Get Employers Form - Onondaga County

Filling out the Employers Form for Onondaga County is an essential step for employers providing verification of an employee's employment and income. This guide will walk you through each section of the form, highlighting the necessary information and providing clear instructions for completing it online.

Follow the steps to successfully complete the Employers Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your document management tool.
2. In Section I, enter the employee's name and their Social Security number. Then, fill in the employer's name and address. Ensure all provided information is accurate to avoid any delays.
3. Move to Section II. Report the last eight weeks of the employee's gross income by listing each pay date, gross pay, tips, and commissions.
4. Indicate the date the employee started their employment, the typical number of hours they work per week, and their hourly pay rate. Also, specify the position held by the employee.
5. Answer the questions regarding whether the employee is receiving New York State disability benefits or workmen's compensation benefits. If the employment has terminated, provide the termination date.
6. In Section III (a), if the employee's hours do not vary, enter the days employed and exact hours of employment for each day. This should include the time of day, indicated as AM or PM.
7. If the employee has varying hours or works rotating shifts, complete Section III (b) on the reverse side of the form with the necessary scheduling details.
8. In Section IV, print the name of the employer's representative, sign the form, indicate the date, and provide a contact telephone number.
9. Finally, review all entries for accuracy. Save the completed form, download it, or print it for submission. Ensure it is returned to the appropriate department as directed.

Complete the Employers Form online today to ensure accurate verification of employment.