New Hire Reporting Form 2000
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2New Hire Report Form
Page 1 of 2
Federal Identification No:
________________________
NEW HIRE REPORTING
Employer Name:
FORM
Employer Address:
________________________
Return to:
________________________
New Hire Reporting
Vermont Dept. of Employment &
________________________
Training
5 Green Mountain Drive, PO Box 488
________________________
Montpelier, Vt. 05601-0488
or FAX to: (802) 828-4286
________________________
Social
Employee
Address
City / Town
St.Zip
Security No.
Name
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
_____________ ____________________ ____________________________ __________________ __._____
2/21/00
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