Homepage Blank Florida 4046 Form
Outline

The Florida 4046 form serves a specific purpose for employees of the School Board of Broward County. It is primarily utilized by new hires who qualify for personnel information exemption and by former employees seeking to update their address more than 45 days after leaving their position. For current employees and those who have recently separated, address updates should be made through the Employee Self-Service (ESS) portal. The form requires essential information such as the employee's name, personnel number, and both a permanent and alternate address. Additionally, it emphasizes the importance of confidentiality under Florida's Public Records law, which allows for certain personnel information to be exempt from public disclosure for eligible employees. To maintain confidentiality, employees must provide both an alternate and a confidential address. The form also includes space for phone numbers and requires the employee's signature and date for submission to the Personnel Records Department. Understanding these aspects of the Florida 4046 form is crucial for compliance and ensuring that personal information remains protected.

Sample - Florida 4046 Form

Form #4046 (Rev 4/12)
Personnel Records Department Address Change Form 0311
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).
Submit completed,
signed
form to the Personnel Records Department
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:
STATE
ZIP CODE
CONFIDENTIAL PHONE #
(Include Area Code):
OTHER CONFIDENTIAL PHONE #
(Include Area Code):
EMPLOYEE SIGNATURE:
DATE:

Form Information

Fact Name Description
Purpose of Form This form is designed for new hires eligible for personnel information exemption and for former employees requesting an address change after 45 days from their job separation date.
Employee Self-Service (ESS) Current employees and those who have recently separated must use Employee Self-Service (ESS) to update their address, rather than this form.
Public Records Law Florida Statute 119.071 governs the release of personnel information. It mandates that most employee records are public, with certain exceptions for exempt employees.
Confidential Address Requirement To be classified as a confidential employee, both an Alternate Address and a Confidential Address must be provided. Failure to do so will result in no confidentiality status.

Detailed Guide for Filling Out Florida 4046

Filling out the Florida 4046 form is a straightforward process that requires attention to detail. This form is specifically designed for new hires eligible for personnel information exemption and for former employees who need to update their address after a certain period. To ensure that the information is processed correctly, follow the steps outlined below.

  1. Begin by entering your Employee Name at the top of the form.
  2. Fill in your Personnel Number, which is usually assigned by your employer.
  3. In the section labeled Permanent (Home)/Alternate Address, provide your current home address. Include the street address, city, state, and ZIP code.
  4. Next, include your Home Phone Number and any Other Phone Number where you can be reached, ensuring to include the area code.
  5. If you are eligible for confidentiality under Florida law, complete the Confidential Address section. Again, provide the street address, city, state, and ZIP code.
  6. Fill in your Confidential Phone Number and any Other Confidential Phone Number, including the area code.
  7. Sign and date the form at the bottom to confirm that the information provided is accurate.
  8. Finally, submit the completed and signed form to the Personnel Records Department for processing.

Obtain Answers on Florida 4046

  1. What is the purpose of the Florida 4046 form?

    The Florida 4046 form is designed for new hires who are eligible for personnel information exemption, as well as for former employees who wish to update their address more than 45 days after separating from their job. It is important to note that current employees and those who have recently separated must update their address through Employee Self-Service (ESS).

  2. Who should use this form?

    This form should be utilized by:

    • New hires eligible for personnel information exemption.
    • Former employees requesting an address change after 45 days from their job separation.

    Current employees and those who have recently separated must use the ESS platform instead.

  3. What information is required on the form?

    To complete the form, you will need to provide:

    • Your name and personnel number.
    • Your permanent (home) address and an alternate address.
    • Your confidential address if you are eligible for exemption.
    • Contact phone numbers, including area codes.
    • Your signature and the date of submission.
  4. What is a confidential address?

    A confidential address is an address that is protected from public disclosure under Florida Public Records law. Employees who qualify for exemption from having their personnel information disclosed can request to have a confidential address recorded. It is essential to provide both an alternate address and a confidential address on the form.

  5. How can I qualify for personnel information exemption?

    To qualify for personnel information exemption, you must fall into one of the specific categories outlined in the Personnel Information Exemptions Form. Eligible employees need to complete and submit this form to the Personnel Records Department to declare their status. If you do not meet the criteria, you will not be able to request an exemption.

