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The Florida 4046 form, known as the Address Change Form for the School Board of Broward County, serves a crucial role for employees and former employees alike. This form is specifically designed for new hires who qualify for personnel information exemption and for those who have separated from their positions and need to update their addresses more than 45 days after leaving. Current employees, along with those who have recently separated, are required to update their addresses through the Employee Self-Service (ESS) platform. The form requests essential details, including the employee's name, personnel number, and both permanent and alternate addresses. Additionally, it highlights the importance of confidentiality under Florida Public Records law, which mandates that most personnel information be accessible to the public, except for certain sensitive details. Employees eligible for exemptions due to their job roles or family situations must complete a Personnel Information Exemptions Form to protect their information. To ensure confidentiality, both an alternate address and a confidential address must be provided; failure to include both will result in the employee not being classified as confidential. Completing this form accurately is vital for maintaining privacy and ensuring that all records are up to date.

Documents used along the form

The Florida 4046 form is essential for employees of the Broward County School Board who need to update their address. Along with this form, several other documents may be required to ensure proper processing of personnel information. Below is a list of related forms and documents that are often utilized in conjunction with the Florida 4046 form.

  • Personnel Information Exemptions Form: This form allows eligible employees to request exemption from public disclosure of certain personnel information due to their job responsibilities or family relationships.
  • Employee Self-Service (ESS): A digital platform where current and recently separated employees can update their address and other personal information without needing to submit a physical form.
  • Employment Application: This document is used during the hiring process and contains initial personal information, which may need to be updated if an employee's address changes.
  • W-4 Form: The Employee's Withholding Certificate is required for tax purposes. Employees should update their address here to ensure accurate withholding.
  • Direct Deposit Authorization Form: Employees use this form to set up or change their direct deposit information, which may include updating their address for banking purposes.
  • Change of Beneficiary Form: This document allows employees to update their designated beneficiaries for benefits, which may require an updated address for notifications.
  • Health Insurance Enrollment Form: Employees use this form to enroll in or update their health insurance plans, which may also require an address change.
  • Retirement Plan Enrollment Form: This document is necessary for employees participating in retirement plans, ensuring that their address is current for future communications.
  • Tax Forms (State and Federal): Employees must ensure that any state or federal tax forms reflect their current address to avoid issues with tax filings.
  • Employee Handbook Acknowledgment Form: This form confirms that employees have received and understood the policies outlined in the employee handbook, which may reference address-related responsibilities.

Each of these documents plays a crucial role in maintaining accurate and up-to-date personnel records. Employees should ensure that all relevant forms are completed and submitted to avoid any disruptions in their employment status or benefits.

Similar forms

The Florida 4046 form, which serves as an address change form for employees of the Broward County School Board, shares similarities with the Employee Change of Address Form commonly used in many organizations. Both documents are designed to facilitate the updating of personal information, ensuring that employers have the most current contact details for their employees. This is crucial for effective communication, especially regarding payroll, benefits, and other important notices. Like the Florida 4046 form, the Employee Change of Address Form often requires the employee's signature to confirm the accuracy of the information provided.

Another document that resembles the Florida 4046 form is the Confidentiality Request Form. This form allows employees to request that certain personal information be kept confidential, similar to how the Florida 4046 provides an option for a confidential address. Both forms emphasize the protection of sensitive information, ensuring that employees can maintain their privacy while still fulfilling their obligations to update their records. The process typically involves submitting the form to a designated department, such as Human Resources, to ensure proper handling of the request.

The Personnel Information Exemption Form is also comparable to the Florida 4046 form. This document allows eligible employees to exempt specific personnel information from public disclosure under Florida law. Like the Florida 4046, it requires employees to declare their status and provide necessary information to qualify for the exemption. Both forms serve to protect employees’ privacy while ensuring compliance with legal requirements regarding public records.

The Change of Personal Information Form is another document that mirrors the Florida 4046 form. This form is often used by employees to update various personal details, including address, phone numbers, and emergency contacts. Similar to the Florida 4046, it requires the employee’s signature and is submitted to a specific department for processing. The emphasis on maintaining accurate records is a common theme in both forms, highlighting the importance of clear communication between employees and their employers.

The Address Confidentiality Program (ACP) Application is another document that shares similarities with the Florida 4046 form. This program is designed to protect the addresses of individuals in certain situations, such as survivors of domestic violence. Like the Florida 4046, the ACP Application requires individuals to provide both a confidential address and an alternate address. Both forms aim to safeguard personal information while still allowing for necessary communication with the employer or relevant agencies.

The Employee Self-Service (ESS) portal serves as a digital counterpart to the Florida 4046 form. While the Florida 4046 form is a paper-based document, the ESS portal allows current employees to update their addresses electronically. Both methods achieve the same goal of keeping employee information current, but the ESS portal offers a more immediate and user-friendly option for employees who prefer online management of their personal information.

Finally, the Personal Data Change Form is similar to the Florida 4046 form in that it allows employees to update various personal details within their employment records. This form may include sections for changing addresses, phone numbers, and other identifying information. Both forms require employees to provide accurate information and often necessitate a signature to confirm the changes. They both play a critical role in ensuring that employee records remain up-to-date, thereby facilitating effective communication and administration within the organization.

Obtain Answers on Florida 4046

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

    The Florida 4046 form, also known as the Address Change Form, is specifically designed for new hires who qualify for personnel information exemption and for former employees wishing to update their address after more than 45 days from their job separation date. It ensures that the School Board of Broward County has accurate and current contact information for its employees.

  2. Who should use the Florida 4046 form?

    This form should be used by new hires eligible for personnel information exemption and by former employees who need to change their address after the specified period. Current employees and those who have recently separated from employment should update their information through the Employee Self-Service (ESS) system instead.

  3. What information do I need to provide on the form?

    You will need to provide your name, personnel number, and both a permanent (home) address and an alternate address. Additionally, if you qualify for confidentiality, you must also include a confidential address and phone numbers. This information is crucial for maintaining accurate records and ensuring your privacy if you are eligible for exemption.

  4. What if I do not provide both an alternate and a confidential address?

    If you fail to provide both addresses, your request for confidentiality will not be processed. It is essential to complete all required fields to ensure that you are recorded as a confidential employee, if eligible.

  5. How does Florida law affect the information I provide?

    Under Florida Statute 119.071, most written communications and records, including personnel information, are available for public inspection. However, certain employees may be exempt from having their information disclosed due to their job responsibilities or family relationships. To qualify for this exemption, you must submit a Personnel Information Exemptions Form to the Personnel Records Department.

  6. What is the process for obtaining a personnel information exemption?

    To obtain a personnel information exemption, eligible employees must fill out and submit the Personnel Information Exemptions Form. Only those who meet specific criteria outlined in that form can have their selected personnel information exempt from public release. If you do not meet any of the criteria, you will not be able to request this exemption.

  7. Where do I submit the completed Florida 4046 form?

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

  8. What happens after I submit the form?

    After submission, the Personnel Records Department will review your form. If everything is in order, they will update your records accordingly. If there are any issues or missing information, they may reach out to you for clarification or additional details.

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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

Dos and Don'ts

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

  • Do provide your full name and personnel number clearly at the top of the form.
  • Do include both your permanent and alternate addresses as required.
  • Do ensure that all phone numbers are accurate and include area codes.
  • Do sign and date the form before submitting it to the Personnel Records Department.
  • Don't forget to check if you qualify for personnel information exemption before filling out the form.
  • Don't leave any required fields blank, as this may delay the processing of your request.
  • Don't submit the form if you have not provided both an alternate and a confidential address, as this is mandatory.