The Ccis Employment Verification form is a critical document designed to authenticate an employee's job status, earnings, and work schedule for determining eligibility for subsidized child care programs. It mandates detailed employment information from employers, such as employment identification number (EIN), employee's job title, pay rate, schedule, and more, to ensure accurate and fair assessment by the Early Learning Resource Center (ELRC). For employers looking to assist their employees in obtaining subsidized child care, completing and submitting this form is a valuable step.
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In the landscape of supports for working families, the Child Care Information Services (CCIS) Employment Verification Form stands as a crucial document connecting employees with child care cost assistance. Designed to verify the employment and income information for individuals seeking subsidized child care, this form requires meticulous completion by the employer, not by the employee seeking assistance. Employers are asked to provide comprehensive details about the employment situation, including the employer's name, supervisor's details, employee identification number (EIN), and contact information, along with specifics about the employee's position, start date, income, and work schedule. The form also delves into whether the employment is temporary or seasonal and if the employee is currently on extended leave. A unique aspect of this document is its focus not only on verifying the facts of employment but also on understanding the nuances of the employee's work pattern, which can significantly influence eligibility for child care subsidies. This attention underscores the form's purpose in the broader context of supporting employee welfare through access to affordable child care, showcasing a blend of administrative procedure and the acknowledgment of varied work schedules in determining program eligibility. The cooperation between employers, employees, and the Early Learning Resource Center (ELRC) as facilitated through this form represents a collaborative effort towards enhancing child care access for working families.
Employment Verification Form
EMPLOYER NAME/PLACE OF EMPLOYMENT:
IMMEDIATE SUPERVISOR’S NAME:
IMMEDIATE SUPERVISOR’S TITLE:
I authorize the release of this information and give permission to the Early Learning Resource Center (ELRC) to verify all information contained in this form.
EMPLOYEE’S PRINTED NAME
EMPLOYEE’S SIGNATURE
DATE
THE FOLLOWING SECTIONS MUST BE COMPLETED BY THEIR EMPLOYER
EMPLOYER IDENTIFICATION NUMBER (EIN):
ADDRESS OF EMPLOYMENT:
EMPLOYER’S TELEPHONE NUMBER:
(______) ______ - ____________
EMPLOYEE INFORMATION
EMPLOYEE’S JOB TITLE:
Is the above-mentioned employee newly hired?
Yes
No
EMPLOYMENT START DATE:
______ / ______ / ____________
EMPLOYMENT INCOME
HOURLY RATE:
GROSS PAY:
AVERAGE DAILY TIPS:
NEXT PAY DATE:
PAY FREQUENCY:
$
___ / ___ / ______
Weekly
Bi-Weekly (26 pays/year)
Twice a Month (24 pays/year)
Monthly
The employee: receives paystubs does NOT receive paystubs receives pay in CASH has access to pay online via the following website:
EMPLOYMENT SCHEDULE (Please indicate the days and hours the employee works and indicate whether the hours occur during A.M. or P.M.)
NOTE: If the schedule varies, please give a 4-week sample schedule.
WEEK ONE
Dates: from:__________________
to:____________________
Mon.
from_________ a.m./p.m. to_________
a.m./p.m.
Tues.
Wed.
Thur.
Fri.
Sat.
Sun.
TOTAL # HOURS/WEEK: _________________________
WEEK TWO
WEEK THREE
WEEK FOUR
Effective begin date of schedule change:
EXTENDED LEAVE
Is the employee on extended leave (maternity, disability, etc.)?
Effective begin date of extended leave: ___ / ___ / ______
Date returned from extended leave: ___ / ___ / ______
TEMPORARY/SEASONAL EMPLOYMENT
Is the employee considered to be a temporary hire?
If the employee is considered a temporary hire, what is the last date of guaranteed employment? ___ / ___ / ______
If the employee is seasonal, please give: Last day of work before break: ___ / ___ / ______
Expected date of return following break: ___ / ___ / ______
I understand that the information I am providing will be used to determine the above-named employee’s eligibility for
subsidized child care.
EMPLOYER’S PRINTED NAME & JOB TITLE
EMPLOYER’S SIGNATURE
CY 925 6/19
Dear Employer:
One of your employees has requested assistance paying his/her child care costs. We must verify his/her employment with you. This information will help us determine if this employee is eligible for the subsidized child care program. The form must be mailed directly to the Early Learning Resource Center (ELRC).
An authorized COMPANY REPRESENTATIVE (not the employee) must complete this form.
We must have an accurate record of your employee’s work schedule and employment income. Please complete the information on the back of this page. It is very important that the hours shown are specific and defined as either A.M. or P.M. (For example, 7:30 a.m. - 3:30 p.m.). If the employee’s schedule varies, please give a 4-week sample schedule. You do not need to give a 4-week sample schedule unless the employee’s schedule varies from week to week.
Thank you for your time and assistance. If you have any questions about how to complete this form, please contact the ELRC listed below.