  6. What happens if I do not provide both addresses?

    If you fail to provide both an alternate address and a confidential address on the Florida 4046 form, you will not be recorded as a confidential employee. This means that your information may be subject to public disclosure.

  7. Where should I submit the completed form?

    Once you have completed and signed the Florida 4046 form, it should be submitted to the Personnel Records Department. Ensure that all required information is filled out accurately to avoid any delays in processing your request.

  8. Is there a deadline for submitting this form?

    There is a specific timeframe to consider. Former employees must submit the form more than 45 days after their job separation date. Current employees should use the Employee Self-Service (ESS) platform for address changes. Make sure to adhere to these guidelines to ensure your information is updated appropriately.

Common mistakes

Filling out the Florida 4046 form can be straightforward, but several common mistakes can lead to issues in processing. One frequent error is failing to provide both the permanent and confidential addresses. The form clearly states that both addresses are required for the employee to be recognized as confidential. Without this information, the employee will not be recorded correctly, which may compromise their privacy.

Another mistake occurs when individuals neglect to include their employee name and personnel number. These identifiers are crucial for the Personnel Records Department to locate the correct employee file. Omitting this information can result in delays or even the rejection of the form.

Many people also overlook the requirement for a signature and date. The form must be signed and dated to be considered valid. Submitting an unsigned form can lead to complications, as the Personnel Records Department may not process it without the necessary confirmation of the employee’s intent.

In addition, some individuals fail to check their phone numbers for accuracy. Providing incorrect phone numbers can hinder communication between the department and the employee. It is essential to ensure that all contact information is correct and up to date.

Another common oversight is misunderstanding the exemption eligibility. Employees must be aware of whether they qualify for personnel information exemption based on their job responsibilities or family relationships. If an employee does not fall into one of the specified categories, they cannot request this exemption. This misunderstanding can lead to unnecessary confusion and frustration.

Lastly, individuals sometimes submit the form without reviewing it for completeness. A quick review can help catch any missing information or errors before submission. Taking this extra step can prevent delays and ensure that the form is processed efficiently.

Documents used along the form

The Florida 4046 form is an essential document for managing address changes for employees in the Broward County School Board system. However, it is often accompanied by other important forms and documents that help streamline various administrative processes. Below is a list of related forms that may be useful in conjunction 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. It is crucial for those whose job responsibilities or family relationships qualify them for confidentiality.
  • Employee Self-Service (ESS) Access Form: This document grants employees access to the ESS platform, where they can update personal information, including their address, more efficiently than through paper forms.
  • Employment Verification Form: Often required for loan applications or background checks, this form verifies an employee's current employment status and details, such as position and salary.
  • Direct Deposit Authorization Form: This form enables employees to authorize the direct deposit of their paychecks into their bank accounts, ensuring timely and secure payments.
  • W-4 Form: Employees complete this federal tax form to specify their tax withholding preferences. It’s essential for ensuring the correct amount of federal taxes is deducted from their paychecks.
  • I-9 Employment Eligibility Verification: This form verifies an employee's identity and eligibility to work in the United States. It must be completed for all new hires.
  • Health Insurance Enrollment Form: New employees use this form to enroll in health insurance plans offered by the school board, ensuring they have access to necessary medical care.
  • Retirement Plan Enrollment Form: This document is for employees to enroll in retirement savings plans, helping them prepare for their financial future.
  • Leave of Absence Request Form: Employees submit this form to request time off for personal, medical, or family reasons, ensuring that their absence is formally documented and approved.
  • Performance Evaluation Form: This form is used during employee evaluations to assess job performance and set goals for future development, fostering professional growth.

These forms and documents work together to create a comprehensive system for managing employee information and ensuring compliance with various regulations. Familiarity with these forms can help employees navigate their responsibilities more effectively and maintain accurate records.

Similar forms

The Florida 4046 form is designed for specific situations regarding address changes for employees. Several other documents serve similar purposes in different contexts. Below is a list of these documents, highlighting their similarities to the Florida 4046 form.

