Idaho New Hire Reporting Form

IDAHO NEW HIRE REPORTING FORM

IDAHO DEPARTMENT OF LABOR

EMPLOYER NAME

NEW HIRE REPORTING

ADDRESS

317 W MAIN ST.

CITY, STATE ZIPCODE

BOISE ID

83735-0610

FEDERAL EMPLOYERS IDENTIFICATION NUMBER (FEIN)

FAX (208) 332-7411

IDAHO UNEMPLOYMENT INSURANCE NUMBER (SUTA)

PHONE - 1-800-627-3880

Computer generation of this report is acceptable; but it must follow the layout of this form. Paper size must be

8 ½ X 11 with a minimum 10 pt font size. Employers with 50 or more new hires per month are encouraged to

report using Idaho’s magnetic media specifications.

SOCIAL SECURITY NUMBER

EMPLOYEE NAME

(LAST, FIRST, MI)

HIRE DATE

ADDRESS

YYMMDD

CITY, STATE ZIPCODE

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Parent category: Business