DJJ BUREAU OF PERSONNEL – (PERSONNEL ACTION REQUEST (PAR) CHECKLIST) EMPLOYEE NAME: __________________________________________ POSITION NUMBER: ____________________________ SUPERVISOR NAME: ______________________________________________ PAR NUMBER: ________________________ EMPLOYEE PF ID # (if applicable): _______________ OFFICIAL CLASS TITLE: ___________________________________________________ PERSON SUBMITTING DOCUMENTS: ______________________________________________ (PHONE #):_______________________ DATE SENT: ____________________________ PRINT NAME ORIGINAL APPOINTMENT/NEW TO DJJ HR/PAR LIAISON DOCUMENTS SUBMIT TO CONTINUE – HR/PAR LIAISON DOCUMENTS CONTINUE – HR/PAR LIAISON DOCUMENTS MANAGER COMPLETE/VERIFY PF SCREENS HR-TALLAHASSEE SUBMIT TO HR-TALLAHASSEE SUBMIT TO HR-TALLAHASSEE Required Info Prior to Initiating PAR Documents are submitted to PAR Liaison – PAR RECRUITMENT/SELECTION DOCUMENTS LATERAL, REASSIGNMENT, OPS to OPS __ Copy of the Advertisement __ Memo to employee (Admin. Movement or Request Liaison Submits to Bureau of Personnel  Background Screening Result __ Copy of Position Description (Used in Selection) From Employee) New Hire Package Forms should be obtained from  Check BSU for Prior Screening __ Copy of managers qualifying questions & responses __ Letter of Offer ( position advertised) DJJ Intranet- Forms Library or From the Bureau of  Drug Screening Results __ Copy of Requisition applicants (all applicants that __ Application/Affidavit of Application(Direct Care Personnel Tab on DJJ Intranet Site  Ergometric Testing Results (Only Direct Care Staff) submitted applications) Position) (Career Service Movement if Position  Copy of Employee Social Security Card __ Selection criteria (applications, ranking/rating info, Advertised)  Inquire if employee has a People First User ID interview questions/answers, work samples, willingness __ Recruitment/Selection Documents (If Position NEW HIRE TO THE AGENCY DOCUMENTS number; (worked for a state agency, university, questionnaires, supplemental applications, written test, Advertised, Column 3) (Please submit documents in order as listed) retiree) etc.,) any and all that were used in the selection process __ Check for Performance Close-Out (see Matrix) on each applicant interviewed; confirm ineligible vets. __ PAR Checklist Initiate PAR DEMOTIONS __ DJJ Interview Rating Form (Req. & Pos. #) __ Copy of Letter of Offer (Employment)  Include in comment section of PAR – Justification for VOLUNTARY: __ Any Correspondence __ State of Florida Employment Application/Resume appointment of applicant- CS/SES/SMS __ Application/Resume __ Provide Justification for Selected Candidate __ Affidavit of Application (Direct Care Staff Only)  Justification for salary appointment above the __ Affidavit of Application (Direct Care Only) __ Copy of Education/Certificates/License minimum __ Copy of Education (New to the Class) STATUS CHANGE (PAR)(Permanent Status) __ Copy of DD214 (If Applicable) __ Certificates/License (New to the Class) __ Confirm w/Manager that Perf Eval was completed __ Selective Service Registration (go to www.sss.gov) __ Employee Verification/Reference Check (If __ Complete a Status Change PAR __ Criminal History Acknowledgement (PREA) REQUIRED INFO FOR PAR SCREENS Applicable) __ Extension of Probation – Notify BOP via PAR Checklist __ Employment Verification/Reference Checks Manager Completes/Audits: __ Memo to or from employee Extension Dates: From _______ To _______ __ Ergometric Results & Non-Disclosure Document __ Name must match the Social Security Card __ Drug Screening Results (Only Direct Care Staff) __ Social Security Number, Gender, Date of Birth Date submitted ________ Date Completed___________ PROMOTION __ Collection/Usage of Social Security Number __ Home Address __ Check for Performance Close-Out __ Copy of Letter of Offer __ Completed I-9 and Documentations __ Appointment Status (including OPS, if applicable) INVOLUNTARY DEMOTION: __ Application/Resume __ Background Screening results __ EEO/Veteran’s Status __ Copy of letter of appointment Date Submitted ________ Date Completed __________ __ Affidavit of Application (Direct Care Only) __ Work Contact/DJJ Email Address __ Other documents to support action __ Copy of Education __ Applicant Drug Testing Consent (Employee Signed) __ Key Service Dates (View Only) __ Check for Performance Close-Out __ Certificates/License __ Drug Screening Results __ DROP/Retirement (View Only) __ Ergometric Results & Non-Disclosure Document Date Submitted ________Date Completed __________ SUSPENSION & RETURN FROM SUSPENSION __ Pay Info (View Only) (Only Direct Care Staff) __ Oath of Loyalty & DJJ Handbook Receipt __ Authorization to Suspend __ Driver’s License (required on position description)* __ Employment Verification/Reference Checks __ Statement of Personal Responsibility Policy Receipt __ Letter of Suspension __ Employee Education* __ Selective Service Registration __ Drug-Free Workplace Policy/Statement Receipt __ Suspension PAR and Timesheet Completed Timely __ Professional Licenses and Certifications (includes __ Drug Screening Results (Direct Care Staff Only) __ Violence In the Workplace Policy Receipt __ PAR Return From Suspension Selective Service Registration)* Date submitted _________ Date Completed__________ __ Sexual Harassment Policy Receipt __ Assign Property (optional)* __ Recruitment/Selection Documents (See Above) __ Internet Access User Agreement Receipt TERMINATION __ Check for Performance Close-Out __ Public Record Disclosure Exemption __ Resignation Letter/Acceptance Documentation Employee Completes: __ Florida Retirement Certification (FRS) Form __ Final Dismissal Letter and all Supporting Documents __ Employee Phone Number __ Driver’s License Check Results (Must be on for the Dismissal (Submit to HQ Representative; CS TO SES, SES TO CS, SES to SES, OPS TO CS OR SES __ Emergency Contact Position Description) they will provide to BOP) __ Copy of Letter of Offer __ Employee Language __ OPS Health Benefits Signed Receipt – (OPS Only) __ Ensure Timesheets Submitted & Approved for the __ Application/Resume __ W-4 __ Provide Biweekly Payroll Schedule Pay Period of the Separation After Acting Upon and __ Affidavit of application (Direct Care only) __ Provide New Employee Checklist Summary Completing the PAR. __ Copy of Education (New to the Class) __ Provide EE Code of Ethics/Personal Responsibility __ Complete Employee Notice Of Separation (SNS __ Certificates/License (New to the Class) __ Provide Employee Handbook System Manager Desk Top) __ Ergometric Results & Non-Disclosure Document *Screens are not in the initial on boarding PAR __ Provide OPS Information Sheet (OPS ONLY) __ Complete Employee Separation Form (To be (Only Direct Care Staff) screens. Screens are completed after completion of __ Provide FAQs for OPS Employees (OPS Only) completed by separating employee’s immediate __ Selective Service Registration the PAR. __ Bencor 401(A) Plan Summary for OPS (OPS Only) Supervisor) __ Employment Verification/Reference Checks __ Provide Completed Copy of Employee Separation __ Drug Screening Results (Direct Care Staff Only) Form To Employee Date submitted _________ Date Completed__________ __ Network User Account Deletion Form (Provide to __ Recruitment/Selection Documents (See Above) MIS Staff) __ Check for Performance Close-Out __ Check for Performance Close-Out Revised 10/2/14