Get Arkansas Dhs Verification Of Earnings Form

This guide provides clear instructions for filling out the Arkansas Dhs Verification Of Earnings Form online. Follow the step-by-step process to ensure accurate completion and submission of the form.

Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the employee's start date and hourly wage in the designated fields. Include the average hours worked per week and the date of the first paycheck.
3. Indicate the anticipated gross amount of the first pay and the frequency of payment, choosing from options like weekly, bi-weekly, or monthly.
4. Detail the gross earnings for the employee for the specified pay periods, listing each paycheck separately, including any bonuses or vacation pay.
5. Answer whether any earnings are funded by the On The Job Training Program (JTPA) by selecting yes or no.
6. If the employee is no longer employed, provide the termination date and reason for leaving.
7. Fill in additional information regarding expected changes in employment status, such as layoffs or changes in hours.
8. If the employee has insurance, provide the name and address of the insurance carrier along with the policy information.
9. The employer or payroll clerk must sign and date the form to certify that the provided information is accurate.
10. Once completed, save your changes, and download, print, or share the form as needed.

Complete your Arkansas Dhs Verification Of Earnings Form online today!