5 Green Mountain Drive - PDF document

1 5 Green Mountain Drive .O. Box 488Montpe
5 Green Mountain Drive .O. Box 488Montpelier, VT 05601-0488Requirements for Mandated New Hire Reporting Federal legislation states that an “employer” for new hire reporting purposes is the same as for What must be included in a New Hire report? There are seven required data elements:Employer NameEmployer AddressFederal Employer Identification Number (FEIN)Employee NameEmployee AddressEmployee Social Security NumberDate of Hire - First date services performed for compensationAs a temporary employment agency, doy the need to be reported as a new hire? If the agency is paying wages to the individual, it MUST submit a new hire report. Theindividual needs to be reported only once, unless there is a break in service from the agencyand a new W-4 form is required. If the agency simply refers individuals for employment anddoes not pay salaries, new hire reports are not necessary. Additionally, Federal policy statesthat if work being performed is based on a contract rather than an employer/employeerelationship, it is not required to submit a new hire report. However the contractor is responsible for reporting his/her employees. The “date of hire” is the first day services are performed for compensation by an individual for an employer.When must an employer report the hire? The report of hire MUST be made within 10 days of the first day services are actuallyperformed for compensation, or was previously employed by the employer but has If an employee is laid off, and then re-hired, or an employee returns after a of absence, does another New re report need to be sent? Yes, if an employee was previously employed by the employer but has been separated from consecutive days When in doubt, theemployer is encouraged to report the new hire, especially upon return from a lengthy layoff,as it becomes a quick method to stop inappropriate payment of unemployment insurance How do reports get filed? Note: Employers filing more than ten reports of hire MUST report electronically.Internet filing: www.labor.vermont.gov – Employer Applicationsor those without internet access: Ten reports or less can be transmitted on VDOL form C-61 and mailed to:VDOL – New Hire Reporting 5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488Questions about reporting? If an employer has questions data, contact the Department Methods of ReportingEmployers may choose one of these convenient reporting methodsReminder: Reports must be filed within 10 days. Internet: This allows quick and easy online reporting. Access New Hire Reporting from theDepartment of Labor’s website at: http://www.labor.vermont.gov - Employer Applications.Forms: Submit new hire information using the Vermont Department of Labor’s C-61 New Hire Reporting Form or an employer may use its own form ensuring that it includes theseven required elements. A copy of the reporting form can be found in this packet or on our website at http://www.labor.vermont.gov Employers filing more then reports of hireMUST report electronically.Form: This method of reporting can only be used if the employer completes informationon lines 8 and 10 of the form and includes the employee’s date of hire (first day services areperformed). Fax or mail a copy of the W-4 form to the Vermont Department of Labor. Employ- ers filing more than ten reports of hire MUST report electronically.Compact Disc (CD): Data specifications are contained in this packet. Please contact the Department of Labor at 802-828-4344, for approval to use this filing method.Employers can also mail the above forms, or compact discs (CD) to:Vermont Department of Labor New Hire Reporting5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Fax: The following to the Vermont Department of Labor:The Vermont Department of Labor’s C-61 New Hire Reporting Form, orA form the employer created that includes the seven required data elements, orA copy of the W-4 form, to: Fax (802) 828-4286.For additional help or information about Vermont’s New Hire Reporting call the Vermont NewHire Help Line to talk to a customer service representative: (802) 241-2194 or Toll-Free800-786-3214.For questions regarding the actual submission of data, contact the Department of Labor at(802) 828-4344 or Labor-UIandWagesDivision@state.vt.us. Magnetic Media New Hire Reporting SpecificationsDiskettes or Compact Disc ASCII format – 3.5 floppy diskettes/ compact disc created on

2 an IBM PC XT, PC/AT, PS/2 or IBM compati
an IBM PC XT, PC/AT, PS/2 or IBM compatible equipment. On all diskettes, the file must“New Hire”All magnetic media must have an exterior label with the following information:Employer name/ Payroll Service BureauContact PersonTelephone NumberNOTE: Payroll Service Bureaus may submit multiple employers on the same file. For questions regarding the actual submDepartment of Labor’s Employer Services Magnetic Media must be sent to:Vermont Department of LaborAttn: Reports Processing UnitP.O. Box 488Montpelier, VT 05601-0488 Location Field Field Picture Description Required/ Record TypeAlways 2 2-16Employee Last NameX (15)No Special Characters 17-31Employee First NameX (15)No Special Characters Employee Middle InitialNo Special Characters Employee Address Line 1No Special Characters Employee Address Line 2No Special Characters 93-107Employee CityX (15)No Special Characters 108-109Employee State 110-114Employee Zip 5 115-118Employee Zip 4 119-127Employee SSNAll zeros will be rejected 128-135Employee 1st date of employment 136 137-144Employee Date of Birth 145-147 148-177Employer NameNo Special Characters 178-207Employer Address Line 1No Special Characters 208-237Employer Address Line 2No Special Characters