Administrative policies and procedures code of personal responsibility



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Employee Pledge Signature Form

ADMINISTRATIVE POLICIES AND PROCEDURES

CODE OF PERSONAL RESPONSIBILITY


  • I ______________________________________________ am aware of the requirements of the DMS’

(PRINT YOUR FULL NAME)

Administrative Policies and Procedures (Code of Personal Responsibility), which may be revised from time to time.


I therefore pledge to honestly and faithfully to comply with the letter and spirit of DMS’ Administrative Policies and Procedures (Code of Personal Responsibility), as well as the requirements as a public servant.

_______


(Initial Here) _________________________________________________________________________________________________________

OATH OF LOYALTY
I am a citizen of the State of Florida ( or ___________) and of the United States of America, and being employed by the Department of Management Services and a recipient of public funds as such employee, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. (Chapter 876, Florida Statutes). Reference Adm. Policy HR-07-104.

_______


(Initial Here)

CODE OF ETHICS


  • I am aware of the requirements of the Department of Management Services’ Code of Ethics (Administrative Policy HR-07-105), as revised to conform with the revised Governor’s Code of Ethics referenced in Executive Order 11-03, dated January 4, 2011 (and which may be further revised from time to time) (the “Code of Ethics”).

  • I understand that, by holding a position within state government, I serve the people of Florida.

  • I am committed to an honest, ethical and open system of government for the people of Florida.

  • I therefore pledge to honestly and faithfully follow both the letter and spirit of the Code of Ethics, as well as the requirements set forth in Chapter 112, Part III, Florida Statutes, in the discharge of my duties and responsibilities as a public servant. As part of this commitment, I pledge to be on guard against and to avoid the appearance of improperly conducting the people’s business. I further pledge that, should questions regarding appropriate behavior arise, I will seek guidance from the appropriate person within the Department of Management Services on how to resolve the matter in question.

_______

(Initial Here)



DMS’ IT Policy
I attest that I am aware that DMS’ IT Policy Internet and E-Mail Usage Policy ADM 99-104 which includes DMS e-mail services are to be used for official state business and professional e-mail communications. The Internet is to be used for improving and enhancing communication, professional development, productivity, and to accomplish job assignments.  State e-mail use and internet access over the state’s network should be used only for business purposes.  Occasional personal use of the internet over the state’s network is permitted as long as it violates no laws, doesn’t impact work performance, and is not for personal gain. 




Additionally, I am aware of the requirements and understand that DMS’ IT Policy 12-103 End User Computing, Network Access, and Confidential Information includes the following information: All personal computers are meant to be used for work purposes only.  All state-owned equipment, including information technology devices such as personal computers, cell phones, smartphones, printers, etc., are to be used for state business only.  Such equipment shall not be used for personal business or personal gain.

_______ (for both Policies)

(Initial Here)






EMPLOYEE ATTESTATION, PAGE TWO


DMS NON DISCRIMINATION PLEDGE

The Department of Management Services (DMS) employees have the assurance that each team member will receive fair consideration in the Department’s employment practices (I.e. recruitment, examination, hiring, promotion, discipline and separations) which are in compliance with:



  • Title VII of the Civil Rights Act of 1964, (as amended),

  • Age Discrimination in Employment Act

  • Americans with Disabilities Act of 1990

  • Lilly Ledbetter Fair Pay Act of 2009

  • Genetic Information Nondiscrimination Act of 2008 (GINA)

  • Florida Civil Rights Act

A person who feels he or she is a victim of discrimination should file a complaint with the Director of Human Resources. mailto:brett.shively@dms.myflorida.com or (850) 921-0522.

_______

(Initial Here)



________________________________________________________________ _

DMS DRUG FREE WORKPLACE POLICY AND TESTING

As an employee of the Department of Management Services employee, I am aware that I am a participant in its Drug Free Workplace Policy and Drug Testing Policy (HR 05-108).

_______

(Initial Here)



DMS VIOLENCE FREE WORKPLACE & DOMESTIC VIOLENCE SUPORT POLICY

I affirm that I am aware of DMS’ zero tolerance for violence in the workplace policy (HR 05-121).

_______

(Initial Here)



_________________________________________________________________________________________

ACKNOWLEDGEMENT OF SEXUAL HARASSMENT TRAINING

I acknowledge that on ________________ I took DMS’ Sexual Harassment Training.

I understand that:


  • I have the right to work in an environment free from sexual harassment.

  • I have a responsibility not to engage in behaviors that constitute sexual harassment.

  • If I feel I am being sexually harassed, I have the right and responsibility to communicate this directly to the harasser and/or to the Human Resources Office or another representative of management.

_______

(Initial Here)





_____________________________________

(PRINT NAME CLEARLY)

_____________________________________ ____________

Signature Date

Sworn to and subscribed before me this ________ day of ________________________, 20 _____.
Personally known _____ or produced identification _____
Type of identification produced: _____________________________
____________________________ STATE OF FLORIDA

Notary COUNTY OF ___________________________ (Seal)



A copy of this form will be placed in the employee’s HR file.

HR 102-F10 Employee Pledge Signature Form

10-10-2013





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