Homepage Official Florida 4046 Template
Overview

In the state of Florida, managing personal information within the school system involves specific procedures aimed at ensuring privacy and compliance with state laws. The Florida 4046 form serves a critical function within this framework, designated primarily for use by new hires eligible for personnel information exemption and former employees seeking to update their address more than 45 days after separating from their job. This form is crucial for maintaining accurate records while adhering to Florida's public records law, Florida Statute 119.071, which mandates the release of most written communications and records by government agencies to the public for inspection, with certain exemptions for personal information. The process outlined in the form allows for such exemptions, requiring eligible employees to officially declare their status to keep select personal information confidential. This entails providing both a permanent or alternate address and a confidential address, without which an individual cannot be classified as a confidential employee. Additionally, the form highlights the necessity for recently separated or current employees to perform address updates through the Employee Self-Service (ESS) system, ensuring that all changes are managed efficiently and securely, in line with statutory requirements.

Example - Florida 4046 Form

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

File Specifications

Fact Name Description
Form Purpose This form is primarily for new hires eligible for personnel information exemption and former employees needing to update their address post-employment.
Form Number The document is identified as Form #4046.
Usage Restrictions Current employees and those recently separated must utilize the Employee Self-Service (ESS) for address updates, not this form.
Governing Law It operates under Florida Statute 119.071, concerning the release and exemption of certain personnel information.
Exemption Eligibility Eligibility for exemption from public release of information is determined by job responsibilities or family connections, as declared on a Personnel Information Exemptions Form.
Information Required Employees must provide both an Alternate Address and a Confidential Address to be recorded as a confidential employee.
Submission Destination Completed forms must be submitted to the Personnel Records Department.

Instructions on Filling in Florida 4046

When it comes to administrative tasks, filling out forms correctly is crucial to ensure that all personal records are up-to-date and processed accurately. For new hires eligible for personnel information exemption and former employees needing to update their address after leaving their job, the Florida 4046 form is essential. This form allows you to safeguard your personal address information, providing an option to keep certain details confidential under Florida's Public Records law. Below are the step-by-step instructions to guide you through the process of filling out the form properly.

  1. Begin by writing your Employee Name in the space provided. Ensure to use the name under which you are officially employed.
  2. Enter your Personnel Number next. This is a unique identifier assigned to you by your employer.
  3. Under Permanent (Home)/Alternate Address, fill out your home or alternate address including City, State, and ZIP Code. Don’t forget to also provide your Home Phone Number, including the area code.
  4. For an additional contact number, fill in the Other Phone Number field, also including the area code.
  5. Fill out the Confidential Address section if you are eligible and wish to have this address exempt from public record. Include the City, State, and ZIP Code for your confidential address.
  6. Provide a Confidential Phone Number, with area code, where you can be reached, apart from your home phone.
  7. In the space for an additional confidential contact number, enter the Other Confidential Phone Number if you have one.
  8. Sign your name under Employee Signature to verify the information provided on the form.
  9. Lastly, ensure to write the current date next to your signature under Date.
  10. Review the form once more to ensure all information is correct and complete.
  11. Submit the completed, signed form to the Personnel Records Department as instructed at the bottom of the form.

Filling out the Florida 4046 form correctly is not just about updating your address; it’s about ensuring your personal information is handled according to your privacy preferences. Once your form is submitted, the Personnel Records Department will process your address change and update any confidential status as required. Remember to double-check each section for accuracy to avoid any delays or issues with your records.

Understanding Florida 4046

What is the purpose of the Florida 4046 form?

The Florida 4046 form serves a dual purpose. Primarily, it is intended for new hires within the Broward County School system who are eligible for personnel information exemption, allowing them to declare and request that certain personal information be kept confidential. Additionally, it is designed for former employees who need to request an address change more than 45 days after their separation from employment. This form facilitates the updating of their personal details within the school district's records, ensuring compliance with Florida's Public Records law, while also safeguarding the privacy of eligible employees.

Who needs to use the Florida 4046 form?

