New Hire Reporting Form - Illinois Department Of Employment Security
Download a blank fillable New Hire Reporting Form - Illinois Department Of Employment Security in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete New Hire Reporting Form - Illinois Department Of Employment Security with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Assistance: 1 800 327-HIRE
This is a fill-in form - be sure to save your data.
(4473)
Illinois Department of Employment Security
New Hire Reporting Form
Save
Print
Employers must report each new hire within 20 days.
EMPLOYER NAME AND ADDRESS
Federal Employer ID Number – FEIN _________ – __________________________________________
Company Name _________________________________________________________________________
Street Address __________________________________________________________________________
Street Address __________________________________________________________________________
City ___________________________________ State _______________ Zip Code ___________ – ______
EMPLOYER ADDRESS FOR CHILD SUPPORT WAGE WITHHOLDING ORDERS
Street Address _________________________________________________________________________
Street Address __________________________________________________________________________
City ___________________________________ State _______________ Zip Code ___________ – ______
NEW EMPLOYEE NAME AND ADDRESS
-
-
Social Security Number _____________________ Date of Hire (MM-DD-YYYY) ___________________
First Name ___________________________ M.I. ________ Last Name ___________________________
Street Address _______________________________________________________________________
City ___________________________________ State _______________ Zip Code ___________ – ______-
NEW EMPLOYEE NAME AND ADDRESS
-
-
Social Security Number _____________________ Date of Hire (MM-DD-YYYY) ___________________
First Name ___________________________ M.I. ________ Last Name ___________________________
Street Address _______________________________________________________________________
City ___________________________________ State _______________ Zip Code ___________ – ______
Return your completed form either by FAX 1-217-557-1947
or by mail to IDES, P.O.Box 19473, Springfield, IL 62794-9473
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ui-28 - Employer's Claim For Adjustment / Refund - Illinois Department Of Employment Security - 2013
Legal
Form Ui-28 - Employer's Claim For Adjustment/refund - Illinois Department Of Employment Security
Legal
Form Ui-ha - Return For Household Employers - Illinois Department Of Employment Security - 2011
Business
Related Categories
Parent category: Legal