jac banner

Human Resources Forms


Employee Forms

 
  • Dual Employment & Dual Compensation Request Form  MS Word DOC     - State of Florida Dual Employment & Dual Compensation Request form
  • Employee Direct Deposit Form - REV. 2/2015  PDF     - Employees are required to use Direct Deposit.
  • W-4 Form  PDF     - Employment form
  • I-9 Form - REV. 07/18/17  PDF     - Form I-9 Employment Eligibility Verification form
  • W-9 Form  PDF     - Certifying Tax ID Status for Beneficiary
  • Beneficiary Affidavit  MS Excel XLS     - Statement of Beneficiary
  • FRS New Employee Certification Form - REV. 08/16/17  PDF     - Florida Retirement System Certification form for new employees New
  • OPS APPOINTMENT - REV. 12/06/16  PDF     - Appointment form for new hire OPS employees.
  • New Hire Insurance Waiver Form  PDF     - Insurance Waiver Form for New Hires at JAC

Office Forms

 
  • Affidavit for Duplicate Warrant  PDF     - DFS Affidavit for Duplicate Warrant
  • Safety Coordinator Appointment Form  PDF     - Safety/Security - Risk Management
  • Position Description Form - REV. 11/01/16  PDF     - fillable form for Position Descriptions (2016)
  • Non-Cash Fringe Benefits Form  MS Excel XLS     - blank Excel form for Non-Cash Fringe Benefits
  • Request to Fill Vacancy Form  PDF   MS Word DOC   - State of Florida - Request to Fill Vacancy form for all Offices New
  • Request to Fill Vacancy Form - GAL (legal advertisements)    MS Word DOC   - State of Florida - Request to Fill Vacancy form for GAL (legal advertisements) New

**  PDF files may be viewed with the latest free Adobe Acrobat Reader® plug-in. 

**  denotes a link that opens in a new browser window.