Minnesota New Hire Reporting Form PDF Details

Are you a new hire in the state of Minnesota? If so, you'll need to fill out the Minnesota New Hire Reporting Form. This form is used to report your name, address, social security number, and other information to the government. Filling out this form is essential for ensuring that you're properly registered with the state and that you receive all applicable benefits. Make sure to submit the form as soon as possible after starting your new job.

Listed here, you'll discover some particulars about minnesota new hire reporting form PDF. This article will give you details about the form's length, finalization time, and the blanks you'll be expected to fill.

Form NameMinnesota New Hire Reporting Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesmn new hire reporting, minnesota new hire, mn hire form, mn new hire form

Form Preview Example

Minnesota New Hire Reporting Form

Effective July 1, 1996 Minnesota Statute 256.998 requires all Minnesota Employers, both public and private, to report all newly hired, rehired, or returning to work employees to the State of Minnesota within 20 days of hire or rehire date.

Information about new hire reporting and online reporting is available on our web site: www.mn-newhire.com

Send completed forms to:

Minnesota New Hire Reporting Center PO Box 64212

St. Paul, MN 55164-0212 Toll-free fax: (800) 692-4473

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) (Please use the same FEIN as the listed employee’s quarterly wages will be reported under):

Employer Name:

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

Employer City:





























Employer State:


Zip Code (5 digit):























































































































































Employer Phone:
















Employer Fax:











































































































































































































































































































































































































































































































































































Employee Social Security Number (SSN):

























Check this box if this is an












































































































































Independent Contractor (1099)

















































































Employee First Name:













































Middle Initial:























































































































































Employee Last Name:










































































































































































































Employee Address:

























































































































































































Employee City:





























Employee State:


Zip Code (5 digit):



































































































































Date of Hire (mm/dd/yyyy):





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

Employee State of Hire



































































































































































































































Questions? Call us at (651) 227-4661 or toll-free (800) 672-4473

Rev (04/12)

How to Edit Minnesota New Hire Reporting Form Online for Free

Filling out minnesota new form is straightforward. Our experts designed our editor to really make it simple to operate and help you complete any form online. Below are a few steps that you should stick to:

Step 1: Select the "Get Form Now" button to begin the process.

Step 2: Now you will be on your form edit page. It's possible to add, enhance, highlight, check, cross, insert or remove fields or words.

Enter the appropriate information in every single area to fill in the PDF minnesota new form

filling in minnesota hire stage 1

Put the expected information in the EMPLOYEE INFORMATION, Employee Social Security Number SSN, Employee First Name, Employee Last Name, Employee Address, Check this box if this is an, Middle Initial, Employee City, Employee State, Zip Code digit, Date of Hire mmddyyyy, Date of Birth mmddyyyy optional, Employee State of Hire, REPORTS WILL NOT BE PROCESSED IF, and Questions Call us at or tollfree box.

stage 2 to filling out minnesota hire

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