The North Carolina Department of Juvenile Justice and Delinquency Prevention
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Services by County
   
   
North Carolina Government At Your Service
 
Departmental Policies

acrobat icon Departmental Policy Definitions
   
  Web References
webpage North Carolina Administrative Code
webpage DJJDP Program Records Retention and Disposition Schedule
webpage The General Schedule for State Agency Records


expand(07) Written Policy System
acrobat icon Written Policy System
acrobat icon Implementation Memo
  Microsoft Word Document Use of Force Implementation Memorandum
  acrobat icon Form DJJDP7 002 — Propose, Amend, Revise,
or Repeal a Policy
  acrobat icon Form DJJDP7 003 — Model Policy Format
  acrobat icon Form DJJDP7 004 — Division, Section, Unit Abbreviations/Prefixes for Policy Numbering
  acrobat icon Form DJJDP7 005 — Policy Training Record
  Microsoft Word Document Flowchart A: Proposing Policy
  Microsoft Word Document Flowchart B: Policy Designation
  Microsoft Word Document Flowchart C: Developing Departmental Policy
  Microsoft Word Document Flowchart D: Developing Multi-division Policy
  Microsoft Word Document Flowchart E: Developing Division Policy
  Microsoft Word Document Flowchart F: Distributing Policy
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expand(09) Telephone
acrobat icon Telephone Policy
acrobat icon Implementation Memo
  acrobat icon Form DJJDP9 001 — Mobile Telephone Usage Agreement
  Microsoft Word Document Form DJJDP9 002 — Mobile Telephone/Accessory Request Form
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expand(11) Safety Policies and Procedures
Microsoft Word Document Implementation Memo
acrobat icon DJJDP 11 Safety and Health Program
Microsoft Word Document Form SE 001 A. Facility Safety and
Health Committee Report
Microsoft Word Document Form SE 002 B. Safety and Health
Committee Meeting Minutes
acrobat icon DJJDP 11/SE 1 Access to Staff Medical and Exposure Records
acrobat icon DJJDP 11/SE 2 Supervisor Accident/ Incident Investigations
Microsoft Word Document Form SE 008 A Supervisor's Accident Investigation Form
acrobat icon DJJDP 11/SE 3 Housekeeping
acrobat icon DJJDP 11/SE 4 First Aid
acrobat icon DJJDP 11/SE 5 Office Ergonomics
acrobat icon Form SE 049, Intial Report of Accident/Injury
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Microsoft Word Document State-Owned, Department-Operated Facility Policy
(All Staff in State-owned, Department-operated facilities must read)
acrobat icon DJJDP 11/SE 6 Emergency Evacuation and Fire Prevention Plans
Microsoft Word Document Form SE 022 A. Emergency Evacuation Plan Elements
Microsoft Word Document Form SE 023 B. Fire Prevention Plan Elements
Microsoft Word Document Form SE 024 C. Emergency Evacuation Plan Template
acrobat icon DJJDP 11/SE 7 Emergency Drills
acrobat icon DJJDP 11/SE 8 Imminent Danger
acrobat icon DJJDP 11/SE 9 Accident Prevention Signs and Tags and Safety Color Marking for Hazards
acrobat icon Form SE 014 A. Accident Prevention Signs and Tags Decision Tree
acrobat icon DJJDP 11/SE 10 Regulatory Agency Visits
acrobat icon DJJDP 11/SE 11 Safety and Health Inspections
Microsoft Word Document Form SE 005 A. Exiting and Exit Door Compliance Checklist
Microsoft Word Document Form SE 006 B. Safety and Health Assessment Checklist
Microsoft Word Document Form SE 007 C. Building / Office Safety Inspection Checklist
acrobat icon DJJDP 11/SE 12 Hazard Communication
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Microsoft Word Document (All Supervisors in State-owned, Department-operated facilities must read)
acrobat icon DJJDP 11/SE 13 Job Safety Analysis
Microsoft Word Document Form SE 027 A. Job Safety Analysis Form
Microsoft Word Document Form SE 028 B. Task Analysis Form
acrobat icon DJJDP 11/SE 14 Safety and Health Training
acrobat icon Form SE 003 A. NC OSHA Training Requirements
Microsoft Word Document Form SE 004 B. Safety and Health Training Matrix
acrobat icon DJJDP 11/SE 15 Sanitation
Microsoft Word Document Form SE 010 A. Construction/Demolition Site Sanitation Checklist
acrobat icon DJJDP 11/SE 16 Hazard Assessments
Microsoft Word Document Form SE 011 Hazard Assessment Checklist
Microsoft Word Document Form SE 012 Hazard Analysis Form
