Free Dhs 38 Form in PDF

Free Dhs 38 Form in PDF

The DHS 38 form, issued by the State of Michigan's Department of Human Services, is a detailed document designed for employers to verify employment details, primarily for inquiries or investigations conducted by the Department. It covers a plethora of information including employment status, insurance or retirement benefits, income details, and any applicable disability or workers' compensation information. Employers are mandated to complete this form with accuracy, as failing to do so could lead to legal consequences, emphasizing the form's role in ensuring compliance and safeguarding employee rights.

If you're an employer based in Michigan and need to verify employment details for a DHS inquiry or investigation, filling out the DHS 38 form correctly is crucial. Click the button below to start the process and ensure compliance.

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Navigating the complexities of employment verification in Michigan requires an understanding of specific documents, like the DHS 38 form. This form plays a crucial role in the state's employment verification process, facilitating the Michigan Department of Human Services' efforts to gather necessary employee information from employers. Mandated by the state law established under the 1939 P.A. 280, it ensures compliance with various legal requirements, including those related to the Family Educational Rights and Privacy Act (FERPA) for student employees. It's structured to capture comprehensive employment details including, but not limited to, employment status, occupation, wages, and insurance or retirement benefits. Additionally, it serves as a tool for the Department to ensure anti-discrimination measures are upheld, echoing Michigan's commitment to equal opportunity regardless of race, religion, age, and other protected characteristics. Furthermore, this form holds significant importance for verifying the eligibility of individuals or households for certain benefits, making the accurate and timely completion by employers not only a legal obligation but a contribution to the wider social safety net. With penalties specified for non-compliance, the DHS 38 form underscores the seriousness with which the state regards employment verification, reflecting its role in both regulatory compliance and the protection of individual rights.

Preview - Dhs 38 Form

Document Specs

Fact Name Description
Governing Law The DHS-38 form is governed by the Public Act 280 of 1939, as amended (MCL 400.60, MCL 400.83), which requires employers to provide certain information to the Michigan Department of Human Services.
Completion Requirement Completion of the DHS-38 form is mandatory for employers who are asked to provide employment verification by the Michigan Department of Human Services.
Penalties for Non-Compliance Failure to complete and return the DHS-38 form as required may result in the issuance of a subpoena to enforce compliance.
Non-Discrimination Policy The Department of Human Services (DHS) in Michigan states it will not discriminate against any individual or group on the basis of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs, or disability.
ADA Compliance Individuals requiring assistance under the Americans with Disabilities Act for reading, writing, hearing, etc., are encouraged to make their needs known to a DHS office in their area to ensure their needs are accommodated.

Instructions on Writing Dhs 38

Filling out the DHS 38 form is a necessary step when the Department of Human Services in Michigan requires verification of an employee's employment details. This form gathers comprehensive information about the employee's work status, insurance, retirement plans, income, and any disability or workers' compensation benefits. Employers are obliged to provide this information and could face legal consequences for inaccurate or false reporting. It's important for employers to fill out this form carefully and return it by the specified return date to ensure compliance with legal requirements.

  1. Begin with the section titled "Verification of Employment". Enter the return date, employee name, and social security number.
  2. If the form pertains to a student employee, ensure the student signs and dates the form authorizing the release of employment information.
  3. In Section 1, indicate the employment status by checking the appropriate box.
  4. Fill out the occupation, date employment began, dates of first and last paychecks, and the number of hours expected to work per week or pay period.
  5. Provide the rate of pay, including any differential pay, the type of employment, and information regarding tips, bonuses, or commissions.
  6. Complete Section 2 by indicating whether health, dental, medical, or vision insurance plans are offered, who is covered, and the costs.
  7. Indicate whether there is a cafeteria-style benefit plan, 401K, or other retirement plans, and provide details of any such plans.
  8. Section 3 requires detailed income information from a specified period, including gross income and any bonus or commission not included in the gross.
  9. In Section 4, specify whether medical, disability benefits or Worker's Compensation was paid during the quantified period, including details of the insurer and any awards.
  10. Use Section 5 for any additional information or comments needed to clarify the employment verification.
  11. Section 6 must be completed by the employer, providing the business name, address, the name and title of the person completing the form, their signature, employer's federal ID, business phone and fax numbers, and days and hours of operation.
  12. Review the form for accuracy and completeness before sending it back to the DHS office using the enclosed envelope or the address listed at the top of the form.

It's crucial for employers to provide accurate and comprehensive information on the DHS 38 form to avoid potential legal issues and ensure the Department of Human Services can process the employee's related inquiries or investigations effectively.

