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O R I E N T A T I O N A N D C E R T I F I C A T I O N F O R N E W H I R E / T R A N S F E R E E
E m p l o y e e N a m e ( p l e a s e p r i n t ) P e o p l e F i r s t I D F O R M T E X T F O R M T E X T O f f i c e O f f i c e L o c a t i o n C o s t C e n t e r F O R M T E X T F O R M T E X T F O R M T E X T S u p e r v i s o r N a m e ( p l e a s e p r i n t ) T i t l e P h o n e N o . F O R M T E X T F O R M T E X T
F e d e r a l a n d s t a t e l a w s , s t a t e r u l e s a n d / o r a g e n c y p r o c e d u r e s r e q u i r e c e r t a i n i n f o r m a t i o n b e p r o v i d e d t o a l l e m p l o y e e s a n d e a c h e m p l o y e e c e r t i f y i n w r i t i n g t h a t h e / s h e h a s received this information or had this information discussed with them. This information is provided in your New Hire/Transferee Packet. Your supervisor or other appropriate official must assist you with this as a part of your appointment process.
This form is to be completed and signed by both the employee and supervisor. It is the responsibility of the supervisor to forward this form along with the new employee packet, upon completion, to the Department of
Economic Opportunity, Human Resource Management. The completed form will become part of the official training records and will be filed in the employee's official personnel file. Our mailing address is Caldwell Building, 107 East Madison Street, Tallahassee, Florida, 32399-6545.
Type of Employment (Check One): SES/SMS FORMCHECKBOX Career Service FORMCHECKBOX
(Check your Response)
1.New Hire/Transfer Packet of personnel papers.Yes FORMCHECKBOX No FORMCHECKBOX 2.Initial welcome, introduction, office layout, working hours, parking.Yes FORMCHECKBOX No FORMCHECKBOX 3.Workstation, equipment, supplies.Yes FORMCHECKBOX No FORMCHECKBOX 4.Emergency procedures, emergency exits, location and use of fire extinguishers. HYPERLINK "http://intra/policies/gs/4.03_LossPreventionandSafetyPolicy.pdf" DEO Emergency Management Policy, #4.03)Yes FORMCHECKBOX No FORMCHECKBOX 5.Job description, performance standards, training and education, office mission.Yes FORMCHECKBOX No FORMCHECKBOX 6.Attendance and leave, HYPERLINK "https://www.flrules.org/gateway/ruleNo.asp?id=60L-34.004" Section 60L-34, Florida Administrative Code.Yes FORMCHECKBOX No FORMCHECKBOX 7.Office rules concerning confidentiality, security, telephone use, punctuality, service to clients.Yes FORMCHECKBOX No FORMCHECKBOX 8.Insurance and Benefits Plans (Enrollment must be made within 60 days of employment).Yes FORMCHECKBOX No FORMCHECKBOX 9. HYPERLINK "http://intra/policies/HRM/sexualharassmentpolicy2.04.pdf" DEO Sexual Harassment Policy #2.04 and Section 60L-36.004, Florida Administrative Code. (Ensure employee signs, dates and submits the Acknowledgement of Receipt form.)Yes FORMCHECKBOX No FORMCHECKBOX 10.Dual Employment within State Government. HYPERLINK "https://www.dms.myflorida.com/content/download/78906/458001/version/1/file/Dual+Employment+and+Dual+Compensation+Guideline+_05-2011_.pdf" https://www.dms.myflorida.com/content/download/78906/458001/version/1/file/Dual+Employment+and+Dual+Compensation+Guideline+_05-2011_.pdfYes FORMCHECKBOX No FORMCHECKBOX
11. HYPERLINK "http://intra/policies/Director/directives/policy_statements.pdf" DEO Drug-free Workplace Policy Directive.Yes FORMCHECKBOX No FORMCHECKBOX 12. HYPERLINK "http://www.dms.myflorida.com/media/people_first_ml/employee_assistance_program_information" Employee Assistance Program (EAP) Procedure.Yes FORMCHECKBOX No FORMCHECKBOX 13.Career Service Grievance Procedure and Appeals Process
