Pa New Hire Form PDF Details

Pa new hire forms are an important part of the hiring process. The forms help ensure that all the necessary information is collected from the new employee. They also provide a record of the new employee's eligibility to work in the United States. The form must be completed accurately and submitted to the appropriate agency for processing. Failure to complete and submit the form can delay the start date of the employee, or even result in termination. Make sure you understand all the requirements before completing and submitting the form.

Below is the data in regards to the file you were in search of to fill out. It can show you how much time it should take to finish pa new hire form, exactly what parts you will have to fill in, and so on.

QuestionAnswer
Form NamePa New Hire Form
Form Length1 pages
Fillable?Yes
Fillable fields30
Avg. time to fill out6 min 15 sec
Other namespa new hire program, pennsylvania new hire paperwork, pennsylvania new hire reporting, pa new hire

Form Preview Example

Pennsylvania New Hire Reporting Program

New Hire Reporting Form

 

 

 

 

COMMONWEALTH OF PENNSYLVANIA

Center for Workforce Information & Analysis

 

 

 

 

 

 

 

 

Department of Labor & Industry

REQUIRED EMPLOYER INFORMATION:

 

 

 

REQUIRED EMPLOYEE INFORMATION: (Please type or print LEGIBLY in blue or black ink ONLY)

(Please type or print LEGIBLY in blue or black ink ONLY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ONE EMPLOYEE PER BOX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer FEIN:

 

 

 

Employee Social Security Number

 

 

 

 

 

Employer Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legal Name (First)

 

(Middle)

(Last)

 

 

 

 

 

 

 

Employer Address (Street, City, State, Zip):

 

 

 

 

 

 

 

 

 

 

 

 

 

PO Box’s are not acceptable

 

 

 

Street Address (Post Office Box is not acceptable)

Apartment Number (if available)

Employer Contact Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip Code

 

City

 

 

State

Employer Contact Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Hire (MM/DD/YYYY)

Date of Birth (MM/DD/YYYY)

 

 

 

 

 

 

Employer Contact Fax Number:

 

 

 

(Must be within 3 years of current date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ONE EMPLOYEE PER BOX

Employer Contact Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please fax this form to:

 

 

 

 

 

 

 

 

 

 

 

 

 

866-PAHIRES (866-748-4473) (TOLL FREE)

 

 

 

Legal Name (First)

 

(Middle)

(Last)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Or 717-657-HIRE (717-657-4473) (Local)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address (Post Office Box is not acceptable)

Apartment Number (if available)

Or mail this form to:

 

 

 

 

 

 

 

 

 

 

 

 

 

Commonwealth of Pennsylvania

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip Code

 

City

 

 

State

New Hire Reporting Program

 

 

 

 

 

 

 

 

 

 

 

 

 

P.O. Box 69400

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Hire (MM/DD/YYYY)

Date of Birth (MM/DD/YYYY)

Harrisburg, PA 17106-9400

 

 

 

 

 

 

(Must be within 3 years of current date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Questions?

 

 

 

 

 

 

 

 

ONE EMPLOYEE PER BOX

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact New Hire Customer Service at 888-PAHIRES (888-724-4737)

 

Employee Social Security Number

 

 

 

 

 

Or by email at: RA-LI-CWDS-NewHire@pa.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legal Name (First)

 

(Middle)

(Last)

 

This form may be duplicated as needed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Save time and postage costs.

 

 

 

 

Street Address (Post Office Box is not acceptable)

Apartment Number (if available)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Online reporting is fast, free and paperless.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip Code

 

City

 

 

State

For more information about how to get started, please visit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.pacareerlink.state.pa.us

 

 

 

 

 

 

 

 

 

 

 

 

Date of Hire (MM/DD/YYYY)

Date of Birth (MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

(Must be within 3 years of current date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Or contact our customer service at 888-PAHIRES (888-724-4737)

New Hire Reporting: Lending a Hand to Pennsylvania's Children

CWIA-25 06-12 (Page 2)

How to Edit Pa New Hire Form Online for Free

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pennsylvania new hire form empty spaces to consider

Put the demanded information in the CWIAPage, ZipCode, City, State, DateofBirthMMDDYYYY, ONEEMPLOYEEPERBOX, EmployeeSocialSecurityNumber, LegalNameFirst, Middle, Last, ZipCode, City, State, and DateofBirthMMDDYYYY segment.

pennsylvania new hire form CWIAPage, ZipCode, City, State, DateofBirthMMDDYYYY, ONEEMPLOYEEPERBOX, EmployeeSocialSecurityNumber, LegalNameFirst, Middle, Last, ZipCode, City, State, and DateofBirthMMDDYYYY fields to fill out

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