Employer Information Form PDF Details

The Employer Information Form is an important document for both employers and employees. For employers, the form helps them gather information about their employees, such as contact information, salary, and benefits. For employees, the form can help them keep track of their employment history and ensure that all necessary information is up-to-date. It's important to complete this form accurately and promptly to avoid any delays in processing your payroll or contacting you in case of an emergency. You can find a copy of the Employer Information Form on our website.

Below is the details regarding the file you were seeking to fill out. It will show you the amount of time you will need to finish employer information form, what fields you need to fill in and several further specific details.

QuestionAnswer
Form NameEmployer Information Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesindiana employer form, in new hire reporting, indiana new hire, indiana hire

Form Preview Example

Indiana New Hire Reporting Center

Po Box 55097

Indianapolis, IN 46205

EMPLOYER INFORMATION

FEDERAL ID NUMBER (SAME AS UI #)

EMPLOYER NAME

EMPLOYER ADDRESS (INCOME WITHHOLDING ADDRESS)

CITY

STATE ZIP

 

EMPLOYER CONTACT INFORMATION

FIRST

LAST

PHONE NUMBER

FAX NUMBER

E-MAIL ADDRESS

 

EMPLOYEE INFORMATION

SOCIAL SECURITY NUMBER

IS HEALTH INSURANCE AVAILABLE TO

 

EMPLOYEE? (OPTIONAL) Y

N

FIRST NAME

MI

LAST NAME

 

 

 

ADDRESS

 

 

 

CITY

 

 

STATE

ZIP

START DATE

 

DATE OF BIRTH (OPTIONAL)

mm

dd

yyyy

mm dd

yyyy

Phone:

(317)

612-3028

Fax:

(317) 612-3036

Toll Free: (866)

879-0198

Toll Free:

(800) 408-1388

www.in-newhire.com

 

www.IN.gov

Watch Employer Information Form Video Instruction

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