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GO 24
Employee Record Information
| Any member changing their name is required within _________ days after the change, to report to the _______ in person, with a copy of the new social security card or the receipt for applying for a new social security card, fill out a new I-9 form, and the Personnel staff can initiate a revised eHR or Personnel Data Sheet (P.D.S.).to change the employee’s name in the official record division. | thirty calendar. Personnel Division |
| Any member changing their name is required within thirty calendar days after the change, to report to the Personnel Division in person, with a copy of ____ or ____, fill out a new I-9 form, and the Personnel staff can initiate a revised eHR or Personnel Data Sheet (P.D.S.).to change the employee’s name in the official record division. | the new social security card or the receipt for applying for a new social security card |
| Any member changing their name is required within thirty calendar days after the change, to report to the Personnel Division in person, with a copy of the new social security card or the receipt for applying for a new social security card, fill out a new ______, and the Personnel staff can initiate _____ or ______.to change the employee’s name in the official record division. | I-9 form. a revised eHR or Personnel Data Sheet (P.D.S.). |
| Employees with assigned vehicles shall also update the _____ and forward it to the Fleet Coordinator’s Office, via interdepartmental mail. Once the form is received by the Fleet Coordinator’s Office, a new name decal will be ordered. The employee will be notified via email when the name decal has arrived. | Contract for the Personalized Vehicle Program (P-0143) |
| Employees with assigned vehicles shall also update the Contract for the Personalized Vehicle Program (P-0143) and forward it to _____ , via interdepartmental mail. Once the form is received by the _______ , a new name decal will be ordered. The employee will be notified via ______ when the name decal has arrived. | the Fleet Coordinator’s Office. Fleet Coordinator’s Office. email. |
| Employees with assigned vehicles shall also update the Contract for the Personalized Vehicle Program (P-0143) and forward it to the Fleet Coordinator’s Office, via _______. Once the form is received by the Fleet Coordinator’s Office, a new name decal will be ordered. The employee will be notified via email when the name decal has arrived. | interdepartmental mail |
| Marital status changes (new marriage or divorce), births, deaths, legal additions or death of a dependent family member which will result in a change of benefits must be reported to the City Employee Benefits staff, (904-630-1314) _____ of the event. | within thirty (30) calendar days |
| For ___ and ____ purposes, all members shall have a contact telephone during off-duty hours. | emergency and recall |
| For emergency and recall purposes, all members shall have a _____ during off-duty hours. | contact telephone |
| Employees shall update any change of address or contact telephone number on ______ within ____of their return to duty after the change. | the Employee Information System (E.I.S.). twenty-four hours. |
| Employees with assigned vehicles will update any change of address on ____ in accordance with Operational Order 01.05, Assigned Vehicle Program. | P-1785, Affidavit of Assigned Vehicle Location |
| Employees with assigned vehicles shall forward an updated ______ to the Fleet Coordinator’s Office, via interdepartmental mail. | Contract for the Personalized Vehicle Program (P-0143) |
| Employees with assigned vehicles shall forward an updated Contract for the Personalized Vehicle Program (P-0143) to the Fleet Coordinator’s Office, via _________. | interdepartmental mail |
| The _____ is authorized to give the contact telephone number of an employee to another employee of the Sheriff's Office who has been properly identified by name, home phone number, and agency identification number. | Tele-Serv Supervisor |
| The Tele-Serv Supervisor is authorized to give the contact telephone number of an employee to another employee of the Sheriff's Office who has been properly identified by ________. | name, home phone number, and agency identification number |
| Nonemployees will not be provided contact phone numbers of another employee. However, the _____ may call the employee and request the employee call the party making the request. | Tele-Serv Supervisor |
| _____specifically exempts the release of police officers’ and firefighters’ home addresses, telephone numbers, photographs, and places of employment of spouses and children, and the names and locations of schools and day care facilities attended by their children. | Florida State Statute 119.07 |
| The ______ shall not be called for employee telephone numbers, except between midnight and 0600 in emergency situations. | Communications Center |
| The Communications Center shall not be called for employee telephone numbers, except between ____ in emergency situations. | midnight and 0600 |
| The ___ will handle all other inquiries and only for emergency situations, or when EIS is unavailable. | Tele-Serv Supervisor |
| When getting employees phone numbers, the Tele-Serv Supervisor will handle all other inquiries and only for _____ or _____. | emergency situations, or when EIS is unavailable |
| The _______ of 1996 (HIPAA), Public Law 104-191, was enacted on August 21, 1996. | Health Insurance Portability and Accountability Act |
| The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, was enacted on ________. | August 21, 1996 |
| In accordance with the _____ and _____ and ____, no employee may maintain a medical file or have in their possession medical documentation on another employee it is in violation of the HIPAA law; except for designated agency employees. | HIPAA Federal Law, State Law (FSS 400.494) and the Civil Service and Personnel Rules and Regulations 10.03 (c), |
| Any medical documents that can specifically identify an employee must be forwarded to the _____ to be placed in a secured medical file. | Personnel Division of the Jacksonville Sheriff's Office |
| Any medical documents that can specifically identify an employee must be forwarded to the Personnel Division of the Jacksonville Sheriff's Office to be placed _______. | in a secured medical file |
| Examples of medical documents include ____, _____, _____, and written information regarding an employee’s mental or physical condition. This also includes emergency announcements describing an employee’s medical condition. | prescriptions, doctor’s notes, physical therapy documentation |
| Examples of medical documents include prescriptions, doctor’s notes, physical therapy documentation, and written information regarding an employee’s mental or physical condition. This also includes _______describing an employee’s medical condition. | emergency announcements |
| Documents containing protected health information that are forwarded to ________ should be placed _______. | the JSO Personnel Division. in a sealed envelope. |
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