Nys Record Employment Form PDF Details

Do you own a business in New York State? If so, it is important to ensure that all of your employees are properly documented through the NYS Record Employment Form. This form is designed to record vital information about your organization and its staff members, such as legal names, Social Security numbers, addresses, job titles and more. Completing this document can seem like a daunting task if you don’t know where to start – but we’re here to help! In this blog post, we will explain the key components of the NYS Record Employment Form and provide tips on how to make sure everything is filled out accurately so that you can keep compliant with state laws.

QuestionAnswer
Form NameNys Record Employment Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesny dol record of employment, nys record of employment, new york record of employment form, ia 12 3

Form Preview Example

Unemployment Insurance Division

Record of Employment

(For Unemployment Insurance purposes only.)

Employer: Complete the following and give this form to every employee who quits, is laid off, or is discharged:

Date given to employee:

//

NYS Employer Registration No.:

-

Federal Employer Identification No.:

-

Employer Name:________________________________________________

Payroll Records are kept at:_______________________________________

Street:________________________________________________________

Street:________________________________________________________

City:__________________________________ State:_______ Zip:________

Optional if needed by employer to locate employee record:

Payroll or Clock No.: ______________ Location of employment or code: __________________________________

Employee: Keep this certificate. Have it with you if you apply for Unemployment Insurance (UI) benefits. This certificate shows that your job was insured. It does not necessarily mean you qualify for benefits. The UI Claims Center will make that determination if you apply. Please complete the following:

Your Name: ____________________________________________ Social Security No.:--

This may not be used as an identification card.

IA 12.3 (01/18)

How to Apply For New York State Unemployment Insurance

Unemployment Insurance is temporary income for eligible workers who are out of work through no fault of their own. It provides them a weekly benefit while they look for work. If you become unemployed and want to apply for Unemployment Insurance benefits, apply online at www.labor.ny.gov for a quick and convenient way to file your claim or call the Telephone Claim Center toll free at (888) 209-8124.

Have the following information available when you apply:

1.Your Social Security Number.

2.Your NYS Driver License or Motor Vehicle ID card (if you have either one).

3.Your complete mailing address and zip code.

4.A phone number, including area code, where we can reach you from 8:00 am – 5:00 pm, Monday – Friday.

5.Your alien registration card (if you are not a US citizen and have a card).

6.Employer information (even employers in other states) for the last 18 months which includes:

•Employer names, addresses, and phone numbers.

•NYS Employer Registration Number or Federal Employer Identification Number (FEIN). The FEIN

is on your W-2 form(s).

•Your total gross earnings (before any deductions) for each employer. You may be asked for pay stubs, W-2 forms, or other payment records.

7.Your copies of “Notice to Federal Employee about Unemployment Insurance” (Form SF8) and “Notification of Personnel Action” (Form SF50) if you were a federal employee.

8.Your most recent separation form (DD214) and any DD215 forms you have received from military service. You can request a DD 214 through the U.S. National Archives and Records Administration website at: http://www.archives.gov/st-louis/military-personnel/standard-form-180.html.

9.A check from your personal checking account so you can provide your bank’s routing number and your checking account number if you choose Direct Deposit of your weekly benefits.

You can file a claim without all of these documents. However, missing information could delay your first payment.

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1. The ia 12 3 record of employment requires particular details to be inserted. Make certain the following fields are finalized:

Filling in part 1 of nys record of employment fillable form

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