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Navigating the intricacies of personnel data management within the educational sector, especially for those in Broward County, Florida, demands a comprehensive understanding of the Form 4041. Primarily, this form serves as a crucial tool for new hires eligible for personnel information exemption and former employees who need to update their address beyond 45 days after leaving their position. Unlike current employees or those recently separated who must utilize the Employee Self-Service (ESS) for updates, this document facilitates a vital process ensuring the alignment of personnel records with accurate contact details. It stipulates a clear distinction between a permanent (home) or alternate address and a confidential address, underpinning adherence to Florida's Public Records law — specifically, Florida Statute 119.071. This law mandates the disclosure of most employee records for public inspection, with exceptions based on job responsibilities or familial ties necessitating a Personnel Information Exemptions Form. Such exemptions are critical for certain employees desiring to shield selected personal information from public release. To achieve this, the form requires the provision of both an alternate and a confidential address, establishing a safeguard for those with justified reasons for confidentiality, ensuring their privacy remains intact amidst the public's right to information.

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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

Document Overview

Fact Detail
Form Identification Form #4046
Revision Date April 2012
Form Title Address Change Form
Applicable To New hires eligible for personnel information exemption and former employees requesting an address change more than 45 days after job separation
Exclusion Current employees and recently separated employees must update their address via Employee Self-Service (ESS)
Governing Law Florida Statute 119.071
Included Information Employee name, personnel #, permanent/home and alternate addresses, confidential address, phone numbers
Confidentiality Requirement Eligible employees must request exemption and declare their status by completing and submitting a Personnel Information Exemptions Form to Personnel Records Department
Address for Submission Submit completed, signed form to the Personnel Records Department

Instructions on How to Fill Out Florida 4046

Filling out the Florida 4046 form is a straightforward process aimed at new hires eligible for personnel information exemption and former employees who need to change their address more than 45 days after leaving their job. These steps ensure that your address is updated correctly in the system, which is important for receiving any mail or communications from The School Board of Broward County, Florida. Remember, keeping your address current helps you stay informed about any benefits, updates, or opportunities that may arise.

  1. Write your Employee Name in the space provided.
  2. Enter your Personnel # next to your name.
  3. Under PERMANENT (HOME)/ALTERNATE ADDRESS, write your home address, including CITY, STATE, and ZIP CODE.
  4. Include your HOME PHONE #, making sure to add the area code.
  5. If you have another phone number, write it under OTHER PHONE # with the area code included.
  6. For those eligible for a personnel information exemption, fill in the CONFIDENTIAL ADDRESS section with your confidential address, city, state, and zip code. This address won't be made public.
  7. Add a CONFIDENTIAL PHONE # and an OTHER CONFIDENTIAL PHONE # if applicable, ensuring to include the area codes.
  8. Sign your name under EMPLOYEE SIGNATURE.
  9. Write the DATE next to your signature.
  10. Send the completed and signed form to the Personnel Records Department at the address provided on the form.

Once you have completed the form, take a moment to double-check your information for accuracy. This step is crucial to ensure that your address change process goes smoothly. Submitting accurate and complete information helps avoid delays or issues in updating your records. Remember, this form is a key step in making sure that you receive important communications from your employer without interruption.

Listed Questions and Answers

Who needs to use the Florida 4046 form?

The Florida 4046 form is designed for two specific groups within the context of The School Board of Broward County, Florida. First, it is meant for new hires who are eligible for a personnel information exemption. This exemption is pertinent to employees whose roles or family circumstances qualify them to have certain personal information withheld from public disclosure. Secondly, this form serves former employees wishing to update their address more than 45 days after they have separated from their job. It is important to note that current employees and those who have recently separated must utilize the Employee Self-Service (ESS) portal for address changes, making this form unnecessary for their needs.

What information is required on the Florida 4046 form?