acrobat icon DJJDP 11/SE 17 Respiratory Protection
Microsoft Word Document Form SE 029 A. Sample Respirator Inspection Record
Microsoft Word Document Form SE 030 B. Site Specific Required Respirator Use
acrobat icon Form SE 048 C. (Mandatory) Information for Employees Using Respirators When Not Required Under Standard
acrobat icon DJJDP 11/SE 18 Fire Safety Requirements
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Microsoft Word Document (All Purchasing Staff in State-owned,
Department-operated facilities must read)
acrobat icon DJJDP 11/SE 19 Purchase Approval Requirements for Safety and Health
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Microsoft Word Document (All Maintenance Staff in State-owned, Department-operated
facilities must read)
acrobat icon DJJDP 11/SE 20 Hearing Conservation
Microsoft Word Document Form SE 013 Sample Notification Letter to Employees
acrobat icon DJJDP 11/SE 21 Pesticide Exposure Prevention
acrobat icon DJJDP 11/SE 22 Machine Guarding
Microsoft Word Document Form SE 016 Machine Guarding Needs Checklist
acrobat icon DJJDP 11/SE 23 Powered Industrial Vehicles
Microsoft Word Document Form SE 015 A. Powered Industrial Truck Daily Inspection Checklist
acrobat icon DJJDP 11/SE 24 Compressed Gas Cylinders
Microsoft Word Document Form SE 017 A. Handling, Using, and Storing of Compressed Gas Cylinders
acrobat icon DJJDP 11/SE 25 Asbestos Exposure Control
Microsoft Word Document Form SE 018 A. Work Request For Asbestos-Related Projects
acrobat icon DJJDP 11/SE 26 Fall Protection
acrobat icon DJJDP 11/SE 27 Ladders, Workstands, and Scaffolds
Microsoft Word Document Form SE 019 A. Ladder Safety Checklist
acrobat icon DJJDP 11/SE 28 Electrical Safety
Microsoft Word Document Attachment A. Approach Distances for Qualified Workers, Alternating Current
Microsoft Word Document Attachment B. Specific Types of Work Practices
Microsoft Word Document Form SE 020 C. Electrical Inspection Checklist
Microsoft Word Document Attachment D. Classified Locations
Microsoft Word Document Form SE 021 E. Electrical Related Safe Work Practices Program Checklist
acrobat icon DJJDP 11/SE 29 Welding Safety
Microsoft Word Document Form SE 047 Hot Work Permit
acrobat icon DJJDP 11/SE 30 Cranes, Hoists and Slings
acrobat icon DJJDP 11/SE 31 Non-Powered Tool Safety
acrobat icon DJJDP 11/SE 32 Powered and Hydraulic Machines
acrobat icon DJJDP 11/SE 33 Excavation and Trenching Safety
Microsoft Word Document Form SE 025 Job Reminder Checklist
Microsoft Word Document Form SE 026 Excavation Evaluation
Microsoft Word Document Attachment Competent Person Guide to an NCOSH Inspection
acrobat icon DJJDP 11/SE 34 Grounds Maintenance
acrobat icon DJJDP 11/SE 35 Confined Space Entry
Microsoft Word Document Form SE 032 A. Confined Space Classification Table
Microsoft Word Document Form SE 033 B. Atmospheric Testing Procedures
Microsoft Word Document Form SE 034 C. Confined Space Entry Permit
Microsoft Word Document Form SE 035 D. Confined Space Entry Definitions
acrobat icon DJJDP 11/SE 36 Lockout/Tagout
Microsoft Word Document Form SE 036 A. Lockout/Tagout, Evaluation
Microsoft Word Document Form SE 037 B. Lockout/Tagout, Multiple Energy Sources
Microsoft Word Document Form SE 038 C. Lockout/Tagout, Multiple Energy Sources Form
Microsoft Word Document Form SE 039 D. Lockout/Tagout, Inspections
Microsoft Word Document Form SE 040 E. Lockout/Tagout, Group Lockout/Tagout
Microsoft Word Document Form SE 041 F. Lockout/Tagout, Removal Justification
Microsoft Word Document Form SE 042 G. Lockout/Tagout, Tagout System Justification
Microsoft Word Document Form SE 043 H. Lockout/Tagout, Hazardous Energy Control Procedural Posting
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Microsoft Word Document (All Youth Development Center and Detention Center staff must read)
acrobat icon DJJDP 11/SE 37 Personal Protective Equipment
Microsoft Word Document Attachment A. OSHA's Occupation Specific Suggested PPE
Microsoft Word Document Attachment B. Filter Lenses For Protection Against Radiant Energy
Microsoft Word Document Attachment C. Eye and Face Protection Selection Chart
Microsoft Word Document Attachment D. Glove Selection Chart
Microsoft Word Document Attachment E. PPE Selected Equipment
   
Microsoft Word Document (All Safety, Health, and Emergency Management Office staff must read)
acrobat icon DJJDP 11/SE 38 Review of New Construction and Renovation
acrobat icon DJJDP 11/SE 39 Indoor Air Quality
acrobat icon DJJDP 11/SE 40 Environment, Health and Safety Loss Control
acrobat icon DJJDP 11/SE 41 Industrial Hygiene
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expand(12) Website Publishing Policy
acrobat icon Website Publishing Policy
acrobat icon Implementation Memo
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expand(13) Ethical Conduct: Code of Ethics
acrobat icon Ethical Conduct: Code of Ethics Policy
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expand(14) Research Proposal Policy
acrobat icon DJJDP 14, Research and Data Requests
acrobat icon DJJDP 14, RS 1.1, Formal Research and Data Requests
acrobat icon DJJDP 14 RS 1.2, Informal Research and Data Requests
acrobat icon Implementation Memo
  acrobat icon Form DJJDP14 RS 001, Research Proposal
  acrobat icon Form DJJDP14 RS 002, Agreement to Conduct Research
  acrobat icon Form DJJDP14 RS 003, Pledge of Research Confidentiality 
and Ethical Behavior
  acrobat icon Form DJJDP14 RS 004, Guidelines: Developing Informed Consent/Assent
acrobat icon Glossary for Information Technology Policies
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expand(16) Human Resources
acrobat icon Memo Implementation Plan Memo
acrobat icon DJJDP 16/HR 1.1 Equal Employment Opportunity Policy and Plan
  acrobat iconEqual Employment Opportunity Policy Statement (signed: 04/06/09)
acrobat icon DJJDP 16/HR 1.2 Unlawful Workplace Harassment (Signed: 05/15/09)
  acrobat iconUnlawful Workplace Harassment Policy Statement (Signed: 05/15/09)
  acrobat icon HR 1.2 Old vs New Policy Comparison Spreadsheet
acrobat icon DJJDP 16/HR 1.3 Americans with Disabilities Act
acrobat icon DJJDP 16/HR 1.4 Disabilities Review Procedure
acrobat icon DJJDP 16/HR 2.1 Employment Process
(Criminal Justice and Non-Criminal Justice)
acrobat icon DJJDP 16/HR 2.2 Posting and Listing Vacancies
acrobat icon DJJDP 16/HR 2.3 Merit Based Recruitment and Selection Plan
acrobat icon DJJDP 16/HR 2.4 Notification of Recruitment/Selection
Outcome to Applicants
acrobat icon DJJDP 16/HR 3.1 Personal Services Contracts
acrobat icon DJJDP 16/HR 3.3 Secondary Employment
acrobat icon DJJDP 16/HR 3.4 Telework Policy
acrobat icon DJJDP 16/HR 3.6 Model Co-op Education
acrobat icon DJJDP 16/HR 5.3 In Range Salary Adjustment
acrobat icon DJJDP 16/HR 8.1 Workplace Violence Prevention
acrobat icon DJJDP 16/HR 8.2 Alcohol and Drug Free Workplace
acrobat icon DJJDP 16/HR 8.5 Tuberculosis Screening
acrobat icon DJJDP 16/HR 9.1 Disciplinary Action Guidelines for SPA Employees
acrobat icon DJJDP 16/HR 9.2 Employee Mediation and Grievance
acrobat icon DJJDP 16/HR 10.1 Reduction-in-Force Policy for SPA Employees
acrobat icon DJJDP 16/HR 10.2 Reduction-in-Force Policy for Educators
acrobat icon DJJDP 16/HR 11.1 General Policy for Staff Development and Training
acrobat icon DJJDP 16/HR 11.2 Criminal History Checks
acrobat icon DJJDP 16/HR 11.3 Academic Assistance Policy
acrobat icon DJJDP 16, HR 11.4 Employee Assistance Program
word icon List of previous DJJDP HR policies & relevant OSP Policy to rely upon
   
