"New Hire Reporting Form" - Tennessee

New Hire Reporting Form is a legal document that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee.

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STATE OF TENNESSEE
NEW HIRE REPORTING
Effective October 1, 1997, all Tennessee employers are required to report certain information about employees who have been newly
hired, rehired, or have returned to work. Employers must either (1) complete this form, or (2) submit a copy of the employee’s IRS W-
4 form, (3) other form with required information at a minimum, or (4) submit the information by Internet, magnetic tape or diskette.
This form may be reproduced as necessary. Reports made on this form must be within 20 calendar days of hire or if you wish to help
the Department of Labor and Workforce Development, within 5 days of date of hire.
TO ENSURE ACCURACY, PLEASE PRINT (or TYPE) NEATLY IN UPPER-CASE LETTERS AND NUMBERS, USING A DARK, BALL-POINT PEN.
Send Reports To:
Tennessee New Hire Reporting Program
P.O. Box 281348
Nashville, Tennessee 37228
Fas: (877) 505-4761
STATE OF TENNESSEE
NEW HIRE REPORTING
Effective October 1, 1997, all Tennessee employers are required to report certain information about employees who have been newly
hired, rehired, or have returned to work. Employers must either (1) complete this form, or (2) submit a copy of the employee’s IRS W-
4 form, (3) other form with required information at a minimum, or (4) submit the information by Internet, magnetic tape or diskette.
This form may be reproduced as necessary. Reports made on this form must be within 20 calendar days of hire or if you wish to help
the Department of Labor and Workforce Development, within 5 days of date of hire.
TO ENSURE ACCURACY, PLEASE PRINT (or TYPE) NEATLY IN UPPER-CASE LETTERS AND NUMBERS, USING A DARK, BALL-POINT PEN.
Send Reports To:
Tennessee New Hire Reporting Program
P.O. Box 281348
Nashville, Tennessee 37228
Fas: (877) 505-4761