Employer CityX (15)No Special Characters Employer StateNo Special Characters Employer Zip 5 Employer Zip 4 264-272Employer Federal EIN 273-300 Carriage Return/Line Feed must be at the end of each Record. (column 301) Federal Identification No.: NEW HIRE Employer Name: REPORTING FORM Employer Address: Return to:Vermont Department of Labor ATTN: New HireP.O. Box 488This information may also be submitted through the internet at Montpelier, VT 05601-0488 .labor.vermont.gov FAX to: 802-828-4286 Social Security No.Employee NameAddress (Street, City/Town, State, Zip Code)Date Employee Actually Began WorkingCompensation NOTE: All new hires must be reported within 10 days of the date of hire, the rst day work is performed for compensation. All rehires must be reported if they were previously employed by the employer but have been separated from such employment for at least 60 consecutive days. C-61 WEB (04/13) Location Field Field Picture Description Required/ Optional 1 Record Type X Always 2 R 2-16Employee Last NameX (15)No Special Characters 17-31Employee First NameX (15)No Special Characters Employee Middle InitialNo Special Characters Employee Address Line 1No Special Characters Employee Address Line 2No Special Characters 93-107Employee CityX (15)No Special Characters 108-109Employee State R 110-114Employee Zip 5 R 115-118Employee Zip 4 O 119-127Employee SSNAll zeros will be rejected 128-135Employee 1st date of employment 136 137-144Employee Date of Birth 145-147 148-177Employer NameNo Special Characters 178-207Employer Address Line 1No Special Characters 208-237Employer Address Line 2No Special Characters Employer CityX (15)No Special Characters Employer StateNo Special Characters Employer Zip 5 R Employer Zip 4 O 264-272Employer Federal EIN R 273-300 Carriage Return/Line Feed must be at the end of each Record. (column 301) Magnetic Media New Hire Reporting Specifications Diskettes or Compact Disc ASCII format – 3.5 floppy diskettes/ compact disc created onan IBM PC XT, PC/AT, PS/2 or IBM compatible equipment. On all diskettes, the file must“New Hire” All magnetic media must have an exterior label with the following information: Employer name/ Payroll Service BureauContact PersonTelephone Number NOTE: Payroll Service Bureaus may submit multiple employers on the same file. For questions regarding the actual submDepartment of Labor’s Employer Services Magnetic Media must be sent to: Vermont Department of LaborAttn: Reports Processing UnitP.O. Box 488Montpelier, VT 05601-0488 Methods of Reporting yers may choose one of these convenient reporting methodsReminder: Reports must be filed within 10 days. This allows quick and easyonline reporting. Access New Hire Reporting from theDepartment of Labor’s website at: Employer Online Services Forms: Submit new hire information using the Vermont Department of Labor’s C-61 New Hire Reporting Form or an employer may use its own form ensuring that it includes theseven required elements. A copy of the reporting form can be found in this packet or on our website at http://www.labor.vermont.gov Employers filing more than ten reports of

3 hireMUST report electronically. Form: Th
hireMUST report electronically. Form: This method of reporting can only be used if the employer completes informationon lines 8 and 10 of the form and includes the employee’s date of hire (first day services areperformed). Fax or mail a copy of the W-4 form to the Vermont Department of Labor. Employ- ers filing more than ten reports of hire MUST report electronically. Compact Disc (CD): Data specifications are contained in this packet. Please contact the Department of Labor at 802-828-4344, for approval to use this filing method. Employers can also mail the above forms, or compact discs (CD) to: Vermont Department of Labor New Hire Reporting5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Fax: The following to the Vermont Department of Labor:The Vermont Department of Labor’s C-61 New Hire Reporting Form, orA form the employer created that includes the seven required data elements, orA copy of the W-4 form, to: Fax (802) 828-4286. For additional help or information about Vermont’s New Hire Reporting call the Vermont NewHire Help Line to talk to a customer service representative: (802) 241-2194 or Toll-Free800-786-3214. For questions regarding the actual submission of data, contact the Department of Labor at(802) 828-4344 or Labor-UIandWagesDivision@state.vt.us. How do reports get filed? Note: Employers filing more than ten reports of hire MUST report electronically. 1) ternetwww.labor.vermont.goEmployer Online Servicesor those without internet access: Ten reports or less can be transmitted on VDOLform C-61 and mailed to:VDOL – New Hire Reporting 5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Questions about reporting? If an employer has questions data, contact the Department What must be included in a New Hire report? are seven required data elements: Employer NameEmployer AddressFederal Employer Identification Number (FEIN)Employee NameEmployee AddressEmployee Social Security NumberDate of Hire - First date services performed for compensation y employment agency, do need to be reported as a new hire? If the agency is paying wages to the individual, it MUST submit a new hire report. Theindividual needs to be reported only once, unless there is a break in service from the agencyand a new W-4 form is required. If the agency simply refers individuals for employment anddoes not pay salaries, new hire reports are not necessary. Additionally, Federal policy statesthat if work being performed is based on a contract rather than an employer/employeerelationship, it is not required to submit a new hire