Get Florida 4046 Form

Get Florida 4046 Form

The Florida 4046 form is an address change form utilized by new hires and former employees of the Broward County School Board who qualify for personnel information exemption. This form allows individuals to update their permanent or confidential addresses, ensuring compliance with Florida's public records law. To initiate the process of updating your address, please fill out the form by clicking the button below.

Structure

The Florida 4046 form serves as a vital tool for individuals navigating the complexities of address changes within the Broward County School Board system. Designed specifically for new hires who qualify for personnel information exemption and former employees seeking to update their address after a job separation, this form outlines the necessary steps and information required for a successful submission. Current employees and those who have recently separated from their positions are directed to utilize the Employee Self-Service (ESS) platform for address updates. The form requires essential details such as the employee's name, personnel number, and both a permanent and alternate address, ensuring that the School Board has accurate contact information. Additionally, it addresses the implications of Florida's Public Records law, which generally mandates the disclosure of personnel information, while also providing a pathway for eligible employees to request confidentiality for specific data. To qualify for this exemption, individuals must complete a Personnel Information Exemptions Form and submit it to the Personnel Records Department, highlighting the importance of understanding one's eligibility. The form emphasizes the necessity of providing both an alternate and a confidential address, reinforcing that failure to do so may hinder the ability to maintain confidentiality. With clear instructions and a straightforward layout, the Florida 4046 form plays a crucial role in protecting employee privacy while facilitating necessary administrative updates.

Florida 4046 Preview

THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA

ADDRESS CHANGE FORM

This form is to be used by new hires eligible for personnel information exemption and by former employees requesting an address change more than 45 days after their job separation date. Current employees and recently separated employees must update their

address via Employee Self-Service (ESS).

EMPLOYEE NAME:PERSONNEL #:

PERMANENT (HOME)/ALTERNATE ADDRESS: This information may be released to the public under Florida Statute 119.071

PERMANENT ADDRESS:

CITY

STATE

ZIP CODE

HOME PHONE # (Include Area Code):

OTHER PHONE # (Include Area Code):

CONFIDENTIAL ADDRESS: Florida Public Records law (Florida Statute 119.071) requires government agencies to make available upon request for public inspection most written communications and records, including personnel information about employees except for Social Security number and other specific information. However, some employees are exempt from having selected personnel information disclosed due to their job responsibilities or family relationships. To be exempt from this disclosure, eligible employees must request this exemption and declare their status by completing and submitting a Personnel Information Exemptions Form to Personnel Records Department.

Only those employees falling into one of the identified categories on the Personnel Information Exemptions Form are eligible to have selected personnel information exempt from public release – if none of the categories apply to you, you are not eligible to

request this exemption.

After the personnel exemption is identified, the Confidential Address will be entered. You must provide BOTH an Alternate

Address (above) and a Confidential Address (below). If both addresses are not provided, you will not be recorded as a confidential employee.

CONFIDENTIAL ADDRESS:

CITY

STATE

ZIP CODE

 

 

 

 

CONFIDENTIAL PHONE # (Include Area Code):

OTHER CONFIDENTIAL PHONE # (Include Area Code):

 

 

 

 

EMPLOYEE SIGNATURE:

DATE:

Submit completed, signed form to the Personnel Records Department

Form #4046 (Rev 4/12)

 

Personnel Records Department

Address Change Form 0311

Document Data

Fact Name Details
Purpose This form is used for address changes by new hires eligible for personnel information exemption and by former employees after 45 days of job separation.
Eligibility Current employees and recently separated employees must update their address through Employee Self-Service (ESS).
Governing Law Florida Statute 119.071 governs the release of personnel information and public records.
Public Disclosure Most written communications and records, including personnel information, are available for public inspection under Florida law.
Exemption Request Eligible employees can request an exemption from public disclosure by submitting a Personnel Information Exemptions Form.
Required Information Both an Alternate Address and a Confidential Address must be provided to be recorded as a confidential employee.
Signature Requirement Employees must sign and date the form before submitting it to the Personnel Records Department.
Confidentiality Certain personnel information may be exempt from disclosure based on job responsibilities or family relationships.
Form Revision This is the revised version of Form #4046, updated as of April 2012.

How to Use Florida 4046

To fill out the Florida 4046 form, you will need to provide specific information about your address and contact details. Ensure that all sections are completed accurately. Once the form is filled out and signed, it should be submitted to the Personnel Records Department for processing.

  1. Begin by entering your employee name in the designated field.
  2. Next, fill in your personnel number.
  3. Provide your permanent (home) address in the appropriate fields, including street address, city, state, and zip code.
  4. Include your home phone number and any other phone number where you can be reached, making sure to include the area code.
  5. If you are requesting confidentiality, complete the confidential address section with the same details: street address, city, state, and zip code.
  6. Fill in your confidential phone number and any other confidential phone number, again including the area code.
  7. Sign and date the form at the bottom.
  8. Finally, submit the completed and signed form to the Personnel Records Department.

