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​Electronic/Non-electronic Reporting Specifications


The following tables detail the employee/independent contractor and employer ​​information required for electronic/non-electronic reporting, as well as optional information.

Required Employee/i​ndependent contractor Information Required Employer Information
Employee/Independent Contractor's full name  Employer's name (please use corporate name)
(Please identify first, middle, and last name)
Employee/Independent Contractor's address Employer's address (please provide address where Income Withholding Orders should be sent.)
Employee/Independent Contractor's Social Security Number/Individual Taxpayer Identification Number  Employer's Federal Employer Identification Number (FEIN). If you have more than one FEIN, please make certain you use the same FEIN you use to report your quarterly wage information when reporting new hires.
Employee/Independent Contractor's date of hire Reemployment assistance identification number (if applicable)
Employee/Independent Contractor's state of hire (only if reporting as a multistate employer)  
Optional employee/independent contractor Information Optional Employer Information
Employee/Independent Contractor's date of birth Employer's phone number
Employee/Independent Contractor's state of hire Employer's fax number
  Employer's email address
  Employer’s contact (individual’s name)
  Medical insurance availability