This form is specifically required for two groups within The School Board of Broward County. The first group includes new hires who meet eligibility criteria for exemption from having their personnel information disclosed publicly. The second group consists of former employees wishing to update their address more than 45 days after they have left their position. It is important for these individuals to use the form to either protect their personal information or to ensure their records are current, which is crucial for receiving pertinent information or documents from the school board.

How does one become eligible for personnel information exemption?

Eligibility for personnel information exemption under the Florida Public Records law is determined based on the employee's job responsibilities or family relationships. Specific categories are identified on the Personnel Information Exemptions Form, which must be completed and submitted along with the Florida 4046 form to the Personnel Records Department. Only those employees who fall into one of the pre-defined categories can have their selected personnel information exempt from public release. If an employee does not fit any of the listed categories, they cannot request this type of exemption.

What information must be provided on the Florida 4046 form?

Completing the Florida 4046 form requires several pieces of information. Employees must provide their name, personnel number, both a permanent (home) or alternate address, and a confidential address. Additionally, telephone numbers for both the primary and confidential addresses must be included. It is critical to provide complete and accurate information to ensure the employee's request for address change or information exemption is processed correctly. Failure to provide both an alternate and a confidential address will result in the employee not being recorded as a confidential employee.

Can current employees use the Florida 4046 form to update their addresses?

No, current employees and those who have recently separated from their positions must utilize the Employee Self-Service (ESS) system to update their addresses. The Florida 4046 form is explicitly designed for new hires eligible for an information exemption and former employees who are updating their address more than 45 days after job separation. Therefore, current employees should follow the established procedures within the ESS for any address changes.

What happens after submitting the Florida 4046 form?

After submitting the completed and signed Florida 4046 form to the Personnel Records Department, the employee's request for an address change or personnel information exemption will be processed. For those eligible for information exemption, their confidential address will be securely entered into the school board's records, ensuring that their selected personnel information is not publicly disclosed in compliance with Florida's Public Records law. It is essential for employees to accurately complete and promptly submit the form to facilitate this process.

Is it necessary to provide both an alternate address and a confidential address?

Yes, it is mandatory to provide both an alternate and a confidential address when completing the Florida 4046 form. This requirement ensures that the school board can maintain accurate and up-to-date records for all employees, while also adhering to any requests for confidentiality. Without providing both types of addresses, the form cannot be fully processed, and the employee will not be considered for confidential status, potentially leading to unwanted disclosure of their personal information.

Common mistakes

Filling out the Florida 4046 form correctly is crucial for new hires eligible for personnel information exemption and former employees who need to update their address. Unfortunately, several common mistakes can complicate this straightforward process. Here are seven mistakes to avoid:

  1. Not updating both the Permanent (Home)/Alternate Address and the Confidential Address. It's vital to provide complete information in both sections to be recorded as a confidential employee.

  2. Leaving out details in the Personnel # field. This unique identifier is crucial for processing your form accurately and promptly.

  3. Omitting area codes in phone numbers. Including the area code for both home and other phone numbers ensures that communication lines are correctly established.

  4. Forgetting to declare status for personnel information exemption. Not every employee is eligible to have their personnel information exempt from public release. Those who are must request this exemption by completing and submitting a Personnel Information Exemptions Form along with Form #4046.

  5. Submitting the form without a signature and date. A signature and date are necessary to verify and process the request effectively.

  6. Updating the address via this form when it's not applicable. Current employees and those who have recently separated should use the Employee Self-Service (ESS) for address changes.

  7. Failing to submit the completed form to the Personnel Records Department. After filling out, the form must be sent to the designated department for the changes to take effect.

Common pitfalls encountered when completing the form include:

  • Inaccurate or incomplete addresses. Ensure both the permanent and confidential addresses are thoroughly detailed, including city, state, and zip code.

  • Not checking eligibility for personnel information exemption. Read through the identified categories carefully to determine if your situation qualifies for an exemption.

  • Assuming the process is complete upon submission. It's a good practice to follow up with the Personnel Records Department after submitting your form to confirm receipt and processing.

Avoiding these mistakes not only helps in protecting your personal information but also ensures the smooth handling of your records by The School Board of Broward County, Florida.

