"New Hire Reporting Form" - Illinois

New Hire Reporting Form is a legal document that was released by the Illinois Department of Employment Security - a government authority operating within Illinois.

Form Details:

  • The latest edition currently provided by the Illinois Department of Employment Security;
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  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Illinois Department of Employment Security.

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State of Illinois
Department of Employment Security
New Hire Reporting Form
Assistance: 1 800 327-HIRE (4473)
Employers must report each new hire within 20 days.
Please print or type
EMPLOYER NAME AND ADDRESS
Federal Employer ID Number - FEIN
-
Company Name
Street Address
Street Address
City
State
Zip Code
-
EMPLOYER ADDRESS FOR CHILD SUPPORT WAGE WITHHOLDING ORDERS
Street Address
Street Address
State
City
-
Zip Code
NEW EMPLOYEE NAME AND ADDRESS
Social Security Number
-
-
Date of Hire (MM-DD-YYYY)
MI
Last Name
First Name
Street Address
City
State
-
Zip Code
NEW EMPLOYEE NAME AND ADDRESS
Social Security Number
Date of Hire (MM-DD-YYYY)
-
-
MI
Last Name
First Name
Street Address
City
State
-
Zip Code
Report new hires online, or by returning your completed form either by FAX 1-217-557-1947,
or by U.S. mail to IDES, P.O. Box 19473, Springfield, IL 62794-9473.
State of Illinois
Department of Employment Security
New Hire Reporting Form
Assistance: 1 800 327-HIRE (4473)
Employers must report each new hire within 20 days.
Please print or type
EMPLOYER NAME AND ADDRESS
Federal Employer ID Number - FEIN
-
Company Name
Street Address
Street Address
City
State
Zip Code
-
EMPLOYER ADDRESS FOR CHILD SUPPORT WAGE WITHHOLDING ORDERS
Street Address
Street Address
State
City
-
Zip Code
NEW EMPLOYEE NAME AND ADDRESS
Social Security Number
-
-
Date of Hire (MM-DD-YYYY)
MI
Last Name
First Name
Street Address
City
State
-
Zip Code
NEW EMPLOYEE NAME AND ADDRESS
Social Security Number
Date of Hire (MM-DD-YYYY)
-
-
MI
Last Name
First Name
Street Address
City
State
-
Zip Code
Report new hires online, or by returning your completed form either by FAX 1-217-557-1947,
or by U.S. mail to IDES, P.O. Box 19473, Springfield, IL 62794-9473.