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Ress City State Zip Telephone INSTRUCTIONS When 25 or more employees separate on the same day for the same reason, complete this form, in detail, and the Mass Separation-List of Workers form (DOL-402A). A separate list should be completed for each set of employees for each different reason for separation as shown below. Fax or mail this form and the List of Workers form to the above address/number within 24 hours after the date of separation. This will ensure that claims are handled e.

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How to fill out the Dol 402 Formpdffillercom online

The Dol 402 Form is essential for employers to report mass separations of employees. This guide will provide clear instructions on how to fill out the Dol 402 Form online, ensuring compliant and efficient submission.

Follow the steps to complete your Dol 402 Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the employer section. Include the employer's account number, street address, city, state, zip code, and telephone number.
  3. In the reason for separation section, check the appropriate box reflecting the reason for employee separation: totally separated due to lack of work, separated with or without a definite date to return, or other reasons such as leave of absence or furlough.
  4. Enter the last date worked by the employee using the provided fields for month, day, and year.
  5. If applicable, input the date of expected return to work.
  6. Indicate whether any workers retired during this period by checking 'Yes' or 'No'. If 'Yes', specify if any deductions were made from their paychecks for retirement and state the percentage paid by the employer.
  7. Complete the address of the work location if it differs from the employer's address provided earlier.
  8. Finally, certify that the information is true and correct by providing a signature and title before proceeding.

Complete your Dol 402 Form online today for efficient processing.

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A termination letter or separation notice usually provides a notification of rights to file for unemployment benefits to the employee and in some cases, basic separation information to the state agency if the employee files an unemployment claim.

To get your Department of Labor Account Number, register online with the Georgia Department of Labor. Once you complete registration, you will receive your eight-digit Department of Labor Account Number (000000-00).

Employers are required to complete Form DOL-800,"Separation Notice", for each worker separated regardless of the reason for separation (except when mass separation Form DOL-402 and Form DOL-402A notices are filed).

A general separation notice is a written communication from an employer or an employee saying that the employment relationship is ending.

Not all states require a separation notice. However, the Georgia Department of Labor requires employers to send a Separation Notice (Separation Notice - Individual - DOL 800) to all employees when their employment relationship ends, regardless of the reason.

In ance with the Employment Security Law, OCGA Section 34-8-190(c) and Rules pursuant thereto, a Separation Notice must be completed for each worker who leaves your employment, regardless of the reason for the separation.

Reasons include: Abandoned job, Absenteeism, End of temporary employment, Inability to work, Insubordination, Layoff, Misconduct, Not continued beyond probation, Poor job performance, Resigned, Resigned in lieu of separation, Retired.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232