Get Fl 275-021-04 2004-2026

Filling out the FL 275-021-04 form is an essential step for contractors seeking to certify their equal employment opportunity and affirmative action policies. This guide provides a clear, step-by-step approach to ensure that users can complete the form accurately and efficiently.

Follow the steps to complete the FL 275-021-04 form online.

1. Click ‘Get Form’ button to access the FL 275-021-04 document and open it for editing.
2. Select one of the provided options to indicate whether this certification is for the adoption of a new EEO policy and plan or an update to the company address, phone number, or approving officer.
3. Enter the contractor's company name in the designated field.
4. Provide the federal employer identification number (FEIN) or the FDOT vendor number in the specified area.
5. Fill out the Florida home office address, ensuring to include the required street address and, if applicable, the P.O. Box.
6. Indicate the city where the company is located, followed by Florida as the state.
7. Finish filling in the zip code for the company’s location.
8. Provide the company’s phone number and fax number, including the appropriate area codes.
9. Print the name of the company official who is signing the document, including their full first and last name.
10. Indicate the title of the company official, which must be that of Chief Executive Officer, President, or Chairperson.
11. Ensure that the company official's signature is included and record the date of signing in the specified format (month/day/year).
12. If notarization is required, ensure that the notary section is completed with the date and either the personal identification used or phrasing indicating personal knowledge of the signer.
13. Complete the section designated for FDOT use, which may include registration actions and distribution details.
14. Once all fields are filled, save your changes, and you can download, print, or share the completed form as needed.

Take action now and complete your documentation online to ensure compliance with EEO/AA policy requirements.