Form De 34 - Report Of New Employee(S) Page 2
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1
2INSTRUCTIONS FOR COMPLETING ALL OF THE ELEMENTS ON THE REPORT OF NEW EMPLOYEE(S) FORM
REQUIREMENTS:
Federal law requires all employers to report all newly hired employees, who work in California, to the Employment
Development Department (EDD) within 20 days of their start-of-work date, which is the fi rst day of work. In addition,
any employee who is rehired after a separation of at least sixty (60) consecutive days must also be reported within
the 20 days. State and county agencies use this information to assist them in locating parents who are delinquent
in their child support obligations.
PENALTIES:
Employers who fail to report the hiring or rehiring of an employee, as required and within the time frame required,
may be assessed a penalty of $24 for each failure to report or $490 if the failure to report is an intentional
agreement between the employer and employee to not supply the required information or to supply a false or
incomplete report.
WHAT MUST BE REPORTED ON THIS FORM:
Employer’s:
Employee’s:
• California Employer Account Number
•
First name, middle initial, and last name.
on each form completed.
•
Social Security Number.
•
Branch Code - Complete only if employer was
•
Home address.
assigned a Branch Code number.
•
Start-of-work date.
•
Federal Employer Identifi cation Number.
•
Business name and address.
•
Contact person and phone number.
HOW TO COMPLETE THIS FORM:
Please complete the following information in the spaces provided. If you type the information, ignore the boxes and type in
UPPER CASE as shown. Do not use dashes, slashes, commas, or periods.
EMPLOYEE FIRST NAME
MI
EMPLOYEE LAST NAME
IMOGENE
A
SAMPLE
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
000000000
1234
ANY STREET
312
If handwritten, use CAPITAL LETTERS and print each letter or number in a separate box as shown. Do not use dashes,
slashes, commas, or periods.
EMPLOYEE FIRST NAME
MI
EMPLOYEE LAST NAME
I M O G E N E
A
S A M P L E
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
0 0 0 0 0
0 0 0 0
1
2 3 4
A N Y
S T R E E T
3
1 2
ADDITIONAL INFORMATION:
If you have any questions concerning the new employee reporting requirement, you may visit our website at
, call the New Employee Registry and Independent Contractor
Reporting at 916-657-0529, call the Taxpayer Assistance Center at 888-745-3886, or visit your local Employment Tax
Offi ce, which is listed in the California Employer’s Guide (DE 44) and on our website at ce_Locator/.
To obtain additional DE 34 forms:
•
Visit our website at
•
For 25 or more forms, call 916-322-2835.
•
For less than 25 forms, call 916-657-0529 or call 888-745-3886.
HOW TO REPORT:
For a faster, easier, and more convenient way of reporting your new employee information, you are encouraged to
report electronically by accessing the EDD’s e-Services for Business website at https://eddservices.edd.ca.gov
to select the option that is best for you.
To fi le a paper DE 34 form, complete all of the information on the reverse side of this form and fax it to 916-319-4400 or mail it to:
EMPLOYMENT DEVELOPMENT DEPARTMENT
Document Management Group, MIC 96
P.O. Box 997016
West Sacramento, CA 95799-7016
DE 34 Rev. 9 (1-15) INTERNET
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