PDF personnel records r9-5-402 a , r9-5-403 - Arizona Department of 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Employee Name, Date of Birth, Home Address, Position, and Telephone Number in the designated fields.
3. Indicate whether the employee will be working alone or supervised by checking the appropriate box.
4. Fill in the Start Date and End Date as applicable.
5. Provide an Emergency Contact name and complete the Immunization Statement by signing and dating where indicated.
6. Complete sections regarding Verification of Fingerprint Registration, ensuring all required documents are attached.
7. List any required documents such as High School Diploma/GED Certificate and TB Test Results, including dates where necessary.
8. Document training requirements under R9-5-403, including New Staff Training and Annual In-Service Training details.
9. Ensure to fill out Current License or Certification details along with expiration dates for relevant certifications.
10. Finally, include Good Faith Efforts to contact previous employers and retain the entire file for 12 months from termination date.

Start using our platform today to streamline your document editing process for free!