Elc Employment Verification Form - Web please understand that the elc will contact and/or visit your employer to verify the information presented on this form. I certify under the penalty of perjury (a first degree misdemeanor punishable by a definite term of imprisonment, not exceeding one year and/or a fine not exceeding $1,000 pursuant to s. Pay stubs or this form, completed by the employer, as documentation of a new job or if paystubs are not issued. If you make a mistake, you can complete a new form. Web verification of employment or loss of employment form. Use of white out in any form may delay or prevent determination of services. 837.012, or 775.082, or 775.083, f.s.) the information provided on this form is true and complete to the Last day________________ please complete each section of this form as needed for verification purposes. Please do not alter, write over or use white out on this form. In order to determine eligibility for a child care scholarship, the elc must receive copies of the most current consecutive four weeks.
Web verification of employment or loss of employment form. Last day________________ please complete each section of this form as needed for verification purposes. In order to determine eligibility for a child care scholarship, the elc must receive copies of the most current consecutive four weeks. Please do not alter, write over or use white out on this form. Do not use white out! Web please understand that the elc will contact and/or visit your employer to verify the information presented on this form. This form should only be utilized for new employment or in rare circumstances where 6 weeks of most current/consecutive pay stubs cannot be obtained. 837.012, or 775.082, or 775.083, f.s.) the information provided on this form is true and complete to the Use of white out in any form may delay or prevent determination of services. Web verification of employment loss of employment: I certify under the penalty of perjury (a first degree misdemeanor punishable by a definite term of imprisonment, not exceeding one year and/or a fine not exceeding $1,000 pursuant to s. Pay stubs or this form, completed by the employer, as documentation of a new job or if paystubs are not issued. If you make a mistake, you can complete a new form.