Documents used along the form

When dealing with the intricacies of employment and personal information changes in the context of the School Board of Broward County in Florida, the Florida 4046 Form plays a pivotal role. This form, designed for new hires eligible for personnel information exemption and former employees seeking an address change beyond 45 days post-separation, is just the tip of the iceberg. Numerous other forms and documents often accompany the Florida 4046 form, each serving a unique purpose in ensuring compliance with Florida's public records law and the smooth handling of employee information.

  1. Personnel Information Exemptions Form: This form allows certain employees to declare their eligibility for exemption from public disclosure of their personnel information due to specific job responsibilities or family relationships.
  2. Employee Self-Service (ESS) Access Request: Used by current employees to gain access to the online platform for updating personal information, including address changes within 45 days post-separation.
  3. Direct Deposit Authorization Form: This document authorizes the direct deposit of paychecks into the employee's bank account, necessitating the provision of current address information for banking purposes.
  4. Emergency Contact Information Form: Employees are required to submit this form to ensure that the employer has current contact information for emergencies. This often needs to be updated alongside address changes.
  5. Employment Eligibility Verification (Form I-9): Federal law mandates that employees complete this form to verify their identity and eligibility to work in the United States. An address change may trigger the need for updates.
  6. Tax Withholding Forms (W-4): Employees use this form to indicate their tax withholding status to the employer—changes in residency or address could affect tax withholding amounts.
  7. Beneficiary Designation Forms: These forms, used for retirement plans and life insurance policies, require up-to-date address information to ensure proper designation and correspondence.
  8. Request for Personnel File: This allows employees or former employees to request a copy of their personnel file, which may be necessary after submitting a change of address.
  9. Confidentiality Agreement: Employees with access to sensitive information might need to sign a confidentiality agreement that includes their current address for identification purposes.
  10. Performance Appraisal Forms: These documents assess employee performance and may need to be updated or accessed after an address change to ensure that all records are current.

This collection of forms and documents underscores the complexity of employee information management in the public sector, particularly within the School Board of Broward County, Florida. Each document plays a unique part in maintaining the delicate balance between compliance with public records laws, safeguarding employee privacy, and ensuring the accuracy of personnel records. The Florida 4046 form is but a starting point in the expansive realm of employee documentation.

Similar forms

  • Employee Contact Information Form: Like the Florida 4046 form, this document collects employee names, addresses, and phone numbers. It is used to update or maintain accurate contact records within an organization, ensuring that communication channels remain open and effective.

  • Employee Self-Service (ESS) Profile Update: Similar to the directive in the 4046 form for current and recently separated employees to use ESS for address updates, this online process allows employees to manually update their personal information, including address and contact details, to keep their employer informed.

  • Exemption Declaration Form: The 4046 form involves a process where certain employees can declare exemption status to prevent personal address release. A similar document is the Exemption Declaration Form, where employees or individuals claim exemptions under specific criteria to protect their information from public disclosure.

  • Public Records Exemption Request Form: This form closely relates to the Florida 4046 by allowing individuals to request their information be exempt from public records, grounded in various statutes that protect the privacy of certain professionals or conditions.

  • Personal Information Update Form: Similar in functionality to the 4046 form, this document is used by employees to update personal information, such as addresses and phone numbers, to ensure the employer's records are current.

  • Confidential Contact Information Form: Specifically designed like the confidential section of the 4046 form, it allows individuals to provide an alternative address and phone number intended to be kept confidential and used under limited circumstances.

  • Human Resources (HR) Information Change Form: This is a broader document encompassing various types of personnel information changes, including address changes as specified in the 4046 form. It serves as a multi-purpose form in HR departments for updating employee records.

  • New Hire Information Form: Much like the initial section of the 4046 form intended for new hires, this document collects foundational information from new employees, including their address, for administrative and contact purposes.

  • Former Employee Contact Update Form: Tailored for individuals no longer employed within an organization but needing to update their contact information post-separation, similar to a portion of the audience for the 4046 form.

