Get Nc Dss-8113 1998

The NC DSS-8113, known as the Wage Verification Form, is an important document used by the Department of Social Services to verify an individual's employment and income details. This guide will provide you with step-by-step instructions on how to effectively complete the form online, ensuring that all necessary information is accurately conveyed.

Follow the steps to successfully complete the NC DSS-8113 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the date at the top of the form to establish when the information is being provided.
3. In the 'To' section, input the relevant case name, case number, case ID, and district number.
4. Provide the individual's Social Security Number (SSN) in the designated field.
5. Indicate whether the individual is currently employed by checking either 'Yes' or 'No'.
6. If the individual is employed, fill in the beginning date of employment and the date the first paycheck was received or is anticipated.
7. Specify how many days the individual worked during the first pay period and how many days they will typically work in a pay period.
8. Respond to the question regarding expected changes in income, providing an explanation if 'Yes' is selected.
9. For the given months, complete the table by entering the date pay was received, number of hours worked, rate of pay, any bonus or vacation pay, gross pay, and tips.
10. Indicate how often payments are received (e.g., daily, weekly, bi-weekly) and on which day of the week pay is received.
11. If applicable, provide information about any child care assistance provided by the company, including amounts and frequency.
12. State whether the individual has health insurance coverage and if so, fill in the insurance company name, certificate number, and the persons included in coverage.
13. If the individual is no longer employed, complete the section on termination, including the reason for termination, effective date, final pay date, and amount received during the last month of employment.
14. Ensure that the person completing the form signs and prints their name, along with their title, company name, address, telephone number, and date.
15. After completing the form, you can save changes, download, print, or share the completed document as necessary.

Complete the NC DSS-8113 online today to ensure timely verification of employment and income information.