  • Employee Change of Address Form: Like the Florida 4046 form, this document is used by employees to update their personal address with their employer. It ensures that the employer has current contact information for all employees.
  • IRS Form 8822: This form allows individuals to notify the IRS of a change of address. Similar to the Florida 4046, it is essential for maintaining accurate records and ensuring important tax documents are sent to the correct address.
  • Voter Registration Change Form: This form is used by individuals to update their voter registration information. Just as the Florida 4046 ensures accurate employee records, this form helps maintain up-to-date voter information.
  • Driver's License Address Change Form: This document allows drivers to update their address with the Department of Motor Vehicles (DMV). It serves a similar function as the Florida 4046 form by ensuring that official records reflect current information.
  • Social Security Administration Address Change Form: Individuals use this form to inform the Social Security Administration of a change in address. This is akin to the Florida 4046 form, which helps maintain accurate employee records.
  • Bank Address Change Form: Customers use this form to update their address with their bank. Similar to the Florida 4046, it is crucial for ensuring that important financial information and statements are sent to the correct address.

Dos and Don'ts

When filling out the Florida 4046 form, it's important to follow specific guidelines to ensure accuracy and compliance. Here are some key points to consider:

  • Do provide both a permanent and a confidential address. Both are necessary for your request to be processed.
  • Do include your employee name and personnel number clearly at the top of the form.
  • Do ensure that all phone numbers are accurate, including area codes, to avoid communication issues.
  • Do sign and date the form before submission to confirm your request.
  • Don't leave any required fields blank. Incomplete forms may delay processing.
  • Don't submit the form if you are a current employee or have separated from your job less than 45 days ago; use Employee Self-Service instead.

Following these guidelines will help you successfully complete the Florida 4046 form and ensure your address change is processed without complications.

Misconceptions

Understanding the Florida 4046 form can be challenging, especially with the various misconceptions surrounding it. Here are six common misunderstandings:

  • Only new hires can use the form. Many believe that the Florida 4046 form is exclusively for new employees. In reality, it is also available for former employees who are requesting an address change more than 45 days after leaving their position.
  • Current employees must use this form to update their address. While some might think this form is the only way for current employees to update their address, they can actually do so through Employee Self-Service (ESS), making the process more convenient.
  • The form guarantees confidentiality for all employees. It's a common misconception that submitting the form automatically makes all employee information confidential. Only those who meet specific criteria and submit a Personnel Information Exemptions Form will have their information protected from public release.
  • Providing one address is sufficient. Some individuals may think that submitting just a Confidential Address is enough. However, both a permanent address and a confidential address must be provided for the request to be valid.
  • All employees are eligible for personnel information exemption. Many assume that anyone can request their personnel information to be exempt from disclosure. In fact, only employees who fall into certain categories, as outlined in the Personnel Information Exemptions Form, are eligible for this exemption.
  • The form is only relevant for public employees. While the form is associated with public records law, it is not limited to public employees. It applies to all employees of the School Board of Broward County, regardless of their specific job status.

By clearing up these misconceptions, individuals can better navigate the process of updating their information and understanding their rights regarding confidentiality.

Key takeaways

Filling out the Florida 4046 form is an important step for eligible employees who need to change their address. Here are some key takeaways to keep in mind:

  • Eligibility: This form is specifically for new hires eligible for personnel information exemption and former employees requesting an address change more than 45 days after separation.
  • Current Employees: If you are currently employed or have recently separated, you must update your address through Employee Self-Service (ESS).
  • Public Records Law: Be aware that most personnel information can be publicly accessed under Florida Statute 119.071, with some exceptions for specific employees.
  • Exemption Request: To qualify for confidentiality, eligible employees must complete and submit a Personnel Information Exemptions Form to the Personnel Records Department.
  • Address Requirements: You must provide both an Alternate Address and a Confidential Address on the form to be recorded as a confidential employee.
  • Signature Required: Don’t forget to sign and date the form before submission; an unsigned form will not be processed.
  • Submission: Once completed, submit the signed form to the Personnel Records Department to ensure your address change is officially recorded.

Understanding these points can help streamline the process and ensure your information remains confidential if eligible.