HYPERLINK "http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0110/Sections/0110.227.html" (Section 110.227 (5)(a), Florida Statutes)Yes FORMCHECKBOX No FORMCHECKBOX 14. HYPERLINK "http://www.dol.gov/dol/topic/benefits-leave/fmla.htm" Federal Family and Medical Leave Act Yes FORMCHECKBOX No FORMCHECKBOX 15.Mandatory Use of Seat Belts/Safe Operations of Vehicle ( HYPERLINK "http://intra/policies/gs/awi_vehicles.pdf" DEO Assignment And Control of DEO Vehicles Policy, #4.06)Yes FORMCHECKBOX No FORMCHECKBOX 16.Disciplinary Standards HYPERLINK "https://www.flrules.org/gateway/readFile.asp?sid=0&type=1&tid=11365604&file=60L-36.005.doc" (Section 60L-36.005, Florida Administrative Code)Yes FORMCHECKBOX No FORMCHECKBOX 17.DEO Information Security Policy, HYPERLINK "https://sharepoint.deo.myflorida.com/policies/IT/DEO%20IT%20Definitions%20Policy_5.01.pdf" #5.01 and HYPERLINK "https://sharepoint.deo.myflorida.com/Policies/IS/6.01%20Information%20Security%20Program.pdf" #6.01.Yes FORMCHECKBOX No FORMCHECKBOX 18. HYPERLINK "https://www.myfrs.com/pdf/forms/cert.pdf" Florida Retirement System (FRS) - New Employee Certification FormYes FORMCHECKBOX No FORMCHECKBOX 19. HYPERLINK "https://floridajobs.org/docs/default-source/office-for-civil-rights/moa/tabs/2-a-english33.pdf?sfvrsn=f6a178b0_2" Equal Opportunity Is The Law noticeYes FORMCHECKBOX No FORMCHECKBOX 20. HYPERLINK "http://intra/policies/director/1.05%20Code%20of%20ethics.pdf" Code of Ethics, #1.05 (Ensurethe employee signs, dates, and submits the Pledge on Behalf of the People of Florida on page 2 of this policy.)Yes FORMCHECKBOX No FORMCHECKBOX 21. HYPERLINK "https://sharepoint.deo.myflorida.com/Pages/EAR_LandingPage.aspx" Employee Action RequestYes FORMCHECKBOX No FORMCHECKBOX 22. HYPERLINK "https://sharepoint.deo.myflorida.com/HRM/handbook/DEO_Employee_Handbook.pdf" DEO Employee HandbookYes FORMCHECKBOX No FORMCHECKBOX 23. HYPERLINK "http://intra/policies/Director/Policy%201.02.pdf" DEO Confidential Records Policy, #1.02Yes FORMCHECKBOX No FORMCHECKBOX 24. HYPERLINK "http://intra/policies/Director/Policy%201.03.pdf" DEO Political Activity Policy, #1.03Yes FORMCHECKBOX No FORMCHECKBOX 25. HYPERLINK "http://intra/policies/Director/Policy%201.06.pdf" DEO Processing Public Records Policy, # 1.06Yes FORMCHECKBOX No FORMCHECKBOX 26. HYPERLINK "http://intra/policies/HRM/210WorkRelatedInjuries.pdf" DEO Work Related Injuries Policy, # 2.10Yes FORMCHECKBOX No FORMCHECKBOX 27. HYPERLINK "https://sharepoint.deo.myflorida.com/Policies/FM/Finan_Man/Travel%20Policy%203.05.pdf" DEO Travel Policy, # 3.05Yes FORMCHECKBOX No FORMCHECKBOX 28. HYPERLINK "https://sharepoint.deo.myflorida.com/Policies/FM/Finan_Man/PCard%20Policy.pdf" DEO P-Card Policy, # 3.06Yes FORMCHECKBOX No FORMCHECKBOX 29. HYPERLINK "http://intra/policies/Director/1.07%20Code%20of%20responsbility.pdf" DEO Code of Personal Responsibility, # 1.07 (Ensureemployee signs, dates, and submits the Policy Acknowledgement Form and Pledge on Behalf of the People of Florida on page 28 of this policy.)Yes FORMCHECKBOX No FORMCHECKBOX 30. HYPERLINK "https://sharepoint.deo.myflorida.com/policies/Director/directives/policystatement_nondiscrim.pdf" DEO Policy Statement on NondiscriminationYes FORMCHECKBOX No FORMCHECKBOX 31. HYPERLINK "https://sharepoint.deo.myflorida.com/policies/IT/5.10_MDM_Policy.pdf" Mobile Device ManagementYes FORMCHECKBOX No FORMCHECKBOX
USE OF SOCIAL SECURITY NUMBER
All state employee personnel records contain social security numbers because it is imperative for us to be able to identify state employees properly and definitively. The statewide accounting system FLAIR requires social security numbers to be entered in order for disbursement of funds. The system has utilized social security numbers to identify individuals by taxpayer ID number. DEO may also use your social security number to conduct a criminal history background check, if applicable, in accordance with Chapter 110, F.S. and in filing reports required by the Division of Workers Compensation. Your social security number may be used for any other purpose specifically required or authorized by state or federal law.
EMPLOYEE CERTIFICATION
My supervisor has reviewed the departments policies at HYPERLINK "https://sharepoint.deo.myflorida.com/Pages/DEO-Policies.aspx" https://sharepoint.deo.myflorida.com/Pages/DEO-Policies.aspx with me.
Signature Date
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I have discussed the above items with this employee and will provide assistance to this employee.
Signature Date
DEO HRM-8 (07/21)
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