Justice Administrative Commission

Employee Forms

• Dual Employment & Dual Compensation Request Form  MS Word DOC     - State of Florida Dual Employment & Dual Compensation Request form

• Fillable Employment Authorization Form - REV. 07/13/2021  PDF     - Employment Authorization form

• W-4 Form - REV. 01/01/2024  PDF     - IRS Employment form

• I-9 Form - REV. 08/01/2023  PDF     - Form I-9 Employment Eligibility Verification form (link to www.uscis.gov) REV. 08/01/2023

• W-9 Form  PDF     - Certifying Tax ID Status for Beneficiary

• Beneficiary Affidavit  MS Excel XLS     - Statement of Beneficiary

• Florida Retirement System Employee Certification Form - REV. 08/09/2022  PDF     - Florida Retirement System Employee Certification Form for new employees. REV. 08/09/2022

• OPS APPOINTMENT - REV. 03/10/2022  PDF     - Appointment form for new hire OPS employees.

• New Hire Insurance Waiver Form  PDF     - Insurance Waiver Form for New Hires at JAC

• Health Insurance Marketplace Form  PDF     - Health Insurance Marketplace Form

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. 11/14/2022  PDF     - fillable form for Position Descriptions (2022)

• Non-Cash Fringe Benefits Form  MS Excel XLS     - blank Excel form for Non-Cash Fringe Benefits

• Request to Fill Vacancy Form Instructions  PDF     - State of Florida - Request to Fill Vacancy form Instructions for all Offices Updated 05/15/23

• Request to Fill Vacancy Form  PDF   MS Word DOC   - State of Florida - Request to Fill Vacancy form for all Offices Rev. 05/12/2023

• Request to Fill Vacancy Form - GAL (legal advertisements)  PDF   MS Word DOC   - State of Florida - Request to Fill Vacancy form for GAL (legal advertisements) Rev. 05/12/2023