Homepage > Blank Employer Information Template
Article Guide

The Employer Information form is a crucial document that plays a significant role in the process of new hire reporting in Indiana. This form is used to collect essential details about both the employer and the newly hired employee, ensuring compliance with state regulations. Employers are required to provide their Federal ID number, which is the same as the Unemployment Insurance (UI) number, along with the employer's name and official address. Clear contact information, including phone numbers and email addresses, allows for effective communication between the employer and the Indiana New Hire Reporting Center. Additionally, the form captures key employee information such as Social Security numbers and the availability of health insurance. Understanding each component of this form aids employers in navigating the requirements seamlessly, thereby facilitating the reporting process from the outset. Delving into the specifics of the form will not only clarify its importance but will also provide employers with the necessary insight to ensure accurate and timely submissions.

Form Sample

Indiana New Hire Reporting Center

Po Box 55097

Indianapolis, IN 46205

EMPLOYER INFORMATION

FEDERAL ID NUMBER (SAME AS UI #)

EMPLOYER NAME

EMPLOYER ADDRESS (INCOME WITHHOLDING ADDRESS)

CITY

STATE ZIP

 

EMPLOYER CONTACT INFORMATION

FIRST

LAST

PHONE NUMBER

FAX NUMBER

E-MAIL ADDRESS

 

EMPLOYEE INFORMATION

SOCIAL SECURITY NUMBER

IS HEALTH INSURANCE AVAILABLE TO

 

EMPLOYEE? (OPTIONAL) Y

N

FIRST NAME

MI

LAST NAME

 

 

 

ADDRESS

 

 

 

CITY

 

 

STATE

ZIP

START DATE

 

DATE OF BIRTH (OPTIONAL)

mm

dd

yyyy

mm dd

yyyy

Phone:

(317)

612-3028

Fax:

(317) 612-3036

Toll Free: (866)

879-0198

Toll Free:

(800) 408-1388

www.in-newhire.com

 

www.IN.gov

Document Specifications

Fact Name Details
Purpose The Employer Information form is used to report new hires to the Indiana New Hire Reporting Center.
Required Information Employers must provide their Federal ID number, employer name, and address.
Contact Details The form requires employer contact information, including a first and last name, phone number, fax number, and email address.
Employee Details Employers must also fill out relevant employee information, including their Social Security number, name, address, start date, and date of birth.
Health Insurance Optionality Employers should indicate whether health insurance is available to the employee, marking 'Yes' or 'No'.
Governing Law This form is governed by Indiana state law, specifically under Indiana Code Title 22.
Submission Address Completed forms should be sent to the Indiana New Hire Reporting Center, P.O. Box 55097, Indianapolis, IN 46205.
Contact Information For inquiries, employers can call (317) 612-3028 or toll-free at (866) 879-0198.

Steps to Filling Out Employer Information

Filling out the Employer Information form is an important step in submitting necessary details about your business and employees. Follow these steps to ensure that you complete the form accurately and efficiently.

  1. At the top of the form, enter the Federal ID Number. This number is the same as your Unemployment Insurance Number.
  2. Provide your Employer Name.
  3. Fill in your Employer Address including the income withholding address.
  4. Complete the City, State, and ZIP code fields related to your address.
  5. Next, include your Employer Contact Information:
    • First and Last Name: Enter the name of the contact person.
    • Phone Number: Provide a valid phone number for contact.
    • Fax Number: If applicable, include the fax number.
    • E-mail Address: Write down a contact email.
  6. Now move on to the Employee Information section. Start with the Social Security Number.
  7. Indicate whether Health Insurance is available to the employee by selecting Y for yes or N for no.
  8. Fill in the First Name, Middle Initial (optional), and Last Name of the employee.
  9. Add the employee's Address, along with City, State, and ZIP code.
  10. Enter the Start Date and Date of Birth (optional) in the format mm/dd/yyyy.

Make sure to review all entries for accuracy before submitting the form to avoid any delays in processing.

More About Employer Information

What is the purpose of the Employer Information form?

The Employer Information form is used to report new hires to the Indiana New Hire Reporting Center. This facilitates compliance with state and federal regulations aimed at improving child support enforcement and reducing fraud. Employers must complete this form for each new employee to ensure timely reporting.