Understanding Dhs 38

What is the DHS-38 Form used for?

The DHS-38 Form, issued by the Michigan Department of Human Services, is a document that employers fill out to verify the employment information of an individual. It is typically used in inquiries or investigations related to the provision of social services or assistance.

Who needs to complete the DHS-38 Form?

Employers are required to complete this form when requested by the Michigan Department of Human Services. It is mandatory for employers to provide accurate employment, insurance, and income information for their employees as part of certain investigations or inquiries conducted by the Department.

Is the DHS-38 Form mandatory?

Yes, completion of the DHS-38 Form is mandatory when requested by the Department of Human Services. Failure to complete the form could result in the issuance of a subpoena to enforce compliance.

What sections are included in the DHS-38 Form?

The form includes several sections: Employment Information, Insurance/Retirement Information, Income Information, Disability/Workers Compensation Information, Additional Information/Comments, and Signature/Business Information.

Can student employees authorize the release of their employment information?

Yes, student employees aged 18 or older must provide their signature on the DHS-38 Form to authorize the release of their employment information, in compliance with the Family Educational Rights and Privacy Act (FERPA).

Does the form require information about health insurance and retirement plans?

Yes, employers must provide detailed information regarding the availability of health insurance and retirement plans for the employee, including whether the employee is enrolled in these plans.

What happens if false information is provided on the DHS-38 Form?

Providing false information on the DHS-38 Form is a serious offense. If the total amount of assistance involuntarily obtained is more than $500, the violator can be charged with a felony. For amounts of $500 or less, the offense is considered a misdemeanor.

How does the DHS-38 Form protect against discrimination?

The form includes a statement affirming the Department of Human Services' policy against discrimination on the basis of race, religion, age, national origin, color, height, weight, marital status, gender identity, sexual orientation, political beliefs, or disability, ensuring all individuals are treated equitably in the processing of the form.

What should an employer do if they need assistance with the DHS-38 Form?

If employers have questions or require assistance with filling out the DHS-38 Form, they are encouraged to contact a DHS office in their area for support and guidance.

What implications does the Americans with Disabilities Act have on the DHS-38 Form?

The form mentions that individuals who need assistance with reading, writing, hearing, or any other services under the Americans with Disabilities Act are invited to make their needs known to a DHS office in their area, ensuring accessibility and support for all.

Common mistakes

Filling out the DHS 38 form requires attention to detail and accuracy. A common mistake is leaving sections incomplete, especially those that may not seem directly relevant at first glance. For instance, Section 4 on Disability/Workers Compensation Information often gets overlooked by employers who assume it doesn't apply. However, ensuring every section is filled can prevent processing delays.

Incorrect information is another frequent error. Whether it's a mistyped Social Security Number or an incorrect date of employment, such mistakes can lead to significant delays and complications. Double-checking every entry for accuracy is crucial.

Failing to provide detailed employment information in Section 1 can also be problematic. This section requires specifics about employment status, occupation, pay rate, and more. Vague or incomplete answers can hinder the Michigan Department of Human Services' ability to process the form efficiently.

Many forget to include the necessary information about insurance and retirement plans in Section 2. Even if the employee is not enrolled in the employer's health plan, indicating the availability of such plans and detailing any cafeteria-style benefit plans is essential. This oversight can lead to incomplete assessments of an individual's resources.

Failure to use additional paper or computer printouts when detailing income information in Section 3 is a common pitfall. This section often requires more space than provided, and attaching detailed records of gross income, bonuses, and commissions ensures a thorough evaluation.

Last but not least, neglecting to sign the form in Section 6 can invalidate the entire document. The signature of the person completing the form, alongside their title and the business's contact information, is a legal requirement. Without it, the DHS cannot verify the authenticity of the information provided.

Documents used along the form

When dealing with the DHS 38 form, a significant document required by the State of Michigan Department of Human Services, it's crucial to understand its association with other vital documents. Employers and employees find that the DHS 38 form, which is primarily focused on verifying employment within the context of various DHS investigations or inquiries, often goes hand-in-hand with other forms and documentation. Let's delve into some of these associated documents, which play a pivotal role in ensuring comprehensive information is provided when requested by the Department of Human Services.