ELRC:
Early Learning Resource Center Region 17
PO Box 311
1430 DeKalb Street
Norristown, PA 19404-0311
(610)278-3707 or (800) 281-1116 Fax (610) 278-5161
When an employee seeks assistance for child care costs, the process requires a detailed employment verification to be completed by their employer. This step is vital to assess the employee's eligibility for the subsidized child care program. The form requests comprehensive employment details, including work schedule, income, and employment status, which needs to be accurately and fully documented. Below are the instructions to complete the CCIS Employment Verification Form.
This process, once completed, enables the Early Learning Resource Center to evaluate the employee's case for receiving child care subsidy accurately. Employers are encouraged to provide precise and clear information to aid in the swift processing of the application.
What is the purpose of the CCIS Employment Verification Form?
The CCIS Employment Verification Form is designed to verify the employment details of individuals applying for subsidized child care through the Early Learning Resource Center (ELRC). It confirms the employee's job title, income, work schedule, and other employment specifics. This verification aids in determining the individual's eligibility for financial assistance in covering child care costs.
Who should complete the CCIS Employment Verification Form?
The form must be filled out and signed by an authorized representative of the employer, not the employee applying for subsidized child care. It is essential that all provided information is accurate and specifically details the employee’s work hours and income to enable a precise evaluation of their eligibility for the program.
How does an employer complete the employment schedule section if an employee’s schedule varies?
If an employee's work schedule is not consistent from week to week, employers are asked to provide a 4-week sample schedule. This should detail specific working hours for each day, clearly indicating whether these are in the AM or PM. This sample will help the ELRC to understand the nature of the employee's work pattern and assess their eligibility for child care assistance accurately.
What should an employer do if the employee is on extended leave or employed on a temporary or seasonal basis?
Employers must indicate on the form if the employee is currently on extended leave (e.g., maternity, disability) or if they are considered a temporary or seasonal hire. For extended leave, the effective begin date and the return date should be specified. For temporary or seasonal employment, the last guaranteed date of employment, last working day before a break, and the expected return date following this break must be detailed. This information is crucial in determining the employee's current employment status and future eligibility for subsidized child care support.
Where should the completed CCIS Employment Verification Form be sent?
Once fully completed, the form should be mailed directly to the Early Learning Resource Center (ELRC) at the address provided on the form itself. It is important that the form is sent from the employer and not handed over to the employee to ensure confidentiality and the authenticity of the provided information.
Filling out the CCIS Employment Verification Form accurately is crucial for employees seeking subsidized child care assistance. However, there are common mistakes that can lead to delays or denial of benefits. One such error is not providing complete employer information, including the full name of the employer and the immediate supervisor's details. This basic but vital information verifies the authenticity of the employment claim.
Another common mistake is neglecting to sign the form or get the necessary authorization. The form requires the employee's signature to authorize the release of the information to the Early Learning Resource Center (ELRC). Without this authorization, the process cannot move forward, stalling the verification process unnecessarily.
Employers sometimes overlook the importance of accurately filling out the sections dedicated to the employee's job title, start date, and income details. These sections are critical for the ELRC to understand the scope of employment and calculate eligibility for child care assistance. Incomplete or inaccurate entries in this area can misrepresent an employee's employment situation.
A particular area prone to mistakes is the detailed employment schedule. Employers are required to provide a comprehensive overview of the employee's working hours, including a 4-week sample schedule if the hours vary. Failure to clarify whether hours are in the A.M. or P.M., or simply not providing a detailed enough schedule, can lead to misunderstandings about the employee's child care needs.
Another frequent oversight is not indicating whether the employee receives paystubs or if their salary is paid in cash. This information is essential for verifying income and ensuring the employee's eligibility for subsidy. Without clarity on how the employee is paid, assessing their application becomes challenging for the ELRC.
The form also asks about extended leave, seasonal employment, and temporary hire statuses. Employers may mistakenly skip these sections if they feel it doesn't currently apply, not realizing that past, present, and future employment statuses can affect eligibility. Each detail could influence the child care assistance an employee qualifies for, making it imperative to fill out every part of the form thoroughly.
Last but not least, some employers send the verification form directly to the employee instead of mailing it to the ELRC as instructed. This breach of instructions can lead to privacy concerns, delays, and even the compromise of sensitive information. Ensuring the form is sent directly to the Early Learning Resource Center as specified is crucial for the security and efficiency of the verification process.
When dealing with the process of verifying employment for the purpose of gaining eligibility for the subsidized child care program, the Ccis Employment Verification form is a critical document. However, this form often comes hand in hand with various other forms and documents to ensure a smooth and comprehensive verification process. Below is a list of other common documents that might be used alongside this form.
Each document plays a unique role in contributing to a thorough understanding of an employee's work situation. Collectively, they provide a comprehensive overview that can satisfy the requirements of the Early Learning Resource Center. It is essential for both the employee and employer to understand the significance of these documents to ensure a successful verification process for the child care subsidy program.
