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Printable Form 8404 Broward Florida: What You Should Know

FORMS — Voluntary Disciplinary Commission Forms — Administrative Committee on Compensation A Form 12D, Employee Records, and a copy of each payment and receipt (payment slips, checks and account statements for the past year), Forms — Commission on Human Resources, DIR's Determinations A statement or  Forms — Commission on Human Resources, DIR's Determinations What is a Form 12D, Employee Records? An Employee Records form is required by state and federal law to be provided to the Department of Administrative Services by each individual receiving public assistance benefits. The form provides DIR (Florida Department of Administration) access to those records to determine whether the recipient has an active eligibility for public assistance benefits. DIR receives, uses and retains the records. Additionally, an annual DIR report provides the recipient and their family member(s) and/or their personal and household pets the information needed for any benefits related to public assistance provided to the recipient and family members and/or their pets. This guide is for reference only and should not be relied upon as an absolute guide. For more information regarding the Florida Department of Administrative Services' procedures or requirements, please contact the DSS. Forms — Florida Department of Education and ▷ DATE: JUNE 22, 2025 ▷ FILING DATE: JUNE 22, 2022 ▷ COUNTY:  ▷ STATE:  ▷ COUNTY OF RESPONDENT:  ▷ STATE:  ▷ REGION:  ▷ CITY OR COUNTY: The DSS will send a letter notifying you of the DSS determination and advising you to file Form 12D.  If you have questions or comments about this form, please contact the Director of the Division of Student Aid. ▷ DATE: JUNE 22, 2025 ▷ FILING DATE: JUNE 22, 2022 ▷ COUNTY:  ▷ STATE:  ▷ COUNTY OF RESPONDENT:  ▷ STATE:  ▷ REGION:  ▷ CITY OR COUNTY: The DSS will send a letter notifying you of the DSS determination and advising you to file Form 12D.  If you have questions or comments about this form, please contact the Director of the Division of Student Aid.

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