  • W-2 Form: This is an essential tax document that reports an employee's annual wages and the amount of taxes withheld from their paycheck. It's used by the DHS to verify income and employment history.
  • Pay Stubs: These are proof of income and employment. Pay stubs detail the earnings of an employee over a specific period, including wages, bonuses, and deductions. They're often requested alongside the DHS 38 form to corroborate the information provided by the employer.
  • Form I-9: Employment Eligibility Verification form is required by U.S. Citizenship and Immigration Services. It verifies the identity and employment authorization of individuals hired for employment in the United States. This form may be relevant for the DHS to check the employment eligibility and status of individuals.
  • Proof of Identity and Authorization to Work: Documents such as a driver's license, passport, or Social Security card might be requested to support information on the DHS 38 form, ensuring that the individual's identity and authorization to work align with what's reported.
  • Unemployment Benefits Documentation: This includes any documents related to unemployment insurance benefits an individual may have received. This information helps the DHS understand an individual's employment situation, especially if there have been periods of unemployment.
  • Insurance and Benefits Documentation: If the DHS 38 form touches on health insurance, retirement plans, or other benefits, relevant documentation that outlines an employee's enrollment and coverage can provide a fuller picture of the individual's employment benefits.

The interplay between the DHS 38 form and these additional documents ensures a thorough review process by the Department of Human Services. Whether for verifying employment, income, eligibility for benefits, or other reasons, having these documents in order streamlines the process for individuals and employers alike. It's essential for employers to be aware of these requirements and for employees to provide any necessary documentation promptly and accurately.

Similar forms

The DHS-38 form serves multiple purposes, chiefly among them being the verification of employment information for various Department of Human Services (DHS) programs. A document similar in function is the I-9 form used for employment eligibility verification in the United States. Like the DHS-38, the I-9 form is filled out by both the employer and the employee, verifying the employee's authorization to work in the U.S. Both forms are integral in confirming personal and employment details, though for different end purposes — the DHS-38 for state aid eligibility and the I-9 for legal employment compliance.

Another document akin to the DHS-38 is the W-4 form, used by employees to declare their tax withholdings to their employer. While the DHS-38 collects employment information to assist in determining eligibility for state services, the W-4 focuses on federal and state tax withholdings. Both require personal identification information and details about the employment situation, but the W-4 influences how payroll taxes are withheld, whereas the DHS-38 influences benefit or aid provision.

The DHS-38 also shares similarities with state unemployment insurance (UI) forms that employees fill out when they're no longer employed. These UI forms, like the DHS-38, collect detailed employment information, reasons for no longer being employed, and personal identification to assess eligibility for unemployment benefits. Both forms serve to secure financial assistance for individuals under specific conditions, albeit from different sources — the DHS-38 for various state aid programs and UI forms for unemployment benefits.

The Request for Medical Information form, often used in both healthcare and employment contexts to assess an individual's health status or disability, parallels the DHS-38's Section 4, which collects disability and workers' compensation information. Both kinds of documents seek sensitive information under privacy laws for the purposes of eligibility and accommodation, highlighting the importance of confidentiality and accuracy in their completion.

Furthermore, the DHS-38 resembles the Free Application for Federal Student Aid (FAFSA) verification forms that some students might complete. These forms collect financial information about the student and their family to determine eligibility for federal student aid, similar to how the DHS-38 gathers employment and income information to assess eligibility for state aid programs. The key similarity lies in their role in rendering financial support decisions based on the verification of personal and financial information.

Employee benefit enrollment forms that companies use during their open enrollment periods or when hiring new employees also echo the DHS-38's sections on insurance and retirement information. Both document types collect critical information about an individual’s enrollment in health insurance, retirement plans, and other benefits, which could influence eligibility or levels of assistance for state aid programs.

The Child Support Agency’s income withholding order (IWO) form is another document bearing resemblance to the DHS-38 form. The IWO is used to collect child support directly from the noncustodial parent's wages, requiring detailed employment and income information similar to that requested by the DHS-38. Both play pivotal roles in ensuring the financial well-being of dependents, albeit through different mechanisms.

Last but not least, the Affordable Care Act (ACA) Health Coverage forms that employers must provide about their offered health insurance plans share objectives with parts of the DHS-38. These ACA documents, much like the DHS-38, collect and report information pertinent to healthcare coverage — crucial for evaluating eligibility and compliance with healthcare provisions, whether under state programs or federal mandates.

Dos and Don'ts

When filling out the DHS 38 form, a meticulous approach is needed to ensure that all information is accurate and complete. This form, integral for verifying employment details for the Department of Human Services in Michigan, requires both employer and employee to provide extensive details. The following lists outline the dos and don'ts to help navigate the completion process more smoothly.

Things You Should Do:

  1. Read the instructions carefully before starting. The DHS 38 form contains specific directions for each section that must be adhered to, ensuring that the form is filled out correctly.

