Department of Children and Families Loss of Income Form

Verifying your income and employment tin can be of dandy importance. For those currently on or applying for nutrient stamps or Medicaid, it can mean the difference betwixt receiving or non receiving benefits. Information technology'southward also important if you're faced with any kind of legal suit, such as suing an employer for dorsum pay or loss of income. In the state of Florida, this process is fairly straightforward, involving the verification of employment/loss of income course that can be downloaded hither.

This form is twofold, covering both new and current employment as well as any loss of income. The form contains four sections, and either the employer or employee can consummate the beginning two. Your electric current or previous employer will fill out the tertiary and fourth sections and don't need to completed by you, the applicant. First is the department on general employment data, followed by the loss of income department.

Correctly completing these two sections is vital to a successful application. Hither, yous'll learn what information to include in each section.

Section ane: General Information

The first section of the verification of employment/loss of income grade covers general information. This includes employment, insurance, covered dependents, and information about your benefits. The asking to provide your Social Security number (SSN) may stand out here. While it'southward non required under federal law, it's noted at the bottom of the form that providing your SSN allows the class to be processed faster and more accurately.

Rate of pay and tips

Beyond the request for your SSN, the information requested in Section ane is fairly straightforward. It does ask virtually hours worked and employment start and terminate dates. To make this process easier, print out your pay stubs from recent months to ensure that your pay is accurate.

If you received tips at your job, you'll need this information for Department 3 of the class, fifty-fifty though your current or previous employer completes this section. Authentic tip data is important considering it will be factored into your full pay and influence your total benefits.

If you haven't been tracking your tips, you lot tin decide this data by totaling up your pay for the year then far and matching it up with your banking concern account, assuming your tips are deposited. Tips should be displayed as a separate deposit, allowing you to add them upward to give you a total for the tax year.

Payroll savings plans and profit sharing

The only other spot in Section 1 that's likely to cause confusion is item ten, which asks most profit sharing and payroll savings plans. A payroll savings plan is an automated program that involves using portions of your paychecks to purchase bonds. A profit sharing plan also is automatic and allows employees to use portions of their paychecks to invest in their employing company and grow their savings as the company grows.

If you're unsure whether or non y'all participated in this blazon of plan, achieve out to your current or sometime company's HR rep. They will exist able to tell yous or point you in the direction, of the company's financial or payroll specialist.

Section two: Loss of Income

Section ii of the grade covers the actual loss of income. This is where you'll depict when your employment ended, why yous were terminated, vacation reimbursement, and eligible insurance benefits. You'll demand loss-of-income information if you lot're pursuing Medicaid, nutrient stamps, or any other welfare services. State agencies will use this information to determine your eligibility for these benefits; applicants who brand besides much income may not qualify. Yous'll also need loss-of-income information if you have to sue for any kind of work-related injury or unjust termination.

It's worth noting that loss of income is unlike from the loss of earning capacity. Loss of income can be temporary, while loss of earning capacity means someone has lost current and future earning potential. Loss of earning chapters is commonly used in legal disputes where an employee was injured and can no longer make as much income as they did before. If this is your state of affairs, y'all demand to pursue loss of earning capacity, not loss of income.

Explaining income changes on the form

One of the about important parts of Section 2 is the area for explaining why you lost income. While you don't need to write a lengthy description about why you experienced a loss of income, you will need to listing a reason that accurately describes your situation.

The correct reason for loss of income is peculiarly of import if you take to go to courtroom to sue for any amercement or fight for Social Security and other benefits.

There are ii master categories that embrace the majority of reasons for losing income. Read each category carefully to decide how y'all should allocate your case.

Laid Off

If you were permit go from your job, this is a valid reason to include on your form. As long as your previous employer'south contact data is accurate, it's easy to verify this information. Your former employer can confirm that yous were laid off and did not leave of your own accord.

Being laid off versus quitting is an especially of import distinction, equally voluntary unemployment tin disqualify yous from receiving whatsoever unemployment pay or benefits in most cases. If you voluntarily left due to illness, injury, or poor workplace weather, yous can nevertheless qualify.

Injury or Disease

If you had to take time off work or leave your task considering of an injury or illness, this is a valid reason to include on the form also.

In the event of a work-related injury, you'll want to be clear that it was a work injury when filling out the grade. It's also a proficient idea to contact any doctors or other medical offices y'all attended for records and proof of your injury. Accurate medical records can also assistance in the event you lot demand to sue for any kind of legal compensation on account of a work-related injury.

Again, if medical professionals determined that your work-related injury hinders your future earning potential, yous'll want to pursue a loss of earning chapters, not loss of income.

Vacation and benefits information

Section 2 is more technical than Department ane, requiring information about vacation reimbursement equally well as benefits like extended insurance coverage.

This information isn't always something y'all'll know offhand. Don't hesitate to accomplish out to the HR rep from your one-time employer. They'll be able to give you accurate information, which tin influence your benefits. Holiday and benefits are frequently factored into pay, which determines your eligibility for benefits.

Why Loss of Income and Employment Gaps Thing

There are a few reasons you may need to show and explain a loss of income or employment gap, 2 if which pertain to welfare or benefits.

• Welfare services uses income information to determine the level of benefits you may qualify for, if yous authorize at all.
• Employment gaps can also be used by welfare services, as many benefit types crave you exist employed or actively searching for employment. In Florida, you need to have earned at least $3,400 in 12 months. For more information, read their full guidelines.

While not a part of the verification of employment/loss of income form, employment gaps are of import when chore hunting as well. Many employers will question employment gaps, then having your valid reason set up to get can be helpful to include on your resume.

Depending on the reason behind your employment gap, you may have to approach the subject differently. Read up on how to explain your employment gap to ensure you lot comprehend it properly on both your resume and in the interview process.

Who to Contact if Y'all Need Assistance

The verification of employment/loss of income form has many fields and can vary in presentation depending on the source of the form. If you need aid filling information technology out, employ the post-obit resource:

• Florida Department of Children and Families Phone: 850-300-432
• Florida Department of Wellness Phone: 850-245-4444

Both departments offer assist and can help y'all with whatever areas giving yous problem. If y'all're using the form to specifically use for any kind of family welfare, the Florida Department of Children and Families is ideal. The Florida Section of Health is bachelor to assist with all other issues, including whatever kind of work-related injuries or grievances.

Determination

The Florida verification of employment/loss of income form is an important step in receiving benefits or payment you're owed. Information technology tin can be time consuming, but it'southward worth the try if it means the difference between receiving or non receiving benefits. This type of support can be a boon to your sense of security while you look for more work or recover from an injury or illness.

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