  Human Resource Forms
acrobat icon HR 1.3 001 Sample Letter to Physician to Request Medical Information
acrobat icon HR 1.3 002 Request for Reasonable Accommodation
acrobat icon HR 1.3 003 Quarterly Accommodation Report
acrobat icon HR 1.3 004 Request for Reasonable Accommodation for Mandatory Criminal Justice Training
acrobat icon HR 1.3 005 Americans With Disabilities Checklist
acrobat icon HR 2.3 001 Recruitment and Selection Checklist
acrobat icon HR 2.3 002 Reference List of Policies Applicable to Merit Based Recruitment and Selection Plan
acrobat icon HR 2.3 003 Recruitment Selection Documentation
acrobat icon HR 2.3 004 Recruitment/Selection Documentation Request for Career-Banding Posting
acrobat icon HR 2.4 001 Sample Letter for Applicants Selected for an Interview
acrobat icon HR 2.4 002 Sample Letter for Applicants Not Selected for an Interview
acrobat icon HR 3.1 001 Sample Personal Services Contract
acrobat icon HR 3.2 001 Sample Letter Requesting Dual Employment
acrobat icon HR 3.2 002 Sample Letter Granting Dual Employment
acrobat icon HR CP-30 Request for Approval of Dual Employment
(The Dual Employment Certification Form is available at http://www.ncosc.net/BEST/support/forms_py.html)
acrobat icon HR 3.3 001 Request and Approval of Secondary Employment Form
acrobat icon HR 5.2 001 Probationary/Trainee Evaluation & Recommendation Form (Created August 2010) Entry-Friendly
acrobat icon HR 5.11 001 Request for Establishment of a New Position / New Position Classification Review Form
acrobat icon HR 5.11 002 Request for Temporary/Time Limited Approval and HR 5.11 002A, Request to Post, must be submitted together. (Entry-Friendly Form Created April 2010)
acrobat icon HR PD-0SS-93 Position Description Form
acrobat icon HR PD-102R Position Description Form
acrobat icon HR 6.3 005 Leave Kit
acrobat icon HR 6.3 006 Employee Leave Application
acrobat icon HR 6.3 007 Medical Certification Form (Revised August 2010); Hard copy only
acrobat icon HR WH-380 U.S. Department of Labor Form
acrobat icon HR 6.5 001 VSL Program Application Release Form (Revised August 2010); Hard copy only
acrobat icon HR 6.5 002 VSL Donor Information Sheet
acrobat icon HR 6.5 003 VSL Donation Form
acrobat icon HR 6.8 001 Position Classifications Designated as Essential Employees
acrobat icon HR 6.11 001 Request and Approval for LWOP Form