The I-9 Employment Eligibility Verification form shares a fundamental purpose with the CCIS Employment Verification form: confirming an individual's employment status. Both documents are critical in verifying essential employment details, though for different reasons. The I-9 form, used in the United States, is required by federal law to confirm that employees are legally authorized to work in the country. It requires employees to produce documentation proving their identity and employment authorization, while employers must verify the authenticity of these documents. This process is crucial for compliance with immigration laws, distinguishing the I-9 form as a tool for legal verification alongside the CCIS form's focus on verifying employment for child care subsidy eligibility.
The W-4 form, also known as the Employee's Withholding Certificate, has parallels to the CCIS Employment Verification form in that it deals with employment-related information. However, the W-4 is specifically designed for tax purposes, enabling employers to withhold the appropriate federal income tax from employees' paychecks. This form requires personal and financial details from the employee, such as filing status and dependents, to calculate withholding accurately. Like the CCIS form, it involves direct employer-employee interaction regarding employment specifics, though it serves the distinct purpose of ensuring tax compliance and personal financial planning.
Income verification letters bear a resemblance to the CCIS Employment Verification form by providing proof of employment and salary information. These letters, often drafted upon request by an employer, outline an employee's role within the company, their salary, and sometimes the terms of employment. Their purpose spans a wide range of use cases, including loan applications and housing requests, making them a versatile tool for financial credibility. Unlike the standardized CCIS form, income verification letters are less structured, offering a more narrative confirmation of an individual's employment status and earnings.
Pay stubs, while not a form per se, serve a similar verification purpose as the CCIS Employment Verification form, offering tangible evidence of an individual's employment and compensation. Pay stubs detail the employee's earnings for a pay period, including wages, taxes withheld, and other deductions. They provide a snapshot of an employee's financial status and serve as a periodic verification of ongoing employment and income level. While the CCIS form aggregates employment and income information for a specific purpose, pay stubs regularly affirm this information, complementing each other in verifying employment for different objectives.
The HR-218, or the Law Enforcement Officer Safety Act (LEOSA) identification card application, parallels the CCIS Employment Verification in certain aspects. This form is specific to qualifying retired or separated law enforcement officers as a means to carry a concealed firearm in all 50 states. Applicants must provide proof of their employment history, certification, or the equivalent as law enforcement officers, akin to how the CCIS form requires employment verification. Though serving vastly different ends—one facilitating child care subsidies and the other enabling nationwide concealed carry for qualified individuals—both necessitate employment verification as a critical component of their respective application processes.
Completing the CCIS Employment Verification form accurately is essential for employees seeking assistance with child care costs. Here are seven crucial do's and don'ts to guide you through the process:
By following these guidelines, you can help streamline the process for determining an employee's eligibility for subsidized child care, ensuring the information is accurate and submitted in a timely manner.
Employee Employment Verification forms, like the one used by the Early Learning Resource Center (ELRC), are crucial for verifying employment details to support applications for subsidized child care programs. However, several misconceptions can lead to confusion among employers and employees alike. Let's clear up some of the common misunderstandings surrounding the Ccis Employment Verification form.
It's only for confirming if someone is employed: While the form does confirm employment, it goes beyond just stating an individual's employment status. It collects detailed employment information, including job title, employment schedule, income details, and whether the position is temporary or seasonal. This comprehensive data supports the child care subsidy application process.
Any company representative can complete the form: This is a common misunderstanding. The form explicitly requires completion by an "authorized company representative." This means someone with knowledge of the employee's work schedule and earnings and the authority to release this information must fill it out, ensuring accuracy and compliance.
The form must be filled out in its entirety every time: Actually, the requirement to provide a 4-week sample schedule only applies if the employee’s work schedule varies from week to week. If the work hours are consistent, then a 4-week sample is unnecessary, simplifying the process for many.
It can be submitted by the employee: This is not the case. The form stresses that it must be mailed directly to the ELRC by the employer, not the employee. This measure is likely in place to prevent any tampering with or misrepresentation of employment details by the applicant.
Paystubs are the only form of income verification needed: While including paystubs can be helpful, the form asks for additional details regarding pay frequency, gross pay, hourly rate, and average daily tips if applicable, providing a holistic view of the employee’s earnings.
Employment verification forms are solely beneficial for the employer: While it might seem like an administrative task for the benefit of the employer, completing the form accurately can directly impact an employee’s eligibility for subsidized child care. It’s a crucial step in supporting working families to access affordable child care services.
Understanding these points better prepares both employers and employees to handle the Employment Verification form promptly and accurately, facilitating a smoother application process for child care subsidies.
When filling out the CCIS Employment Verification Form, here are several key takeaways to keep in mind:
Complying with these guidelines ensures the form is filled out correctly, aiding in the efficient processing of child care subsidy applications to support families in need.
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