To complete the Florida 4046 form, several pieces of information are needed. The form asks for the employee's name and personnel number at the outset. It requires both a permanent (home) or alternate address, and a confidential address. The inclusion of city, state, and zip code details for each address is mandated. Additionally, the form requests home and other phone numbers, including area codes, for both the non-confidential and confidential addresses. The difference between the two sets of addresses and phone numbers is that the confidential ones will not be released for public inspection in accordance with Florida Statute 119.071, provided the employee is eligible for this exemption.

How is the confidentiality of an address determined on this form?

Confidentiality on the Florida 4046 form hinges upon an employee's eligibility based on their job responsibilities or family relationships, as outlined under Florida Statute 119.071. Employees must first assert their exemption eligibility by completing and submitting a Personnel Information Exemptions Form to the Personnel Records Department. The determination of confidentiality is then made based on the employee meeting the criteria for exemption. Employees must provide both an alternate and a confidential address on the form. Failing to provide both addresses will result in the employee not being recorded as having a confidential status, and consequently, their information may be publicly disclosed.

Where should the completed Florida 4046 form be submitted?

Once filled out and signed, the Florida 4046 form should be submitted to the Personnel Records Department. It's crucial that the information provided on the form is accurate and complete, including the distinct designation of an alternate and a confidential address if confidentiality is desired. The date and employee signature are also vital components of form completion before submission, ensuring the request is processed appropriately.

Common mistakes

When it comes to filling out the Florida 4046 form for address changes or information exemptions for certain employees within The School Board of Broward County, people often make several common mistakes. It's crucial to fill out this form accurately to ensure personal information is updated or protected as intended. Below are some of these common errors:

  1. Not providing both the Permanent (Home) and Alternate Address: The form requires that you list both a permanent and an alternate address. Failing to fill out both sections can result in the form being incomplete.

  2. Omitting the Confidential Address details: For those eligible for personnel information exemption, failing to provide a confidential address means the form won't protect their address as confidential, negating the exemption's benefits.

  3. Not updating the form in a timely manner within 45 days after job separation for former employees: This delay can cause complications and potentially expose personal information longer than necessary.

  4. Skipping the personnel number: The personnel number is a unique identifier for the requester. Without it, processing the form can be delayed or even rendered impossible.

  5. Failing to sign and date the form: An unsigned form is considered invalid and will not be processed until correctly signed, delaying the necessary updates or exemptions.

  6. Incorrect phone number formatting: Not including the area code or using incorrect formatting can lead to communication issues or further delays in processing the address change or exemption request.

  7. Ignoring eligibility for personnel information exemption: Not understanding the form's exemption section can result in lost privacy protections for eligible employees.

Commonly, mistakes on important forms like Florida 4046 can lead to mishandled personal information or delays in processing. Here are several proactive steps people can take to avoid these common pitfalls:

  • Double-check all sections for completeness and accuracy before submitting the form.

  • Consult the guidelines or a legal advisor if there's confusion about eligibility for exemptions or how to correctly fill out the form.

  • Keep a copy of the submitted form for personal records and future reference.

  • Update information in the Employee Self-Service (ESS) system promptly if still employed or recently separated, as directed by the instructions.

Attention to detail and understanding the form's requirements can significantly smoothen the process of updating addresses or applying for personal information exemptions.

Documents used along the form

When someone is working through the process of changing their address with The School Board of Broward County, Florida, especially with Form #4046, it's often not just a single document affair. There are several other forms and documents that might be used in conjunction with Form #4046 to ensure a smooth transition and compliance with administrative requirements. Understanding what these documents are and their purpose can significantly aid in the process.

