoft Word symbol 54-104 Official Written Reprimand
  REPLACED Microsoft Word symbol 54-107 See Updated form under Other Forms and Documents -  EAP Management Referral Form/Authorization for Release of Information
255KB 10/2010 Microsoft Word symbol 54-108 Employee Assistance Program (EAP) Formal Supervisory Referral (Employee Participation Agreement)
238KB 09/2010 Microsoft Word symbol 54-201 Sick Leave Pool Application
289KB 03/2011 Microsoft Word symbol 54-202 Guidelines for Medical  Certification and the Family and Medical Leave Act
  REPLACED Microsoft Word symbol 54-203 Request to Use of Sick Leave Pool Hours - Replaced See DEP 54-225
245KB 02/2010 Microsoft Word symbol 54-204 Application for Educational Leave with Pay
254KB 09/2009 Microsoft Word symbol 54-205 Educational Leave with Pay Contract
457KB 10/2010 Microsoft Word symbol 54-209 Interagency Request to Transfer Sick Leave Hours
  REPLACED Microsoft Word symbol 54-210 Interagency Sick Leave Transfer Request to Use - Replaced See DEP 54-225
239KB 09/2010 Microsoft Word symbol 54-218 Leave Accrual Eligibility
307KB 05/2011 Microsoft Word symbol 54-219 Performance Planning & Evaluation Form
272KB 02/2011 Microsoft Word symbol 54-220 Employee Recognition and Bonus Worksheet
251KB 12/2010 Microsoft Word symbol 54-221 Career Pathing and Enhancement Plan
239KB 01/2011 Microsoft Word symbol 54-222 Annual Peer Review Form
244KB 01/2011 Microsoft Word symbol 54-223 Employee Achievement Log
235KB 10/2010 Microsoft Word symbol 54-224 Request to Transfer Sick Leave Hours TO DEP Employee
239KB 10/2010 Microsoft Word symbol 54-225 Request to Use Sick Leave Pool or Sick Leave Transfer Hours
239KB 09/2010 Microsoft Word symbol 54-226 Leave Without Pay Payroll Adjustment Form
237KB 01/2011 Microsoft Word symbol 54-227 Employee Special Accomplishment Form
239KB 01/2012 Microsoft Word symbol 54-228 Employee Improvement Plan Form
251KB 08/2011 Microsoft Word symbol 54-301 Workers' Compensation Return to Work Employee Notification of Alternate/Modified Duties
240KB 08/2011 Microsoft Word symbol 54-302 Workers' Compensation Return to Work Employee Exit from Alternate/Modified Duties
238KB 10/2011 Microsoft Word symbol 54-401 Election to Accept/Decline Hepatitis B Vaccine
247KB 11/2009 Microsoft Word symbol 54-402 Employee Record Of Hepatitis B Vaccination
253KB 11/2009 Microsoft Word symbol 54-403 Exposure Incident Evaluation Report
271KB 03/2011 Microsoft Word symbol 54-404 Medical Monitoring Justification Form
200KB 01/2013 Microsoft Word symbol 54-405 Medical Surveillance Program
45KB 01/2013 Microsoft Word symbol 54-406 Hearing Conservation Form
245KB 01/2013 Microsoft Word symbol 54-407 Medical Monitoring Clearance Statement
273KB 10/2011 Microsoft Word symbol 54-501 Employee of the Month Nomination
51KB 09/2010 Microsoft Word symbol 54-507 Non-Cash Awards Authorization Form
264KB 05/2011 Microsoft Word symbol 54-508 Savings Sharing and Recognition Awards
25KB 10/2010 Microsoft Word symbol 54-509 Excellence in Customer Service Spot Award Nomination Form
57KB 01/2011 Microsoft Word symbol 54-601 Certificate of Termination for FTE and OPS Employees
231KB 01/2011 Microsoft Word symbol 54-603 Oath of Loyalty
  REPLACED Microsoft Word symbol 54-604 OPS Employment Termination Critique - Replaced See DEP 54-601
240KB 12/2010 Microsoft Word symbol 54-605 Student Verification Form
278KB 05/2010 Microsoft Word symbol 54-606  Exemption from Public Records Request - Privacy Test Questionnaire 
237KB 10/2010 Microsoft Word symbol 54-613 Notification of Secondary Non-State Employment
239KB 07/2011 Microsoft Word symbol 54-614 Receipt of Acknowledgement of  Key Directives
224KB 02/2010 Microsoft Word symbol 54-616 Checklist of Employee Separation Information
72KB 10/2009 Microsoft Word symbol 54-701 Personnel Action or Change Notice Instructions
92KB 01/2010 Microsoft Word symbol 54-702 Changes to Authorized Positions Forms
22KB 05/2000 Microsoft Word symbol 54-703 Extend Temporary Special Duty Additive Request
51KB 11/2009 Microsoft Word symbol 54-704 Request to Change Current Position Codes
95KB 07/2000 Microsoft Word symbol 54-705 Classification and Pay Attachment A
247KB 12/2012 Microsoft Word symbol 54-706 Supplemental Application Required for Pre-Employment
  REPLACED Microsoft Word symbol 54-801 Request for Promotion - See updated form under Other Forms and Documents
  REPLACED Microsoft Word symbol 54-802 Request for Reassignment - See updated form under Other Forms and Documents
695KB 01/2013 Microsoft Word symbol 54-803 Recruitment Report - Part 1 & 2
467KB 07/2010 Microsoft Word symbol 54-805 Selection Criteria Form
255KB 07/2010 Microsoft Word symbol 54-806 Applicant Reference Check
247KB 12/2010 Microsoft Word symbol 54-901 Training & Educational Repayment Agreement
226KB 12/2010 Microsoft Word symbol 54-902 Application for Employee Tuition Assistance
223KB 12/2010 Microsoft Word symbol 54-903 State Employee Tuition Waiver Program

 

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Other Forms and Documents

Description
Microsoft Word symbol Annual Leave Payout Request for Career Service Employees
Microsoft Word symbol Approved Perquisite Categories
Adobe pdf symbol BENCOR Enrollment Form
Microsoft Word symbol Check-list for Managers - Required Documents for Recommended Candidate
Microsoft Word symbol Conditions for which Restriction from Diving is Recommended
Microsoft Word symbol DEP Performance Evaluation System Rater's Guide
Microsoft Word symbol DMS Position Description
Microsoft Word symbol DMS Position Description Instructions
Microsoft Word symbol DMS Suggestion Form
Microsoft Word symbol Department Pre-Planning Checklist
Microsoft Word symbol Dual Employment and Compensation Request
Microsoft Word symbol Evaluation Of Fitness For Compressed Air Diving
Microsoft Word symbol FDLE Division of Safety Log and Summary of Occupational Injuries, Diseases and Illnesses LES SAF Form 200
Adobe pdf symbol Federal I-9 Form
Microsoft Word symbol Financial Disclosure Forms
Adobe pdf symbol FMLA - Employee and Supervisor Rights and Responsibilities
Adobe pdf symbol FRS New Employee Certification form
Adobe pdf symbol EAP Management Referral Form/Authorization for Release of Information
Microsoft Word symbol Medical Examination Requirements For DEP Divers
Microsoft Word symbol Moving Expenses
Adobe pdf symbol PF Instructions on Reviewing and Completing Personal Information
Microsoft Word symbol Pandemic Flu Planning Checklist for Individuals and Families
Microsoft Word symbol Recruitment Documents to be Retained by the Hiring Manager
Microsoft Word symbol Reorganization and/or Change to Organizational Structure Procedures
Microsoft Word symbol Request for Reassignment, Transfer, Change in Duty Station , Shift Change or Promotion form (DMS Form TPRC 10-12)
Microsoft Word symbol Sample-Memo - Sending Sick Employees Home
Microsoft Word symbol Sale of Goods & Services

Last updated: April 16, 2013

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