In the state of Georgia, navigating the complexities of mass layoffs entails a comprehensive process involving documentation to ensure both employers and employees are aligned with the required legal and procedural guidelines. At the heart of this process is the DOL 402A form, a crucial document issued by the Georgia Department of Labor. This document, known as the "Mass Separation Notice - List of Workers," is a specialized form that employers must fill out when they find themselves in the position of conducting a mass separation or layoff. It encompasses various details such as the employer's account number, a list of the workers affected (sorted alphabetically), and critical financial information regarding each worker such as severance pay, wages in lieu of notice, whether the worker earned $3,500 or more, and specifics about retirement. Additionally, the form captures essential employee data including social security numbers, names, the total average gross pay, and whether the payment represents a lump sum or is allocated for a specified period. The completion and submission of the DOL-402A form are integral steps that facilitate a smoother transition for both businesses and employees during what can often be a challenging time, ensuring that all parties have transparent and accurate information at their disposal.
Question | Answer |
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Form Name | Dol 402A Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | form dol 402a, 402a department labor form, specified monies 402a, 402a labor 402 form |
GEORGIA DEPARTMENT OF LABOR
MASS SEPARATION NOTICE - LIST OF WORKERS
Employer |
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Account Number |
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Workers’ Names |
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Worker earned |
Retired? |
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Severance Pay/Wages in Lieu of Notice (Paid or Being Paid) |
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(list alphabetically) |
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$3,500 or more |
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If yes, complete and indicate period if monies are for specified period. |
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Social Security |
Last |
First |
Middle |
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No |
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Date |
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Avg. Gross |
Lump Sum |
Specified Period? |
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Number |
Yes |
Amount |
Yes |
No |
Paid |
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Amount |
Weekly Wage |
Yes |
No |
From |
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To |
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