Get Dss Suffolk County

Filling out the Dss Suffolk County form correctly is crucial for verifying employment for childcare eligibility. This guide provides clear and detailed steps to assist you in completing the form efficiently online.

Follow the steps to complete the Dss Suffolk County form.

1. Click the ‘Get Form’ button to access the document and open it in your preferred editing tool.
2. Begin by entering the date on which you are filling out the form at the top of the document.
3. Provide the employee’s details, including their full name, Social Security Number (SSN), and the DSS case number.
4. Indicate the name and address of the employer. Include the attention line for the relevant department, if applicable.
5. Fill out the employee's start date and last date worked if applicable. If the employee is no longer working, explain the reason for their departure.
6. Complete the requested return date section to indicate when you’d like the information returned.
7. In the earnings section, fill in the details for the last 12 weeks of employment. This includes listing pay periods, gross pay, tips, commissions, and the employee's hourly wage.
8. Choose the pay cycle based on how frequently the employee is paid. Indicate the days of the week that the employee typically works.
9. Provide the average number of hours the employee works and indicate the usual work hours.
10. Fill in the name and address of the employer, along with a contact person and their phone number.
11. The form must be signed by the employer, who should also provide their title and the date of signing.
12. Once all sections are complete, you can save your changes, download a copy, print it, or share the form as required.

Complete your Dss Suffolk County form online today for efficient processing.