Form Dfs K4 1065 PDF Details

Within the realm of ensuring financial accountability and support for firefighters, the DFS K4 1065 form plays a crucial role. Administered by the Department of Financial Services under the Division of the State Fire Marshal, this specific form stands as a cornerstone for the Firefighters Supplemental Compensation Program's quarterly reporting requirements. Designed to streamline the process, submissions can be made online, reflecting the shift towards more accessible digital management solutions. Fire departments and employing agencies are required to meticulously document and report the compensation paid out to firefighters each quarter, ensuring transparency and compliance. This rigorous process needs the fire chief or an authorized agent to list the names of the firefighters, their social security numbers (optional, yet beneficial for processing), and the corresponding amount paid during the quarter. Additionally, it mandates submission within a ten-business day window following the quarter's end, emphasizing the importance of timely and accurate reporting. The information should be presented in alphabetical order and be clear to read, demonstrating an organized approach to record-keeping. By certifying the amounts indicated with a signature, the form not only serves as a financial record but also as a legal document that underscores the commitment of fire departments to support their personnel financially.

QuestionAnswer
Form NameForm Dfs K4 1065
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names2ND, Florida, jul, Ocala

Form Preview Example

THE DEPARTMENT OF FINANCIAL SERVICES

Division of the State Fire MarshalProcess may now be done on-line at www.floridastatefirecollege

FIREFIGHTERS SUPPLEMENTAL COMPENSATION PROGRAM

QUARTERLY REPORT

BUREAU OF FIRE STANDARDS & TRAINING

 

QUARTER:

1ST

2ND

3RD

4TH

YEAR

 

 

(JAN-MAR)

(APR-JUN)

(JUL-SEP)

(OCT-DEC)

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF FIRE DEPARTMENT/EMPLOYING AGENCY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRE CHIEF/AUTHORIZED AGENT

 

 

 

 

DEPARTMENT TELEPHONE #

 

 

 

 

 

 

 

 

 

 

DEPARTMENT MAILING ADDRESS

CITY

 

 

 

STATE

 

ZIP CODE

NOTE: This form must be submitted within 10 business days of last day of quarter.

The following information must be in alphabetical order and typed or printed legibly.

FIREFIGHTER’S NAME

SOCIAL SECURITY NUMBER1

AMOUNT PAID

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

TOTAL AMOUNT PAID THIS QUARTER:

 

This is page

 

of

 

pages

I hereby certify that the above listed individuals have received the amounts indicated.

SIGNATURE OF CHIEF OR AUTHORIZED AGENT

POSITION

DATE

Submit this form to the:

Bureau of Fire Standards & Training, 11655 NW Gainesville Road, Ocala, Florida 34482-1486

1Please note that the social security number is not required; however, if you provide it, it will greatly assist us in assisting you.

DFS-K4-1065 REV 03/06

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