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The document is a 'Verdienstbescheinigung' (earnings certificate) for an employee, detailing their income and employment status for the purpose of calculating housing benefits (Wohngeld). It includes sections for personal information, type of employment, monthly gross earnings, additional benefits, and contributions to social insurance. The employer is required to provide this information to the Wohngeldbehörde (housing benefit authority) within 10 days.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the employee's name and first name in the designated fields at the top of the form.
Fill in the date of birth and address of the employee, ensuring accuracy for proper identification.
Indicate the type of employment by selecting either 'geringfügiges Beschäftigungsverhältnis' or 'sozialversicherungspflichtiges Beschäftigungsverhältnis'.
Enter the current monthly gross earnings, including any additional benefits, in the specified field.
If applicable, provide details on any additional annual payments such as Christmas bonuses or vacation pay.
Complete sections regarding expected changes in income and insurance contributions as necessary.
Finally, ensure all information is accurate before saving or printing your completed form.

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