report. However the contractor is responsible for reporting his/her employees. What is the “date of hire” considered to be? The “date of hire” is the first day services are performed for compensation by an individual for an employer. When must an employer report the hire? The report of hire MUST be made within 10 days of the first day services are actuallyperformed for compensation, or was previously employed by the employer but has If an employee is laid off, and then re-hired, or an employee returns after a of absence, does another New Hire report need to be sent? Yes, if an employee was previously employed by the employer but has been separated from consecutive days When in doubt, theemployer is encouraged to report the new hire, especially upon return from a lengthy layoff,as it becomes a quick method to stop inappropriate payment of unemployment insurance 5 Green Mountain Drive P.O. BoMontpelier, VT 05601-0488 Requirements for Mandated New Hire Reporting Welfare reform legislation, also known as the Personal Responsibility and Work OpportunityReconciliation Act, provides for strong measures for ensuring that children receive financialsupport. New Hire reporting is an integral part of this legislation. New Hire Reporting is aprocess by which a Vermont employer reports information on newly hired employees to theVermont Department of Labor (VDOL). Vermont will match new hire reports against childsupport records to locate parents, establish an order for child support, or enforce an existing order. This information is also transmitted to the National Directory of New Hires, which allowsthe Federal Office of Child Support Enforcement to assist states in locating parents on alevel. New Hire Reporting will result in significant increases to child support collections, welfare payments, and millions of dollars sa

4 ved in Medicaid and Food Stamps. New Hir
ved in Medicaid and Food Stamps. New HireReporting can also benefit employers by reducing unemployment and worker’s compensation Vermont H.792 passed into law in Spring 2010 made two changes related to New reporting: 1) reports to be filed within 10 days of the first date of employment; and 2) requirement for employers to report the first date of employment, which is now defined to be“the first date services are performed for compensation.” What is the definition of “employer” for new hire reporting purposes? Federal legislation states that an “employer” for new hire reporting purposes is the same as forthe federal income tax purposes (as defined by Section 3401 (d) of the Internal Revenue Codeof 1986) and includes any government entity or labor organization. At a minimum, in any casewhere an employer is required to give an individual a W-4 form, the employer must meet theNew Hire Reporting requirements. e directory of new hires by specifically defining a “newly hired employee” as an employee who “has not previously been terms must be reported to the state C-63 (0/1) Methods of Reporting Employers may choose one of these convenient reporting methodsReminder: Reports must be filed within 10 days. This allows quick and easyonline reporting. Access New Hire Reporting from theDepartment of Labor’s website at: Employer Online Services Forms: Submit new hire information using the Vermont Department of Labor’s C-61 New Hire Reporting Form or an employer may use its own form ensuring that it includes theseven required elements. A copy of the reporting form can be found in this packet or on our website at http://www.labor.vermont.gov Employers filing more than ten reports of hireMUST report electronically. Form: This method of reporting can only be used if the employer completes informationon lines 8 and 10 of the form and includes the employee’s date of hire (first day services areperformed). Fax or mail a copy of the W-4 form to the Vermont Department of Labor. Employ- ers filing more than ten reports of hire MUST report electronically. Compact Disc (CD): Data specifications are contained in this packet. Please contact the Department of Labor at 802-828-4344, for approval to use this filing method. Employers can also mail the above forms, or compact discs (CD) to: Vermont Department of Labor New Hire Reporting5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Fax: The following to the Vermont Department of Labor:The Vermont Department of Labor’s C-61 New Hire Reporting Form, orA form the employer created that includes the seven required data elements, orA copy of the W-4 form, to: Fax (802) 828-4286. For additional help or information about Vermont’s New Hire Reporting call the Vermont NewHire Help Line to talk to a customer service representative: (802) 241-2194 or Toll-Free800-786-3214. For questions regarding the actual submissionof data, contact the Department of Labor (802) 828-4344 orLabor-UIandWages@vermont.gov 5 Green Mountain Drive P.O. Box 488, VT 05601-0488 Requirements for Mandated New Hire Reporting Welfare reform legislation, also known as the Personal Responsibility and Work OpportunityReconciliation Act, provides for strong measures for ensuring that children receive financialsupport. New Hire reporting is an integral part of this legislation. New Hire Reporting is aprocess by which a Vermont employer reports information on newly hired employees to theVermont Department of Labor (VDOL). Vermont will match new hire reports against childsupport records to locate parents, establish an order for child support, or enforce an existing order. This information is also transmitted to the National Directory of New Hires, which allowsthe Federal Office of Child Support Enforcement to assist states in locating parents on alevel. New Hire Reporting will result in significant increases to child support collections, welfare payments, and millions of dollars saved in Medicaid and Food Stamps. New HireReporting can also benefit employers by reducing unemployment and worker’s compensation Vermont H.792 passed into law in Spring 2010 made two changes related to New reporting: 1) reports to be filed within 10 days of the first date of employment; and 2) requirement for employers to report the first date of employment, which is now defined to be“the first date services are performed for