Key Facts about Florida 4046

What is the purpose of the Florida 4046 form?

The Florida 4046 form is designed for new hires and former employees of the Broward County School Board who need to change their address. It is specifically for those eligible for personnel information exemption and for former employees requesting an address change more than 45 days after their job separation date. Current employees and those who have recently separated must use the Employee Self-Service (ESS) to update their addresses.

Who should use the Florida 4046 form?

This form should be used by new hires who qualify for personnel information exemption and by former employees who are requesting an address change after more than 45 days from their separation date. If you are a current employee or have recently separated, you must update your address through the ESS platform instead of using this form.

What information is required on the form?

The form requires several key pieces of information. You need to provide your name, personnel number, permanent or alternate address, home phone number, and any other relevant contact numbers. Additionally, if you are applying for confidentiality, you must provide both an alternate address and a confidential address. Failing to provide both will result in your request for confidentiality being denied.

What is a Confidential Address?

A Confidential Address is a designated location where your personal information can be kept private from public records. This is particularly important for individuals whose job responsibilities or family relationships put them at risk if their personal information is disclosed. To qualify for this confidentiality, you must complete the Personnel Information Exemptions Form and meet specific criteria outlined by the school board.

How does Florida's Public Records law affect the information on this form?

Under Florida Statute 119.071, most written communications and records, including personnel information, are subject to public disclosure. However, certain employees may be exempt from this disclosure based on their job roles or family situations. If you qualify for exemption, your selected personnel information will not be made public, but you must formally request this exemption by submitting the appropriate forms.

What happens if I do not provide both an Alternate Address and a Confidential Address?

If you do not provide both an Alternate Address and a Confidential Address, your status as a confidential employee will not be recognized. This means that your personal information could be subject to public disclosure under Florida's public records law, which may expose you to unwanted attention or risk.

How do I submit the completed Florida 4046 form?

Once you have filled out and signed the Florida 4046 form, you must submit it to the Personnel Records Department. Ensure that all required fields are completed to avoid any delays in processing your request. Follow any additional submission guidelines provided by your employer to ensure your information is updated correctly.

Is there a deadline for submitting the Florida 4046 form?

While there is no specific deadline for submitting the Florida 4046 form, it is important to note that former employees can only request an address change if it has been more than 45 days since their job separation. Therefore, it is advisable to submit the form as soon as possible to ensure your information is current and to avoid any issues with public disclosure of your address.

Common mistakes

Filling out the Florida 4046 form can be straightforward, but there are common mistakes that people often make. One frequent error is not providing both the Alternate Address and the Confidential Address. The form clearly states that both addresses are required for an employee to be recorded as confidential. If one is missing, the request may be denied, leaving the employee without the necessary protection.

Another mistake is not ensuring that the contact information is accurate. Employees sometimes enter incorrect phone numbers or misspell their city or state. This can lead to delays in processing the address change or, worse, miscommunication from the Personnel Records Department. Double-checking all entered information can help avoid these issues.

Some individuals overlook the requirement to sign and date the form. A signature is necessary to validate the request. Without it, the form is considered incomplete and may not be processed. It is important to remember that all sections of the form need to be filled out correctly and completely.

Lastly, people often forget to submit the form to the correct department. The instructions specify that the completed form must be sent to the Personnel Records Department. Sending it elsewhere can result in a delay or loss of the request. Ensuring that the form is submitted to the right place is crucial for timely updates.

Documents used along the form

The Florida 4046 form is used primarily for address changes by new hires and former employees of the Broward County School Board. Alongside this form, several other documents are often required to ensure compliance with personnel information regulations and to facilitate a smooth transition for employees. Below is a list of related forms and documents that may be necessary.

  • Personnel Information Exemptions Form: This form is essential for employees who wish to request an exemption from public disclosure of certain personal information. Eligible employees must complete this form to declare their status and protect their privacy.
  • Employee Self-Service (ESS) Access: Current employees are encouraged to use the ESS platform to update their personal information, including address changes. This online system streamlines the process and ensures that updates are processed quickly.
  • Employee Separation Notice: When an employee separates from the School Board, this notice is generated to document the end of employment. It may include details regarding the final paycheck and benefits information.
  • W-4 Form: This tax form is used by employees to indicate their tax withholding preferences. It is important for new hires to complete this form to ensure correct tax deductions from their paychecks.
  • Direct Deposit Authorization Form: Employees can use this form to authorize direct deposit of their paychecks into their bank accounts. It is crucial for ensuring timely payments and convenience for employees.
  • Emergency Contact Information Form: This document allows employees to provide contact details for someone to be reached in case of an emergency. It is an important part of ensuring employee safety and communication.

These documents work together with the Florida 4046 form to facilitate accurate record-keeping and protect employee privacy. Ensuring all necessary forms are completed and submitted can help streamline the process of updating personal information within the Broward County School Board system.