  2. Ensure that all information is accurate and up-to-date. This includes the employment status, pay rate, and any benefits or retirement plans associated with the employment.

  3. For sections that require detailed information, such as income or benefits, attach additional documents if necessary. If the space provided on the form is insufficient, use a separate sheet or a computer printout, as indicated in the instructions.

  4. Sign and date the form in the designated area. The employee’s signature authorizes the release of their employment information to the Department of Human Services, which is crucial for the form’s validity.

Things You Shouldn't Do:

  1. Avoid leaving sections incomplete. If certain questions do not apply, it’s preferable to mark them as “N/A” (not applicable) rather than leaving them blank to show that you did not overlook them.

  2. Don't provide false information. Falsifying information on a government document can lead to significant legal consequences, including fines or imprisonment for fraud.

  3. Do not overlook the verification of employment section, as this is essential for the Department of Human Services to confirm the individual's employment status and income details.

  4. Lastly, refrain from submitting the form without the necessary signatures, including that of the student employee (if applicable) and the person completing the form for the employer. The absence of these signatures could invalidate the form.

Misconceptions

Understanding the DHS-38 form can be complex, and there are several common misconceptions that can lead to confusion. Let's clear up some of those misunderstandings:

  • It's only for employers: While it is true that a significant portion of the form requires employer input, the DHS-38 is not exclusively for them. It also involves sections that must be filled out by the employee, especially in cases involving student employees who need to authorize the release of their information.
  • It's a voluntary form: Many people mistakenly believe completing the DHS-38 is optional. However, as stated in the form's instructions, failure to comply with the request for information can lead to legal actions, including the issuance of a subpoena. Completing the form is required.
  • Only about employment verification: Although the form primarily focuses on verifying employment information, it also collects data on insurance and retirement plans, as well as disability or workers' compensation benefits. Therefore, it covers a broader range of information than just employment status.
  • Relates to welfare benefits only: Some think the DHS-38 form is used solely for determining eligibility for welfare benefits. In reality, the form serves a broader purpose in investigations or inquiries related to a wide range of services and supports provided by the Department of Human Services.
  • It discriminates against certain groups: The form explicitly states that the Department of Human Services will not discriminate against any individual or group on several bases, including race, religion, and sexual orientation, among others. The statement underscores the commitment to equality and non-discrimination.
  • Use of the form is a recent requirement: Given its revision date in February 2013, some may assume the requirement to fill out the DHS-38 form is relatively new. The authority for this form, however, comes from the Public Act of 1939, making it a long-standing requirement for certain inquiries and investigations.
  • DHS employees can provide legal advice: The form clearly mentions that DHS employees are prohibited by law from providing legal advice. This is a crucial piece of information, suggesting individuals should seek independent legal advice if needed, rather than relying on DHS employees for such guidance.

Dispelling these misconceptions helps in understanding the roles and responsibilities connected to the DHS-38 form, ensuring that individuals and employers can complete it accurately and in compliance with legal requirements.

Key takeaways

Understanding the DHS-38 form is crucial for employers and employees alike in Michigan as it relates to employment verification and information relevant for the Department of Human Services (DHS). Here are key takeaways that should be noted:

  • Completion of the DHS-38 form is required by law under the authority of 1939 PA 280 as amended (MCL 400.83, MCL 400.60), emphasizing its legal importance in employment and social services processes.
  • Failure to accurately complete and return this form can lead to the issuance of a subpoena, underlining the seriousness with which this document is treated by the authorities.
  • The form serves multiple purposes, including the verification of employment, insurance/retirement information, income data, and any applicable disability or workers' compensation benefits, making it comprehensive in scope.
  • Employers are mandated to provide specific employment-related information such as employment status, occupation, pay rate, and employment duration, ensuring a detailed work history is available.
  • Sections dealing with insurance and retirement information require disclosure about health plans, cafeteria-style benefit plans, and any retirement savings plans, highlighting the form's role in assessing the worker's welfare benefits.
  • Income information must include details on gross income, bonuses, commissions, and hours worked, which are critical for determining eligibility for various assistance programs.
  • If applicable, disability or workers' compensation information must be provided, including details about any medical or disability benefits and workers' compensation claims, pointing to its use in evaluating additional support needs.
  • The form contains a section for additional comments from the employer, allowing for clarification or further explanation of information provided, which can be essential for accurate DHS assessment.
  • The requirement for the employer's signature, along with the business information, adds a layer of verification and accountability to the process.

Overall, the DHS-38 form is a key document in Michigan for verifying employment and benefit entitlements, circling back to the importance of careful and accurate completion to comply with legal requirements and support social services' efforts.

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