What information is required on the form?

The form requires several key pieces of information. This includes the employer's federal ID number, name, and contact information. Additionally, employers must provide the new employee's social security number, name, address, phone number, and start date. There is also an optional section regarding the availability of health insurance for the employee.

Where do I send the completed Employer Information form?

Once completed, the form should be sent to the Indiana New Hire Reporting Center at the following address: P.O. Box 55097, Indianapolis, IN 46205. You may also choose to submit it via fax or email if preferred. The contact information for submitting the report includes phone numbers and a website where you can find additional resources.

Is there a deadline for submitting the Employer Information form?

Employers are required to submit the form within 20 days of the employee's start date. Meeting this deadline is crucial for compliance with state regulations regarding new hire reporting. Failure to submit the form on time can lead to penalties or other enforcement actions.

Common mistakes

  1. Failing to include the Federal ID Number accurately. This number is essential for identification and tax purposes.

  2. Providing an Employer Name that does not match official records. Discrepancies can lead to processing delays.

  3. Neglecting to fill out the Employer Address completely. Missing information can cause communication issues.

  4. Omitting Employer Contact Information. Always include a first and last name along with a phone number and email address to facilitate contact.

  5. Making errors in the Employee Social Security Number. Double-check this information to avoid legal complications.

  6. Forgetting to specify if health insurance is available to the employee. This information is beneficial for the employee's future planning.

  7. Leaving out the Employee Start Date. This date is crucial for record-keeping and benefits eligibility.

  8. Using an incorrect format for the Date of Birth. Ensure it is written as mm/dd/yyyy, as this is often a requirement.

  9. Not updating contact information when changes occur. Keeping this information current is vital for effective communication.

Documents used along the form

The Employer Information form is often used in conjunction with other important documents. These forms support various processes related to employment law, employee benefits, and compliance requirements. Here is a list of additional documents frequently utilized alongside the Employer Information form:

  • W-4 Form: This form is used by employers to determine the correct amount of federal income tax withholding from an employee's paycheck. Employees must complete it when starting a job or when they wish to change their withholding status.
  • I-9 Form: Required by the federal government, this form verifies an employee's identity and work authorization in the United States. Employers must ensure it is filled out accurately and stored securely.
  • State Tax Withholding Form: Similar to the W-4, this form is tailored to state-specific income tax withholding rules. Employees fill it out to specify their withholding preferences based on their state's regulations.
  • Employee Benefits Enrollment Form: This document allows new employees to enroll in health insurance and other employee benefits. It typically requires information about the employee’s dependents and their selection of coverage.
  • Direct Deposit Authorization Form: This form enables employees to authorize their employer to deposit their paychecks directly into their bank accounts, facilitating a more convenient payment process.
  • Confidentiality Agreement: Often required for positions that handle sensitive information, this agreement ensures that employees maintain the confidentiality of proprietary information during and after their employment.
  • Employee Handbook Acknowledgment: This document confirms that an employee has received and understood the company's employee handbook. It serves as a record that the employee is aware of company policies and procedures.

These forms and documents are essential in streamlining administrative tasks and ensuring compliance with legal obligations. They contribute to a clear understanding between employers and employees regarding responsibilities, rights, and benefits.

Similar forms

The W-4 form is similar to the Employer Information form in that both require specific employer details, such as the name and address. The W-4 is used by employees to determine their federal income tax withholding. It provides critical information about the employee's filing status and allowances, echoing the Employee Information section of the Employer Information form where personal details are required. This document is essential for ensuring accurate tax withholding from an employee's paycheck.

The I-9 form focuses on verifying an employee’s eligibility to work in the United States. Like the Employer Information form, it gathers essential information about the employer and the employee, including names and addresses. The I-9 ensures compliance with federal employment laws, providing a legal basis for the employer-employee relationship. Both forms serve as crucial documentation in establishing and maintaining accurate employment records.

The state equivalent of the W-4, often called the State Withholding Allowance Certificate, parallels the Employer Information form as it collects employer information while requiring employee details. This document helps state agencies determine how much state tax to withhold from an employee’s paycheck. Both forms are integral to ensuring proper tax compliance, emphasizing the importance of complete and accurate information, particularly concerning employee address and identification.