  • Personnel Information Exemptions Form: This is crucial for employees seeking to exempt their address and other personal information from being publicly disclosed. This exemption is particularly important for those whose roles or family connections might pose a risk if such information were publicized.
  • Employee Self-Service (ESS) Portal Instructions: Current employees and those who have separated from their positions within the last 45 days are required to update their address through the ESS portal. This document provides step-by-step guidance on how to navigate the portal and update personal information effectively.
  • Direct Deposit Authorization Form: Often, an address change might coincide with the need to update or change banking information for direct deposit of payroll. This form allows employees to provide new banking details to ensure their pay is correctly deposited without delays.
  • Emergency Contact Information Form: Updating an address can also be a good time to review and update one's emergency contact information, ensuring that the employer has the most current information in case of an emergency.
  • W-4 Form: Federal Income Tax Withholding Form is another critical document that might need updating with an address change. This form dictates how much tax should be withheld from an employee's paycheck, and an address change can sometimes reflect a change in state or local tax status.
  • State Tax Withholding Form: Similar to the W-4 for federal taxes, employees may need to complete a state tax withholding form if they are moving to a different state or if their address change affects their state tax obligations.
  • Identity Verification Documents: In some cases, especially when changing critical personal information, employees may be asked to provide documents verifying their identity. This could include a driver's license, passport, or other government-issued identification.

In addition to the specific Form #4046 for address changes, these documents ensure employees can cover all bases related to their employment and personal information securely and comprehensively. Especially in scenarios like these, attention to detail and diligence in completing and submitting the required documents are key to a successful update process.

Similar forms

The Florida 4046 form, known primarily for its use within the School Board of Broward County for address updates by certain employees and ex-employees, shares similarities with various other documents, each tailored for specific purposes yet grounding in common procedures of personnel information management. Notably, its structure and function mirror those of other forms designed to handle personnel data, such as changes in personal information or to safeguard privacy under specific statutory protections. Below are a few documents that demonstrate such similarities.

IRS Form W-4: Similar to the Florida 4046 form in its objective to update personal information, the IRS Form W-4 focuses on federal tax withholdings adjustments for employees. Where the 4046 form caters to address changes and confidentiality requests, the W-4 tailors to financial adjustments based on marital status, dependents, and other tax-related criteria. Both forms ensure personal and financial implications are accurately reflected in an individual's employment records, though for distinct purposes: one for accurate mail and privacy management, the other for appropriate tax withholdings.

Employee Self-Service (ESS) Systems: While not a form per se, Employee Self-Service systems embody a digital parallel to the Florida 4046 form’s objectives. Like the 4046, ESS platforms enable employees to update their personal details, such as addresses, contact information, and emergency contacts, directly through a secure online portal. The main similarity lies in empowering employees to maintain their own data accurately, ensuring relevant changes are promptly and efficiently recorded. Unlike the physical or static nature of form 4046, ESS systems offer dynamic, real-time data management, reflecting the evolving landscape of employee information handling.

Privacy Protection Forms in Other States: Many states have their versions of privacy protection forms, akin to Florida's 4046, intended for employees who may be exempt from having their information made public under state laws. These documents, while varying in name and specific procedural requirements across states, are unified in their purpose: to protect sensitive personal information for qualified individuals under particular circumstances (such as law enforcement officers or judges). Like form 4046, they necessitate a formal request for exemption, grounded in similar eligibility criteria outlined within each state’s statutes, emphasizing the universal need across jurisdictions to balance public access with individual privacy safeguards.

Dos and Don'ts

When filling out the Florida 4046 Form, which is utilized by The School Board of Broward County for current, new hires eligible for personnel information exemption, and former employees needing to change their address after 45 days of job separation, there are specific practices you should follow to ensure the process is completed accurately and efficiently. Here's a detailed guide:

Do:

  1. Ensure all sections of the form are filled out completely, including both the "Permanent (Home)/Alternate Address" and the "Confidential Address" sections to be considered for the personnel information exemption.
  2. Verify that the information provided, especially your personal and confidential addresses and phone numbers, is accurate and up to date.
  3. Review Florida Statute 119.071 to understand how your information may be used and under what circumstances it can be released to the public.
  4. Sign and date the form to authenticate it before submission as unsigned forms may not be processed.
  5. Submit the completed form directly to the Personnel Records Department to ensure it is received and processed in a timely manner.

