Montana New Hire Reporting Form at a glance
What it is: Montana New Hire Reporting Form: reporting your new hires.
Where and when to file: Or Mail To: Montana New Hire Reporting PO Box 8013 Helena, MT 59604-8013
A filled-in Montana New Hire Reporting Form example: an employer reports one new hire
How to fill out Montana New Hire Reporting Form, box by box
Employer section
Under EMPLOYER SECTION - REQUIRED INFORMATION, fill in Federal ID Number, Business Name, Mailing Address, Address Line 2, City, State and Zip Code.
Fill in Business Phone, Ext., Fax Number and Email Address (optional).
If the business address is new, please mark this box.
Social Security Number, Date of Hire, Mailing Address and Home Address
Fill in Social Security Number and Date of Hire.
Fill in Last Name, First Name and MI.
Fill in Mailing Address and Home Address, Address Line 2, City, State and Zip Code for each.
Optional Employee Information
Under Optional Employee Information, fill in Home Phone, Date of Birth, Work Phone and State of Hire.
Mark Yes or No for Is Health Insurance Available. If health insurance is available, fill in Date Health Insurance Is Available.
Report online
Report online
If your company address is outside of the United States, report online.
If the individual does not have a Montana address, report online.
Common questions about Montana New Hire Reporting Form
Where do I file it?
Want the convenience of reporting your new hires online? Go to: https://dphhs.mt.gov/cssd/employerinfo/nhrs Or Mail To: Montana New Hire Reporting PO Box 8013 Helena, MT 59604-8013
Sources
[1] Montana New Hire Reporting Form (REV 08/2021), Montana Department of Public Health and Human Services (the Official source link on this page).
