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Forms by Policy


Review DJJ forms by office or by subject. Forms are available for download in multiple file formats.

The Department's Forms Library stores all official agency forms, some miscellaneous informational documents, as well as provides links to other departments' forms that may be needed by DJJ employees. Forms listed on this page are directly related to the Department policy or procedure you were just viewing. Some policies do not have associated forms, in which case you will receive a message that says, "There are no items matching the selected criteria." Some forms have multiple format types that can be accessed by selecting the applicable icon found by the form name. 

If you wish to see all forms, sortable by subject matter or originating office, please visit the Forms Library. If you have problems accessing or finding any form contact the Department's Forms Coordinator for assistance.


Form Policy Form Number Effective Date Subject Office
Protective Action Response Performance Evaluation Contracted Facility Staff
ADSD-007
12/11/2006
Training Staff Development & Training
Youth Consent for Release of Substance Abuse Treatment Records
PDF
MHSA 013
08/01/2006
Mental Health and Substance Abuse Health Services
CVS Caremark (Prescription) Mail Order Form
PDF
P12-N
10/01/2014
Benefits Human Resources
Individual Health Care Record Checklist and Internal Quality Control
PDF
HS 017
01/01/2006
Health Services Health Services
Home Visit Plan Notification
PDF
Form RS 003
09/01/2006
Residential Services Residential Services
01/2019 DJJ Letterhead Template
01/08/2019
Communications Secretary's Office
Guidelines for Obtaining Parental Signature on the AET
HS 011
10/01/2006
Health Services Health Services
Annual Affidavit of Compliance with Level 2 Screening Standards
1800
IG-BSU-006
05/28/2019
New Hire Inspector General
OJJDP Contract Monitoring Procedures FDJJ 2000P
PDF
05/05/2010
Contracting Contracts
Dual Employment Authorization Request Outside State Government
1002.07
Attachment 1
05/28/2019
Human Resources Human Resources
Form Template
1001
Attachment 1
01/01/2006
Forms & Policy Development Program Accountability, Director's Office
Flexible Spending Account Reimbursement Request
PDF
01/01/2018
Benefits Human Resources
Request for Parent/Guardian Signature on the Authority for Evaluation and Treatment
HS 028
10/01/2006
Health Services Health Services
Statement of Authorization and Use of SSN of Employee
1700
Attachment 3
09/18/2009
Research and Data Integrity Research and Data Integrity
PCard Tax Form
PDF
04/30/2016
P-Card Finance and Accounting
Human Immunodeficiency Virus Youth Consent Form
PDF
HS 015
04/01/2010
Health Services Health Services
01/2019 DJJ Memo Template
01/08/2019
Communications Secretary's Office
Request Notification When Youth Ready for Release
PDF
Form RS 009
09/01/2006
Residential Services Residential Services
Volunteer Application Form
PDF
1003.17
04/22/2010
Volunteer Services Prevention & Victim Services
Episodic Care (First Aid/Emergency) Care Log
PDF
HS 009
10/01/2006
Health Services Health Services
Instructor Exemption
ADSD-20
12/15/2006
Training Staff Development & Training
Authorization to Incur Travel Expenses Instructions
PDF
1407.01
DFS AA-13 (Attachment A)
03/04/2015
Finance & Accounting Finance and Accounting
Affidavit of Diligent Effort
PDF
HS 056
01/01/2012
Health Services Health Services
Documentation of Non-Licensed Mental Health Clinical Staff Person’s Training in Assessment of Suicide Risk
PDF
MHSA 022
10/01/2007
Mental Health and Substance Abuse Health Services
Secretary's Forum Suggestion/Issue Form
04/10/2012
Human Resources Secretary's Office
Statement of Authorization and use of SSN of Parents
1700
Attachment 2
08/19/2009
Research and Data Integrity Research and Data Integrity
Health Discharge Summary - Transfer Note
PDF
HS 012
10/01/2006
Health Services Health Services
Lightning Loss Statement
PDF
1320
DFS-DI-855
10/31/2005
Property Management General Services - Support Services
PREA 1919 - Exhibit B - Acknowledgement Form
PDF
1919
Exhibit B
02/24/2014
PREA Residential Services
Collection and Usage of SSN Authorization
1700
Attachment 3
08/19/2009
Research and Data Integrity Research and Data Integrity
Budget Workbook for Internal Application
03/01/2019
Grants Prevention & Victim Services
Vehicle Request/Check-Out Form
1306
08/31/2017
Vehicles General Services - Support Services
Parental Notification of Health Related Care: Vaccinations/Immunizations
PDF
HS 022
02/01/2010
Health Services Health Services
Chronic Physical Health Conditions Roster
HS 004
10/01/2006
Health Services Health Services
Volunteer Services Evaluation of Assignment
1003.17
05/15/2018
Volunteer Services Prevention & Victim Services
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