Don't:

  • Leave any required fields empty, as incomplete forms may result in delays or the inability to register you as a confidential employee.
  • Provide inaccurate information, as this could affect your status and the protection of your personal data under Florida's public records law.
  • Forget to declare your exemption status by not completing the Personnel Information Exemptions Form if you believe you are eligible for exemption from public release of your information.
  • Attempt to update your address through the Employee Self-Service (ESS) portal if you are a new hire eligible for personnel information exemption or a former employee trying to change your address more than 45 days after job separation, as these specific cases require the Form 4046.
  • Disregard the importance of keeping a copy of the form for your records, as it's essential to have proof of submission and the details provided.

Misconceptions

When it comes to the Florida 4046 form, used primarily by the School Board of Broward County, Florida, several misconceptions can easily take root. Understanding these misconceptions is important for employees who are navigating through their employment lifecycle in the education sector, whether they are new hires, current employees, or former staff members. Let's debunk some common misunderstandings.

  • Misconception 1: The Form 4046 is required for all employees for any address change. Contrary to this belief, the Florida 4046 form is specifically designed for either new hires who are eligible for personnel information exemption or for former employees who need to request an address change more than 45 days after leaving their job. Current employees and those recently separated (within 45 days) are directed to update their address details via the Employee Self-Service (ESS) platform, not through this form.
  • Misconception 2: Any employee can request exemption of their personnel information from public disclosure. In reality, only certain employees who meet specific criteria can request this exemption. The criteria are outlined on a separate Personnel Information Exemptions Form and include job responsibilities or family relationships that necessitate additional privacy measures. If an employee doesn't fall into one of these specified categories, they cannot have their personnel information shielded from public disclosure.
  • Misconception 3: Employees need only provide a confidential address to qualify for information exemption. This is not the case. For an employee to be recorded as having a confidential status, they must furnish both an alternate address and a confidential address on the Form 4046. Failure to provide both types of addresses will result in the employee's information not being exempt from public records.
  • Misconception 4: The Form 4046 is submitted to any department within the organization. The correct procedure requires that the completed and signed Form 4046 be submitted specifically to the Personnel Records Department. This ensures the proper handling and processing of the form in accordance with the School Board's policies and procedures regarding personnel information and its confidentiality.

Understanding these key points about the Florida 4046 form helps clarify its purpose and correct use within the scope of employment with the School Board of Broward County, Florida. It's crucial for employees to recognize the specific nuances related to updating personal information and requesting exemptions from public disclosure, ensuring that their actions remain in compliance with Florida's public records law and the organization's protocols.

Key takeaways

Understanding the nuances of the Florida 4046 form is critical for ensuring the proper handling of address change requests for certain groups of employees or former employees within the Broward County School system. Here are five key takeaways to guide you through the process:

  • The Florida 4046 form is explicitly designed for new hires who are eligible for personnel information exemption and former employees who need to request an address change more than 45 days after separating from their job. This distinction is important for ensuring the form is used by the appropriate parties.
  • Current employees and those who have recently separated from their jobs (within 45 days) are required to update their address through the Employee Self-Service (ESS) system. This highlights a separate process for address changes depending on the timing of the employee's departure or current employment status.
  • The form requires the provision of both a "Permanent (Home)/Alternate Address" and a "Confidential Address". Without submitting both addresses, the applicant cannot be recorded as a confidential employee. This requirement ensures that the personnel records department can adequately protect employees' information according to their eligibility for exemption.
  • Florida Public Records Law mandates the release of most personnel information to the public upon request. However, certain employees may be exempt from this disclosure based on their job responsibilities or family relationships. Completing the Florida 4046 form allows eligible employees to declare their exemption status, thus safeguarding their personal information from being publicly released.
  • Only employees who fall into specific categories listed on the Personnel Information Exemptions Form are eligible to have selected personnel information exempt from public release. If an employee does not qualify under any of the categories, they cannot request this exemption. It's essential for individuals to review these categories carefully to determine their eligibility before attempting to complete the form.

Submitting a completed and signed Florida 4046 form to the Personnel Records Department is the final step in the process. Adherence to the guidelines outlined above ensures that personal information is handled securely and in compliance with relevant laws and policies, safeguarding the privacy of individuals within the Broward County School system.

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