Florida Form 4046 PDF Details

Navigating the intricacies of employment within the School Board of Broward County, Florida, especially in terms of personal information management and address changes, requires a good understanding of the specific procedures and forms involved. One key document in this process is the Florida 4046 form, a critical tool for new hires eligible for personnel information exemption and former employees needing to update their address more than 45 days post-job separation. Unlike current employees or those recently separated, who can utilize the Employee Self-Service (ESS) for updates, these other groups must manually submit this form to ensure their address and personal information are accurately recorded. Integral to maintaining privacy and compliance with Florida Public Records law (Florida Statute 119.071), which mandates most employee records be accessible to the public while allowing exemptions for certain job roles or familial connections, this form serves a dual purpose. It allows eligible employees to declare their status for an information exemption and to provide both a permanent or alternate and a confidential address, ensuring their information is handled with the necessary discretion. The form itself is straightforward but necessitates attention to detail to ensure all provided information meets the required criteria for exemption and privacy protection. Failure to accurately complete the form could lead to not being recognized as a confidential employee, emphasizing the form's importance in the broader context of personal information management within the educational sector of Broward County, Florida.

QuestionAnswer
Form NameFlorida Form 4046
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesAddressChangeFo rm change of address broward schools form

Form Preview Example

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

How to Edit Florida Form 4046 Online for Free

Florida Form 4046 can be filled out with ease. Just try FormsPal PDF editing tool to accomplish the job promptly. Our editor is consistently developing to provide the best user experience achievable, and that is because of our dedication to continuous development and listening closely to feedback from users. This is what you will have to do to get going:

Step 1: Access the PDF in our tool by clicking on the "Get Form Button" at the top of this page.

Step 2: Using our state-of-the-art PDF file editor, you can actually accomplish more than simply complete blanks. Try all the functions and make your docs seem faultless with customized text incorporated, or adjust the file's original input to excellence - all that supported by the capability to insert almost any images and sign it off.

It will be easy to fill out the document using out helpful guide! This is what you must do:

1. The Florida Form 4046 involves certain details to be inserted. Ensure the next blank fields are complete:

The best ways to prepare Florida Form 4046 stage 1

2. After performing this section, go to the next step and fill out all required details in all these fields - CONFIDENTIAL ADDRESS, CONFIDENTIAL PHONE Include Area, EMPLOYEE SIGNATURE, CITY, STATE, ZIP CODE, OTHER CONFIDENTIAL PHONE Include, DATE, Submit completed signed form to, Form Rev Personnel Records, and Address Change Form.

Writing section 2 in Florida Form 4046

Be extremely mindful when filling in OTHER CONFIDENTIAL PHONE Include and STATE, as this is the section in which many people make some mistakes.

Step 3: Right after proofreading your completed blanks, hit "Done" and you are good to go! Go for a free trial option with us and acquire instant access to Florida Form 4046 - with all transformations kept and accessible from your FormsPal account page. FormsPal ensures your information confidentiality by using a protected system that in no way records or shares any kind of personal data used. Rest assured knowing your paperwork are kept safe when you use our tools!

Florida Form 4046 isn’t the one you’re looking for?

Related Documents