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Get WY New Hire Reporting Form

Wyoming New Hire Reporting Form Federal and state legislation Wyoming Statute Section 27-1-115 effective October 1 1997 requires all Wyoming employers both public and private to report to the State of Wyoming all newly hired rehired or returning to work employees. Information about new hire reporting and online reporting is available on our Web site www. wy-newhire. com* Send completed forms to 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 PO Box 1408 Cheyenne WY 82003-1408 Fax 800 921-9651 EMPLOYER INFORMATION Federal Employer ID Number FEIN Please use the same FEIN that appears on your quarterly wage reports you submit to the State Employer Name Employer Address Please indicate the address where the Income Withholding Order should be sent. Employer City Employer State Employer Phone optional Extension Zip Code 5 digit Employer Fax optional Email Employee Social Security Number SSN - Middle Initial Employee First Name Employee Last Name Start Date Date of Birth optional Reports must be submitted within 20 days of date of hire or rehire. REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING Questions Call us toll free at 800 970-9258. Information about new hire reporting and online reporting is available on our Web site www. wy-newhire. com* Send completed forms to To ensure the highest level of accuracy please print neatly in capital letters and avoid contact with the edges of the boxes. com* Send completed forms to 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 PO Box 1408 Cheyenne WY 82003-1408 Fax 800 921-9651 EMPLOYER INFORMATION Federal Employer ID Number FEIN Please use the same FEIN that appears on your quarterly wage reports you submit to the State Employer Name Employer Address Please indicate the address where the Income Withholding Order should be sent. The following will serve as an example A B C PO Box 1408 Cheyenne WY 82003-1408 Fax 800 921-9651 EMPLOYER INFORMATION Federal Employer ID Number FEIN Please use the same FEIN that appears on your quarterly wage reports you submit to the State Employer Name Employer Address Please indicate the address where the Income Withholding Order should be sent. Employer City Employer State Employer Phone optional Extension Zip Code 5 digit Employer Fax optional Email Employee Social Security Number SSN - Middle Initial Employee First Name Employee Last Name Start Date Date of Birth optional Reports must be submitted within 20 days of date of hire or rehire. Employer City Employer State Employer Phone optional Extension Zip Code 5 digit Employer Fax optional Email Employee Social Security Number SSN - Middle Initial Employee First Name Employee Last Name Start Date Date of Birth optional Reports must be submitted within 20 days of date of hire or rehire. REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING Questions Call us toll free at 800 970-9258. .

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