  • Government Agency Address Confidentiality Program Application: While not an internal document like the 4046 form, it offers a similar function in allowing individuals, under certain conditions, to request that their home address be kept confidential within public records, enhancing personal security.

Dos and Don'ts

When filling out the Florida 4046 form, it is important to pay close attention to detail and understand the requirements to ensure the process is completed accurately and efficiently. Below are several do's and don'ts to consider:

  • Do thoroughly read the instructions before starting to fill out the form to avoid any mistakes.
  • Do provide both your permanent (home) and alternate addresses if you are eligible for personnel information exemption. This ensures your information is correctly processed and protected.
  • Do clearly print all information to prevent any misunderstandings or processing delays.
  • Do include area codes with all phone numbers to ensure they are accurately recorded.
  • Do sign and date the form as this is a requirement for the document to be processed.
  • Don't leave the confidential address section blank. If you are eligible for an exemption and wish for your address to remain confidential, both addresses must be filled out.
  • Don't forget to check your eligibility for personnel information exemption. Not everyone is eligible, so it's important to verify this before claiming such status.
  • Don't fail to submit the completed form to the Personnel Records Department. Without proper submission, your address change or confidentiality request cannot be processed.

Adhering to these do's and don'ts will help ensure that your form is filled out correctly and processed in a timely manner. This attention to detail is crucial for protecting your personal information and ensuring compliance with Florida Statute 119.071.

Misconceptions

When it comes to understanding the Florida 4046 form, several misconceptions may arise, leading to confusion and misinformation. It's important to address these misunderstandings to ensure that individuals can navigate their rights and obligations more effectively. Here are seven common misconceptions about the Florida 4046 form explained:

  • Only current employees need to fill it out. This form is not exclusively for current employees; it's also designed for new hires eligible for personnel information exemption and former employees who need to request an address change more than 45 days after their separation from the job.
  • It's an optional form. While it might seem optional, utilizing the Form 4046 is essential for those seeking to change their address on record or declare confidentiality exemptions for their personnel information due to specific eligibility reasons.
  • Any employee can declare their address as confidential. In reality, only employees who fall into specific categories as defined on the Personnel Information Exemptions Form are eligible to have their personnel information exempt from public release. Filling out the form does not automatically make your information confidential.
  • You only need to provide a new address. To be recorded as a confidential employee, the form requires you to provide both an alternate address and a confidential address. Simply providing a new address is insufficient for confidentiality purposes.
  • The information provided is not subject to public records law. Most personnel information can be released to the public under Florida Statute 119.071, except for Social Security numbers and other exempt information. Employees eligible for exemptions must actively request this through the proper completion and submission of form 4046.
  • This form is only for address changes. Besides updating address information, the form serves as a crucial tool for eligible employees to declare their status and request exemption from having their personnel information disclosed publicly.
  • There's no deadline for submission. Former employees wishing to update their address after leaving their job have a specific timeframe—more than 45 days post-separation—to submit this form. Timeliness matters in these matters to ensure the correct handling of personnel information.

Understanding the specific requirements and purposes of the Florida 4046 form is crucial for all parties involved. Clearing up these misconceptions ensures that eligible individuals can properly manage their personnel information and address changes according to Florida law and regulations.

Key takeaways

  • The Florida 4046 form is specifically for new hires eligible for personnel information exemption and former employees who need to request an address change more than 45 days after separating from their job.
  • Current employees and those who have recently separated must update their address using the Employee Self-Service (ESS) system, not this form.
  • It's mandated by Florida Statute 119.071 that most personnel information, including addresses, can be made public. However, certain employees can request an exemption based on their job responsibilities or family relationships.
  • To be considered for the exemption, employees must complete and submit a Personnel Information Exemptions Form to the Personnel Records Department, identifying their eligibility based on predefined categories.
  • The form requires not only a permanent or alternate address but also a confidential address. Failure to provide both types of addresses will result in the employee not being recorded as confidential.
  • Confidential phone numbers, in addition to the confidential address, must also be provided, ensuring there are primary and secondary confidential contact numbers.
  • After filling out the form, employees must submit it to the Personnel Records Department, confirming its completion and accuracy with their signature and the date.
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