Magnetic Media Transmittal For New Hire Reporting - State Of Virginia

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Magnetic Media Transmittal for New Hire Reporting
This transmittal sheet must be accompanied by your 9 track tape, diskette, or 3480 cartridge
containing all required information.
Transmitter Information
Company Name/Name of the transmitter:
Street Address of Transmitter:
City:
State:
ZIP:
Federal Employer Identification Number:
Virginia Employment Commission Number (VEC):
Name of technical person to contact about magnetic media:
Telephone Number:
(
)
ext:
Tape/Diskette Data
Enclosed tape identification number:
Enter total number of Employers being submitted:
Enter total number of Employee records being submitted:
Enter last day of the period being submitted:
Equipment
Manufacturer/model:
Operating system/version:
For diskette submission:
For tape submission:
Formatted Capacity
Recording mode:
EBCDIC
ASCII
720 KB
Physical block size:_______________________________
3
1/2 inch
1.44 MB
Labeled: YES (
) NO (
)
Other, specify
3480 Tape Cartridge
9-track tape
___________
Is this the first tape you have submitted to the Virginia
Test tape only: YES (
)
NO (
)
New Hire Reporting Center? YES (
)
NO (
)
Each tape or diskette should be externally identified with a stick-on label. Each label should contain the
:
following information
T
ransmitter name ____________________________________
Federal Identification number FEIN _____________________
Last day of the period being reported ____________________
Current date ________________________________________
ALL 9-track tapes and 3480 cartridges will be returned in the original packaging (please provide a return
address when mailing). Diskettes will not be returned.
Mail to:
VIRGINIA NEW HIRE REPORTING CENTER
P O BOX 25309
RICHMOND VA 23260-5309

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