Get Work Verification Form

Filling out the Work Verification Form online is a straightforward process that helps ensure that eligible employees receive the necessary childcare assistance. This guide provides detailed, step-by-step instructions for completing each section of the form to facilitate accurate and timely submissions.

Follow the steps to successfully fill out the Work Verification Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Start by entering the employee's name in the designated field marked 'Employee Name.' Ensure that the name is spelled correctly for accuracy.
3. Next, enter the CCS case number in the appropriate field. This number is important for linking the verification to the correct case.
4. In the section titled 'TO BE COMPLETED BY EMPLOYER,' input the company's name and address in the provided spaces. This information verifies the employer's identity.
5. Indicate the total hours worked per week in the specified field. This should reflect the average hours the employee is scheduled to work.
6. Complete the weekly work schedule table by entering the days of the week alongside the corresponding 'Time In' and 'Time Out' for each day. Be thorough to provide a complete picture of the employee's weekly schedule.
7. If the work schedule varies, indicate 'Yes' and provide detailed explanations in the designated space. This helps clarify any inconsistencies in scheduling.
8. Finally, the employer must sign the form in the signature area. Enter the name of the person completing the form in print, along with their title and phone number.
9. Select the option to save your changes, and choose whether to download, print, or share the completed form as needed.

Complete your Work Verification Form online today for a smooth application process.