Official Minnesota New Hire Reporting Form in PDF
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:
Send completed forms to:
Minnesota New Hire Reporting Center PO Box 64212
St. Paul, MN
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:
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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: |
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Employer State: |
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Zip Code (5 digit): |
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Employer Phone: |
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Extension: |
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Employer Fax: |
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Email: |
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EMPLOYEE INFORMATION |
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Employee Social Security Number (SSN): |
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Check this box if this is an |
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Independent Contractor (1099) |
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Employee First Name: |
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Middle Initial: |
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Employee Last Name: |
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Employee Address: |
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Employee City: |
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Employee State: |
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Zip Code (5 digit): |
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Date of Hire (mm/dd/yyyy): |
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Date of Birth (mm/dd/yyyy): (optional) |
Employee State of Hire |
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REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING
Questions? Call us at (651)
Rev (04/12)
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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