Forms - Human Resources


Job Descriptions - Staff Job Descriptions - Volunteers Regular & Probationary Evaluations

Background Screening Forms
	Care Provider Background Screening Application (Lake City & Palatka)			09/07/16
	Criminal History Acknowledgement (IG/BSU-003)			10/09/22
	Livescan Employee Memo (Gainesville)			1/09/24
	Livescan Employee Memo (Gainesville) Field Print Florida			1/09/24
	Livescan Employee Memo (Lake City)			1/09/24
	Livescan Employee Memo (Palatka)			1/09/24
	Meridian Behavioral Background Consent Form (Gainesville)			09/07/16
	Privacy Policy Acknowledgement Form			09/07/16
	Request for Live Scan Background Screening Employee			4/07/23
	Affidavit of Good Moral Character (Individual)			10/10/22
	Request for Live Scan Background Screening Volunteer			10/09/22
	DJJ Annual Affidavit of Background Screening			10/09/22
	Related Operating Procedure:
		"Background Screening, P-1025" , or click here to be redirected to Operating Procedures		1/3/14

Family Medical Leave Forms
	Request for Leave of Absence			02/06/09
	Employer Response/Notice of Eligibility for Family Medical Leave			02/06/09
	Designation			01/08/10
	Certification of Health Care Provider for Employee’s Serious Health Condition			01/08/10
	Certification of Health Care Provider for Family Member’s Serious Health Condition			02/06/09
	Certification of Qualifying Exigency for Military Family Leave			02/06/09
	Certification of Health Care Provides for Serious Injury or Illness of Covered Service Member for Military Family Leave			02/06/09
	Return to work			01/08/10

New Hire Orientation Forms
	Acknowledgment Forms:
		Auto Insurance / Driver's License		06/14/07
		Attestation of the requirements of Section 504 of the Rehabilitation Act, Fact Sheet Title II of the ADA, Auxiliary Aids Policy and Plan for Participants or Companions and Potential Participants or Companions with Disabilities, Roles and Responsibilities of the Single Point of Contact and DCF ADA/504 Coordinator		02/02/11
		Benefits - Part-time Employees		11/12/14
		Benefits - Full-time Employees		11/12/14
		Bloodborne Pathogen Exposure Control Program		02/25/07
		Confidentiality - CDS Employee or Volunteer/Intern		07/11/08
		Data Security on Mobile Devices - DCF		03/31/09
		Drug Free Workplace Program		06/18/07
		Employee Handbook Acknowledgement Form		02/11/23
		Hepatitis B		09/6/07
		HIPAA Training		01/25/17
		Musculoskeletal Disorders		02/21/17
		New Hire Orientation & Benefits Training		3/6/14
		Orientation Reference Material		2/18/23
		Partnership Plan for Children in Out-of-Home Care		10/12/22
		Pre-Employment Drug Testing		05/27/09
		PREA Prison Rape Elimination Act Acknowledgement		05/05/16
		Reminder Slip		01/24/17
		Responsibility to Report Child, Adult ... Abuse and Neglect ...		02/21/17
		Retirement Plan Summary Description		06/18/07
		Personnel Responsibilities in the Use of Information Technology Resources		3/31/09
		Support to the Deaf and Hard of Hearing Training - DCF		03/17/18
		Transcript Request		1/09/24
		Urinalysis Screen		06/18/07
		Workman's Comp Procedures		12/15/14
	Government Form
		Florida New Hire Reporting Form		10/12/22
		I-9: Employment Eligibility Verification		10/12/22
		W4: Employee's Withholding Allowance Certificate		10/12/22
	Miscellaneous Forms
		Accommodation Log		2/6/23
		Corporate Compliance Letter		2/18/23
		Complaint Annual Analysis Form		7/14/22
		Issue Problem Identification Form		09/24/22
		Cultural Competency / Cultural Diversity		01/06/09
		Harassment Prevention&Prohibition Against Retaliation P-1296		7/7/21
		Equal Employment Opportunity/Affirmative Action Policy Statement P-1294		1/30/23
		Equal Employment Opportunity for Individuals with Disabilities and Protected Veterans P-1295		1/30/23
		Invitation to Self-Identify for Protected Veterans		7/7/21
		Invitation to Self-Identify for Individuals with Disabilities		7/7/21
		Involuntary Separation Memorandum		12/1/23
		Directions to LabCorp 3 Locations		3/17/14
		Domestic Partner Registration Form		10/16/13
		Domestic Partner Termination Form		10/16/13
		Person and Family Centered Planning		01/06/09
		Rights of Participants		07/14/08
		VALIC Letter		9/27/13
		Staff Emergency Contact Information - CDS		01/06/09
		Your Rights Under Section 504 of the Rehabilitation Act		01/31/11
		Your Rights Under the Americans with Disabilities Act		01/31/11

Personnel File:
	Personnel File Order of Contents			02/03/11

Selection Tools:
	Application for Employment			3/7/24
	Interview Summary Forms:
		Coordinator/Supervisor		11/30/09
		Counselor/Case Manager CINS/FINS		11/30/09
		Data Systems Analyst		02/08/16
		Fiscal Clerk		02/08/16
		House Manager/Cook		11/30/09
		Information Systems Specialist		02/08/16
		Nurse (RN)		08/26/15
		Prevention Specialist		11/30/09
		Prevention Specialist (Reichert House-Family Liaision)		11/30/09
		Resource Development Coordinator		11/30/09
		SNAP Case Manager		2/11/23
		SNAP Coordinator/Supervisor		2/11/23
		SNAP Facilitator		2/11/23
		Youth Care Worker (Interview Packet):
			Cover Letter	6/14/07
			Unusual Event Report Form	09/17/20
			Youth Care Worker Interview Summary	6/14/07
			Youth Care Worker Job Description	02/17/16
	Notice of Personnel Action			02/12/24
	Personal Reference Form			05/07/07
	Professional Reference Form			04/01/22
	Pre-Interview Questionnaire			05/07/07
	Resume/Application Checklist			06/09/07
	"Thank you" letter wording - Applicants not interviewed (copy and paste into appropriate Program Letterhead)			02/22/07
	"Thank you" letter wording - Applicants interviewed (copy and paste into appropriate Program Letterhead)			02/22/07

Staff Recognition:
	Esprit de Corps Nomination			5/25/10

Staff Training:
	Clinical Supervision - Group			7/15/2015
	Clinical Supervision - Individual			7/15/2015
	Clinical Supervision Log			09/22/08
	Staff Development/Training Plan			7/07/21
	Supervision and Utilization Tracking Note			09/22/08
	Training Documentation Log			09/22/08
	Training Documentation Log - CARF Modules			11/15/10
	Training Documentation Log - Group			02/18/09

Volunteer / Intern Forms:
	Acknowledgment Forms:
		Volunteer/Intern Handbook and NASW Code of Ethics		03/20/23
		Orientation		5/07/15
	Service Agreement			07/01/08

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