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Official Minnesota New Hire Reporting Form in PDF

The Minnesota New Hire Reporting Form is a document required by Minnesota law for all employers to report newly hired, rehired, or returning employees. Under Minnesota Statute 256.998, this form must be submitted to the state within 20 days of the employee's hire or rehire date. For more information on how to fill out the form, please click the button below.

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Official Minnesota New Hire Reporting Form in PDF

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The Minnesota New Hire Reporting Form plays a crucial role in the state's efforts to streamline employee tracking and ensure compliance with various employment laws. Since its inception on July 1, 1996, this requirement mandates that all employers in Minnesota, whether public or private, report any newly hired, rehired, or returning employees to the State of Minnesota within 20 days of their hire or rehire date. This timely reporting is essential for various reasons, including the efficient management of child support enforcement and the prevention of fraud in public assistance programs. The form itself requires detailed information about both the employer and the employee, including the Federal Employer ID Number, employee Social Security Number, and the dates of hire and birth. To maintain accuracy, it is important to fill out the form clearly and completely, avoiding any contact with the edges of the designated boxes. Employers can submit the completed forms to the Minnesota New Hire Reporting Center via mail or fax, with resources available online for those who prefer electronic reporting. Should questions arise during the process, assistance is readily available through dedicated phone lines. Understanding the requirements of this form is vital for employers to avoid penalties and ensure smooth operations in their workforce management.

Form Example

Minnesota New Hire Reporting Form

Effective July 1, 1996 Minnesota Statute 256.998 requires all Minnesota Employers, both public and private, to report all newly hired, rehired, or returning to work employees to the State of Minnesota within 20 days of hire or rehire date.

Information about new hire reporting and online reporting is available on our web site: www.mn-newhire.com

Send completed forms to:

Minnesota New Hire Reporting Center PO Box 64212

St. Paul, MN 55164-0212 Toll-free fax: (800) 692-4473

To ensure the highest level of accuracy, please print neatly in capital letters and avoid contact with the edges of the boxes. The following will serve as an example:

A	B	C		1	2	3

EMPLOYER INFORMATION

Federal Employer ID Number (FEIN) (Please use the same FEIN as the listed employee’s quarterly wages will be reported under):

Employer Name:

Employer Address (Please indicate the address where the Income Withholding Orders should be sent).

Employer City:

Employer State:

Zip Code (5 digit):

Employer Phone:

Extension:

Employer Fax:

Email:

EMPLOYEE INFORMATION

Employee Social Security Number (SSN):

Check this box if this is an

Independent Contractor (1099)

Employee First Name:

Middle Initial:

Employee Last Name:

Employee Address:

Employee City:

Employee State:

Zip Code (5 digit):

Date of Hire (mm/dd/yyyy):

Date of Birth (mm/dd/yyyy): (optional)

Employee State of Hire

REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING

Questions? Call us at (651) 227-4661 or toll-free (800) 672-4473

Rev (04/12)

➤ Minnesota New Hire Reporting File

Form Specifications

Fact Name	Details
Reporting Requirement	All Minnesota employers must report newly hired, rehired, or returning employees within 20 days of their hire or rehire date.
Governing Law	This requirement is mandated by Minnesota Statute 256.998.
Submission Method	Employers can submit the completed form to the Minnesota New Hire Reporting Center via mail or fax.
Accuracy Guidelines	To ensure accuracy, employers should print neatly in capital letters and avoid contact with the edges of the boxes on the form.

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