HR 6.11 002 Personnel Action Request (PAR) Forms

HR 6.11 002 (a): PAR Form (Revised Oct 2009)
acrobat iconHard Copy -- Microsoft Word DocumentTemplate
PAR Form (b): Separation & Leave of Absence (LOA) Request
(Revised Oct 2009)
acrobat iconHard Copy -- Microsoft Word DocumentTemplate
acrobat icon HR 6.11 003 Docking Form
acrobat icon HR 8.1 002 Workplace Violence Incident Report
acrobat icon HR 8.1 003 Workplace Violence Hazard Assessment Form
acrobat icon HR 8.1 004 Workplace Violence Post-Incident Report
acrobat icon HR 8.2 002 Employee Consent and Acknowledgement for
Alcohol and Drug Testing
acrobat icon HR 8.2 003 Criminal Justice Applicant Consent and Acknowledgement for Alcohol and Drug Testing
acrobat icon HR 8.2 004 Reasonable Suspicion Testing Checklist
acrobat icon HR 8.2 005 Consent for Release of Alcohol and Drug Misuse and Testing Data for CDL Drivers
acrobat icon HR 8.2 006 Sample Drug Test Result Notification Letter
acrobat icon HR 8.2 007 Specimen Collection and Special Result Procedures
acrobat icon HR 8.2 008 Requirements for Commercial Drivers License Employees
acrobat icon HR 8.2 009 Procedures for Criminal Justice Certified Pre-Employment Drug Testing Requirements
acrobat icon HR 8.2 010 Two-Year and Five Year Records Maintenance Schedule
acrobat icon HR 8.4 001 General Personal Protective Equipment Guide
acrobat icon HR 8.5 001 Employee TB Skin Test Record

HR 9.2 002 Grievance Form
acrobat iconHard Copy -- Microsoft Word DocumentTemplate
acrobat icon HR 9.2 003 OAH EEOC Contested Case Procedure Instructions
acrobat icon HR 11.2 001 (formerly STDV 007) Criminal Justice Certification Screening Procedures (Revised June 2010)
acrobat icon HR 11.2 002 Diana® Screen Consent (Created June 2010)
acrobat icon HR 11.2 003 (formerly STDV 006) Criminal History Record and Registry Checks request (Revised July 2010)
acrobat icon HR 11.3 001 Sample Academic Assistance Letter
acrobat icon HR CDL-8 Division of Motor Vehicle Positive Drug Test
Report for Current Employee
   
acrobat icon STDV 006Criminal History Record and Registry Checks Request (Replaced by HR 11.2 003 as of July 2010)
acrobat icon STDV 007 Criminal Justice Screening Procedures (Replaced by HR 11.2 001 as of June 2010)
acrobat icon STDV 008 In-Service Participant Reaction/Evaluation Form
acrobat icon STDV 009 In-Service Training Record Form
acrobat icon STDV 011 New Employee Orientation Checklist
acrobat icon STDV 013 Instructor Candidate Application Form
acrobat icon STDV 014 Instructor Memorandum of Agreement
acrobat icon STDV 016 Request for Change in Basic Training Schedule
acrobat icon STDV 017 Field Training Officer Checklist
acrobat icon STDV 018 Basic Training Incident Report
word icon STDV 019 Employee Criminal History Record Check Consent
acrobat icon HR PD-136 Application for Academic Assistance
acrobat icon Human Resources Policy Definitions
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expand(17) Investigations
acrobat icon DJJDP 17, Investigations (REPEALED)
     
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expand(18) Suicide Prevention
acrobat icon DJJDP 18 Suicide Prevention: Identifying, Communicating, and Providing Prevention Services for Juveniles At-Risk of Committing Suicide policy with Attachments
acrobat icon Form YD 071 Progress Notes
acrobat icon Form DJJDP18 001 Suicide Risk Screening
acrobat icon Form DJJDP18 002 Self-Harm Prevention Orders
acrobat icon DJJDP 18.1 Suicide Prevention: Suicide Attempts policy with Attachments
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  Suicide Prevention Policy Training
For Suicide Policy Trainers
powerpoint file PowerPoint Presentation Suicide Prevention Policy Training
(DJJDP 18 & 18.1)
Microsoft Word Document Pre-Test Gauge New Policy Knowledge Base Prior to Training
Microsoft Word Document Post-Test Gauge New Policy Knowledge Base After Training
Microsoft Word Document Handout NC DJJDP Suicide Prevention Policy Comparison of Suicide Watch and Suicide Alert
Microsoft Word Document Handout Flowchart: Securing Juvenile Suicide Prevention Services
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spacer Research and Reference Materials
powerpoint file PowerPoint Presentation Juvenile Suicide in Confinement: A National Perspective; Hayes, Lindsay, National Center on Institutions and Alternatives: May 1, 2006.
powerpoint file PowerPoint Presentation NC DJJDP Suicide and the Juvenile Justice System
powerpoint file PowerPoint Presentation Licensed Mental Health Clinician Protocol Training
acrobat icon Handout Licensed Mental Health Clinician Protocol Document
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expand(20) Fiscal Policies
acrobat icon DJJDP 20/FS 4, Contract Monitoring Requirements and Procedures
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acrobat icon FS/TV 1 Uniform Travel for State Employees
acrobat icon FS/TV 2 Uniform Travel for Non-State Employees
acrobat icon FS/TV 3 Travel Authorization
acrobat icon FS/TV 4 Travel Advances
acrobat icon FS/TV 5 Travel Reimbursement
acrobat icon FS/TV 6 Use of State Owned Vehicle
acrobat icon FS/TV 7 Use of Personal Vehicle
acrobat icon FS/TV 8 Uniform Travel Policy: Conferences, Seminars, Workshops, Training Sessions and Retreats
acrobat icon FS/TV 9 Conference Sponsorship Authorization Policy
acrobat icon FS/TV 10 Uniform Travel Policy for Members of State Boards, Commissions, Committees and Councils
acrobat icon FS/TV 11 Uniform Travel Policy for State Officials
acrobat icon Fixed Assets Table of Contents
acrobat icon FS/FA 1 Fixed Assets
acrobat icon Purchasing Service Contracts Table of Contents
acrobat icon FS/PU 1 Purchasing Service Contracts
acrobat icon Purchasing Commodities Contracts Table of Contents
acrobat icon FS/PU 2 Purchasing Commodities Contracts
Microsoft Word Document Cash Management Plan
acrobat icon Fiscal Policies Definitions
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spacer Travel Forms
acrobat icon Instructions for FS 1 Travel Authorization
acrobat icon FS 1 Travel Authorization
acrobat icon Instructions for FS 2 Travel Reimbursement
excel file FS 2 Travel Reimbursement
acrobat icon Instructions for FS 3 Travel Advances
acrobat icon FS 3 Travel Advances
acrobat icon Instructions for FS 4 Request to Sponsor or Co-sponsor Conference, Workshop, Seminar or Training Event
excel file FS 4 Request to Sponsor or Co-sponsor Conference, Workshop, Seminar or Training Event
  Instructions for FS 5 Authorization for Use of Personal Vehicle
  FS 5 Authorization for Use of Personal Vehicle
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spacer Fixed Assets Forms
acrobat icon DS/FS/FA 1 Fixed Asset Add Sheet
acrobat icon DS/FS/FA 2 Missing Asset Form
acrobat icon DS/FS/FA 3 Removal of Asset Form
acrobat icon DS/FS/FA 4 Asset Change Form
acrobat icon DS/FS/FA 5 Asset Retirement Form
acrobat icon DS/FS/FA 6 Equipment Disposal Form
acrobat icon DS/FS/FA 7 Asset Maintenance Form
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spacer Contracts Forms
acrobat icon FS/PU 001 Contract Document
Microsoft Word Document FS/PU 003 Contract Amendment Document
Microsoft Word Document CP-30 Dual Employment Form
acrobat icon FS/PU 005 Justification Memorandum
acrobat icon FS/PU 006 Memorandum of Understanding
acrobat icon FS/PU 007 Telephone Quote Form for Commodities or Services
acrobat icon FS/PU 008, Local Purchase Authorization
Microsoft Word Document FS/PU 008 Local Purchase Authorization Form
acrobat icon FS/PU 009 Informal Quote for Direct Client Services
acrobat icon FS/PU10 Certification Regarding Lobbying
acrobat icon FS/PU 011 Certification Regarding Debarment
acrobat icon FS/PU 012 Certification Regarding Drug Free Workplace Requirements
acrobat icon FS/PU 013 Certification Regarding Environmental Tobacco Smoke
Microsoft Word Document FS/PU 014 Contract Monitoring Report
Microsoft Word Document ITS Cellular Service Request
Microsoft Word Document TO-5 Telephone Order Service Request
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