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.
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.
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:
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
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.
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.
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.
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.
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.
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:
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:
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.
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.
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.
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.