New Mexico New Hire Reporting Form
ADVERTISEMENT
1NEW MEXICO NEW HIRE REPORTING FORM
Send completed forms to:
Fax forms toll free: 1-888-878-1614
New Mexico New Hires Directory
Submit Online:
PO Box 29480
For more information: 1-888-878-1607
Santa Fe, NM 87592-9480
COMPANY INFORMATION
*Required Information
Federal Employer Identification Number* _____________________________________________________________
Company Name* _________________________________________________________________________________
Payroll Address* _________________________________________________________________________________
(Address where Income Withholding Orders should be sent)
City, State, Zip Code* _____________________________________________________________________________
Contact Name/Phone ______________________________________________________________________________
Contact/Company Email ___________________________________________________________________________
EMPLOYEE INFORMATION
*Required Information
Employee #1
Name* _______________________________________________________ Date of Hire* ________________
Social Security Number*_________________________________________ Date of Birth _________________
Address* _____________________________________________________ State of Hire _________________
City, State, Zip Code* ___________________________________________ Medical Insurance Available?
YES NO
Employee #2
Name* _______________________________________________________ Date of Hire* ________________
Social Security Number*_________________________________________ Date of Birth _________________
Address* _____________________________________________________ State of Hire _________________
City, State, Zip Code* ___________________________________________ Medical Insurance Available?
YES NO
Employee #3
Name* _______________________________________________________ Date of Hire* ________________
Social Security Number*_________________________________________ Date of Birth _________________
Address* _____________________________________________________ State of Hire _________________
City, State, Zip Code* ___________________________________________ Medical Insurance Available?
YES NO
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal