Maryland New Hire Form PDF Details

In order to complete the Maryland new hire form, you will need certain information. This includes your name, address, Social Security number, and date of birth. You will also need to provide information about your employer, such as their name and contact information. The form can be filled out and submitted online or through the mail. Be sure to submit it as soon as possible after you have been hired so that you can begin contributing to Maryland's workforce.

This general report can help you find out just how long it will require you to fill out maryland new hire form, the number of pages it's got, and a handful of other unique details about the PDF.

Form NameMaryland New Hire Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesmaryland new hire report, maryland new hire form, md new hire registration, maryland new hire registry

Form Preview Example

Maryland New Hire Registry Reporting Form

Send completed forms to:

Maryland New Hire Registry PO Box 1316

Baltimore, MD 21203-1316

Fax: (410) 281-6004 or toll-free fax 1 (888) 657-3534

To ensure the highest level of accuracy, please print neatly in capital letters and avoid contact with the edges of the boxes. The following will serve as an example:
















Federal Employer Id Number (FEIN):















State Unemployment Insurance Number (MD Only SUIN):




































































































































































Please use the same FEIN that appears on quarterly wage reports.



If SUIN not issued yet, please write “APPLIEDFOR” in


Employer Name:



















the above box. If Exempt, write “EXEMPT”.

































































































































































































































Employer Address (Please indicate the address where the Income Withholding Orders should be sent):
























































































































































































Employer City:


























Employer State: Zip Code (5 digit):































































































































































Employer Phone (optional):





















Employer Fax (optional):























































































































































































Contact Name (optional):


















































































































































































































































































Email (optional):








































































































































































































































































































Employee Social Security Number (SSN):
















Date of Hire (mm/dd/yyyy):





























































































































































Employee First Name:
















































Middle Initial






































































































































































































Employee Last Name:




















































































































































































































Employee Address:












































































































































































































Employee City:






















Employee State:

Zip Code (5 digit):































































































































Date of Birth mm/dd/yyyy (optional):



Employee Salary (Dollars and Cents):









Monthly Yearly


























































































































































Are health care benefits available to employee? (Y/N):










Employee Gender (M)ale/(F)emale:


































































































Reports must be submitted within 20 days of the date of hire or rehire











Rev (09/02)

Questions? Call us at (410) 281-6000 or toll-free 1 (888) MDHIRES (634-4737). Report online at

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