Form Nys-209 - Magnetic Media Transmittal For New Hire Reporting

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NYS-209
(12/09)
Page 4 of 4
Magnetic Media Transmittal for New Hire Reporting
This transmittal form must be accompanied by:
• your tape/diskette/CD-ROM containing all required information, and
• a print dump of the first 10 records of the file being submitted.
Transmitter information
1 Name of transmitter
2 Transmitter’s employer identification number (EIN)
3 Street address of transmitter
City
State
ZIP code
4 Name of technical person to contact about magnetic media
Telephone number
(
)
ext.
Tape/diskette/CD-ROM data
5 Enter the total number of employer
9 If the media contains more than one employer record, enter each EIN
records reported
(from record 1F)
and name. Attach additional sheets if necessary.
6 Enter the total number of employee
records reported
EIN
Employer’s name
7 Enter the last day of the period
being reported
8 Check box for return of media
(you must enclose
mailing label and reusable container or media will not be
returned). Diskettes and CD-ROMs will not be returned.
Equipment
10 Manufacturer/model
11 Operating system/version
12 For diskette/CD-ROM submission
13 For tape submission
Formatted capacity
Recording mode:
EBCDIC
ASCII
3½” diskette*
Physical block size: _________________________________________________
_________________________________________________________________
CD-ROM*
Label information (you must provide the six-digit tape number
for all labeled tapes):
II
* Must be recorded using ASC
format
Nonlabel
IBM OS/VS standard internal tape no. (vol. ser.) ______________________
filename = NEWHIRE.RPT
Nonstandard internal tape no. (vol. ser.) ____________________________
Stick-on labels
Each tape, diskette, and CD-ROM must be externally identified with a stick-on label. Each label must contain the following
information:
Transmitter ID ________________________________________
Transmitter name _____________________________________
Last day of period being reported _________________________
Tape number _________________________________________
Computer type and operating system ______________________
Formatted density _____________________________________

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