Get Adm 94

The Adm 94 form, also known as the employment verification form, is essential for determining eligibility for services from the Oklahoma Department of Human Services. This guide will provide you with clear steps to complete the form efficiently and accurately.

Follow the steps to complete the Adm 94 online.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin filling out the form with the required details such as the client's name, case name, and county name at the top of the form.
3. Provide information regarding the employment status. Fill in the date the employment began, the date of the first payment, the date of the first paycheck, and the gross amount of the first paycheck before deductions.
4. Indicate the number of hours worked in a typical work week, along with the hourly rate and any overtime pay rate, explaining any variations in hours worked.
5. Mark the frequency of the employee’s payment schedule, including monthly, bi-weekly, semi-monthly, weekly, or daily, and note the specific payment dates.
6. Detail the daily work schedule of the employee, including the days of work and their specific entry and exit times.
7. Provide detailed information for each paycheck received by the employee from the relevant date range, including the gross amount.
8. Complete sections regarding employee health insurance coverage, whether it is necessary for the employee to be insured, and if any employment subsidies apply.
9. If applicable, include details about the termination of employment, such as the termination date, reasons for termination, and the gross income received in the last month.
10. Review all provided information for accuracy, then sign in the designated area. Ensure to provide your contact information including phone number and fax number if required.
11. After completing the form, make sure to save any changes. You may download, print, or share the form as needed.

Begin filling out the Adm 94 online today to ensure timely processing of your employment verification.