Similar forms

The Florida 4046 form, which is used for submitting address changes by eligible employees, has similarities with several other important documents. Each of these documents serves a specific purpose in managing employee information and ensuring confidentiality when necessary. Below are four documents that share similarities with the Florida 4046 form:

  • Personnel Information Exemptions Form: This form allows eligible employees to request an exemption from public disclosure of certain personnel information. Like the Florida 4046 form, it requires specific details about the employee's status and addresses to ensure proper handling of sensitive information.
  • Employee Self-Service (ESS) Update Form: Current employees use this form to update their personal information, including address changes. While the Florida 4046 form is specifically for new hires and former employees, both documents aim to keep employee records accurate and up-to-date.
  • Confidential Employee Request Form: This document is used by employees seeking to maintain confidentiality regarding their personal information. Similar to the Florida 4046 form, it requires the submission of both a permanent and a confidential address to ensure that the employee's information remains protected.
  • Change of Address Notification Form: This form is often utilized by employees to notify their employer of a change in address. Like the Florida 4046 form, it is essential for ensuring that the employer has the most current contact information, which is crucial for effective communication.

Dos and Don'ts

When filling out the Florida 4046 form, it's essential to follow certain guidelines to ensure accuracy and compliance. Here’s a list of things you should and shouldn't do:

  • Do provide your full name as it appears in your employment records.
  • Do include both your permanent and alternate addresses.
  • Do ensure that all phone numbers include the area code.
  • Do sign and date the form before submission.
  • Do check for any required exemptions that may apply to your situation.
  • Don't leave any sections blank; incomplete forms may be rejected.
  • Don't forget to submit the form to the correct department.
  • Don't assume your information is confidential without completing the necessary steps.
  • Don't use outdated contact information; ensure all details are current.

Misconceptions

Misconceptions about the Florida 4046 form can lead to confusion and frustration for employees. Understanding the facts surrounding this form is essential for proper compliance and protection of personal information. Below is a list of common misconceptions, along with explanations to clarify each point.

  • Only new hires can use the Florida 4046 form. This form is also available for former employees who need to change their address more than 45 days after leaving their job.
  • Current employees can use this form to update their address. Current employees must use Employee Self-Service (ESS) to update their address, not the Florida 4046 form.
  • The form guarantees that my information will remain confidential. While the form allows for a confidential address, it does not guarantee confidentiality unless the employee qualifies for exemption under specific categories.
  • Providing a confidential address is optional. To be recorded as a confidential employee, both an Alternate Address and a Confidential Address must be provided. If either is missing, the request for confidentiality will not be processed.
  • All employees can request exemption from public records disclosure. Only employees who fall into specific categories outlined in the Personnel Information Exemptions Form are eligible for this exemption.
  • Submitting the form is enough to secure my confidentiality. Employees must also complete and submit the Personnel Information Exemptions Form to the Personnel Records Department to be considered for exemption.
  • My Social Security number is protected under this form. While Social Security numbers are protected, other personal information may still be subject to public disclosure unless an exemption is granted.
  • Once I submit the form, my information is automatically updated. The form must be reviewed and processed by the Personnel Records Department before any changes take effect.
  • I can use the form to change my address at any time. The form is specifically for former employees changing their address after 45 days post-separation and not for current employees.
  • All address changes are treated the same. The form distinguishes between different types of employees and their eligibility for confidentiality, which affects how address changes are processed.

It is crucial to fully understand the requirements and limitations of the Florida 4046 form to ensure that personal information is handled appropriately. By clarifying these misconceptions, employees can better navigate the process and protect their privacy.

Key takeaways

When dealing with the Florida 4046 form, there are several important aspects to keep in mind. Understanding these can help ensure that the process is smooth and compliant with state regulations.

  • Eligibility: This form is specifically for new hires who qualify for personnel information exemption and for former employees who need to change their address more than 45 days after leaving their job.
  • Current Employees: If you are a current employee or have recently separated from your job, you must update your address using the Employee Self-Service (ESS) portal instead of this form.
  • Public Disclosure: Information provided on this form may be subject to public disclosure under Florida Statute 119.071, which governs public access to government records.
  • Confidential Status: Certain employees may qualify for confidentiality regarding their personnel information. To achieve this, you must complete and submit a Personnel Information Exemptions Form.
  • Address Requirements: To be recognized as a confidential employee, you must provide both an Alternate Address and a Confidential Address on the form.
  • Failure to Provide Information: If you do not submit both addresses, you will not be recorded as a confidential employee, which may expose your information to public access.
  • Signature Requirement: Remember to sign and date the form before submission. An unsigned form will not be processed.
  • Submission: Completed forms should be sent to the Personnel Records Department for processing.
  • Form Updates: Be aware that the form is periodically updated. Always check for the most recent version before filling it out.

By keeping these key points in mind, individuals can navigate the Florida 4046 form process more effectively, ensuring their information is handled appropriately and in compliance with state laws.