In a similar fashion, the 1099 form is utilized for reporting income for independent contractors, gathering information regarding the contractor's name, address, and taxpayer identification number. While the Employer Information form deals with employees, the 1099 serves a distinct purpose but still emphasizes the importance of accurate information about the working relationship. Both forms play a vital role in accurate reporting to tax authorities and ensuring compliance with financial responsibilities.

The benefits enrollment form also shares similarities with the Employer Information form. This document is used to collect employer contact information along with employee details regarding eligibility for company benefits, including health insurance. It is crucial for establishing the employer-employee relationship in terms of health and welfare benefits, making the information contained on both documents essential for employee access and benefits management.

The payroll deduction authorization form is another document resembling the Employer Information form. It collects vital employer information while seeking consent from employees regarding specific deductions from their paychecks. Both documents are pivotal in managing employee financial obligations and benefits, ensuring that employers have the correct information to comply with the employees’ wishes for various deductions.

Lastly, the employee termination form mirrors the Employer Information form in that it requires confirmation of employee identity and employer details. This document is essential in the offboarding process, capturing reasons for termination, final pay arrangements, and benefits statuses. Like the Employer Information form, it serves to maintain accurate records and ensure all legal obligations are met when an employee leaves the organization.

Dos and Don'ts

When filling out the Employer Information form, you should consider the following:

  • Double-check your federal ID number. Make sure it is accurate, as it is crucial for tax purposes.
  • Provide complete contact information. Include all required fields such as phone number, fax number, and email address.
  • Use the full legal name of the employer. Ensure that it matches the name registered with the IRS.
  • Confirm the physical address. Correctly enter the employer address to avoid any delays in processing.
  • Check for spelling errors. Review the form to catch any mistakes that could lead to confusion.
  • Keep a copy of the completed form. Having a record can help for future reference or corrections.

Conversely, here are things you shouldn't do:

  • Don’t leave any required fields blank. Missing information can result in processing delays.
  • Avoid using abbreviations for the employer’s name or address. Always use full names.
  • Don’t forget to indicate if health insurance is available. This information is important for the employee.
  • Don’t provide outdated contact information. Verify that all details are current.
  • Do not assume that the form will be processed correctly without thorough checks. Always review your entries.
  • Avoid using unofficial channels for submission. Ensure you are sending it to the correct address.

Misconceptions

Misconceptions about the Employer Information form can lead to confusion and errors in reporting. Here are eight common misunderstandings:

  1. The Employer Information form is only for new employees. This form is necessary for new hires, but it is also used to report any changes in information about the employer or the workplace.
  2. You only need to submit this form once. Employers must submit the form every time a new employee is hired, as well as for any updates concerning the employer’s information.
  3. My business doesn’t need to fill out the form if I have fewer than 5 employees. Regardless of the number of employees, all employers in Indiana are required to report new hires.
  4. Providing a Social Security number is optional for all employees. While some information may be optional, the Social Security number is crucial for identification and tax purposes.
  5. I can fill out the form whenever I want. There are specific deadlines for submitting the form after a new hire, typically within 20 days of employment.
  6. The health insurance question is mandatory. Asking if health insurance is available is optional, but providing correct details about employee benefits is encouraged.
  7. Email and fax numbers are not necessary to provide. Contact information makes it easier for the state to reach you for follow-up questions or issues.
  8. I don’t need to keep a copy of the form. It’s important to retain a copy for your records in case of any disputes or audits.

Understanding these points can help ensure compliance and smooth reporting processes for employers.

Key takeaways

  • Accurately provide your Federal ID Number, as this is crucial for identification purposes.
  • Ensure the Employer Name matches the name registered with state and federal agencies.
  • Fill out the Employer Address completely, including city, state, and ZIP code, to prevent return issues.
  • Include Contact Information for easy communication regarding new hires.
  • Double-check Employee Information, particularly the Social Security Number, to avoid delays.
  • If applicable, indicate whether Health Insurance is available to the employee, even though this section is optional.