5 compensation.” What is the definiti
compensation.” What is the definition of “employer” for new hire reporting purposes? Federal legislation states that an “employer” for new hire reporting purposes is the same as forthe federal income tax purposes (as defined by Section 3401 (d) of the Internal Revenue Codeof 1986) and includes any government entity or labor organization. At a minimum, in any casewhere an employer is required to give an individual a W-4 form, the employer must meet theNew Hire Reporting requirements. scope of individuals reported to the statdefining a “newly hired employee” as an employee who “has not previously been terms must be reported to the state C-63 (0) Methods of Reporting Employers may choose one of these convenient reporting methodsReminder: Reports must be filed within 10 days. This allows quick and easyonline reporting. Access New Hire Reporting from theDepartment of Labor’s website at: Employer Online Services Forms: Submit new hire information using the Vermont Department of Labor’s C-61 New Hire Reporting Form or an employer may use its own form ensuring that it includes theseven required elements. A copy of the reporting form can be found in this packet or on our website at http://www.labor.vermont.gov Employers filing more than ten reportMUST report electronically. Form: This method of reporting can only be used if the employer completes informationon lines 8 and 10 of the form and includes the employee’s date of hire (first day services areperformed). Fax or mail a copy of the W-4 form to the Vermont Department of Labor. Employ- ers filing more than ten reports of hire MUST report electronically. Compact Disc (CD): Data specifications are contained in this packet. Please contact the Department of Labor at 802-828-4344, for approval to use this filing method. Employers can also mail the above forms, or compact discs (CD) to: Vermont Department of Labor New Hire Reporting5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Fax: The following to the Vermont Department of Labor:The Vermont Department of Labor’s C-61 New Hire Reporting Form, orA form the employer created that includes the seven required data elements, orA copy of the W-4 form, to: Fax (802) 828-4286. For additional help or information about Vermont’s New Hire Reporting call the Vermont NewHire Help Line to talk to a customer service representative: (802) 241-2194 or Toll-Free800-786-3214. questions regarding thesubmissionof data, contact thepartment of Labor (802) 828-4344 orLaborUIandWages@vermont.gov New Hire Reporting Specifications iskettes provided by payroll services must ustexerior label withe followinformation meContact PersonTelephone Number rvubme same fi For questions regarding the actual submDepartment of Labor’s Employer Services must be sent to: ermont Depaenofaborloyer ServicesP.O. Boxelier, VT1-0 How do reports get filed? Note: Employers filing more than ten reports of hire MUST report electronically. 1) ternetwww.labor.vermont.go– Employer Online ServicesFor those without internet access: Ten reports or less can be transmitted on VDOLform C-61 and mailed to:VDOL – New Hire Reporting 5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Questions about reporting? If an employer has questions data, contact the Department What must be included in a New Hire report? There are seven required data elements: Employer NameEmployer AddressFederal Employer Identification Number (FEIN)Employee NameEmployee AddressEmployee Social Security NumberDate of Hire - First date services performed for compensation As a temporary employment agency, does each individual placed by be reported asa new hire? If the agency is paying wages to the individual, it MUST submit a new hire report. Theindividual needs to be reported only once, unless there is a break in service from the agencyand a new W-4 form is required. If the agency simply refers individuals for employment anddoes not pay salaries, new hire reports are not necessary. Additionally, Federal policy statesthat if work being performed is based on a contract rather than an employer/employeerelationship, it is not required to submit a new hire report. However the contractor is responsible for reporting his/her employees. What is the “date of hire” considered to be? The “date of hire” is the first day services are performed for compensati

6 on by an individual for an employer. Whe
on by an individual for an employer. When must an employer report the hire? The report of hire MUST be made within 10 days of the first day services are actuallyperformed for compensation, or was previously employed by the employer but has If an employee is laid off, and then re-hired, or an employee returns after a bsence,be sent? Yes, if an employee was previously employed by the employer but has been separated from consecutive days When in doubt, theemployer is encouraged to report the new hire, especially upon return from a lengthy layoff,as it becomes a quick method to stop inappropriate payment of unemployment insurance What must be included in a New Hire report? There are seven required data elements: Employer NameEmployer AddressFederal Employer Identification Number (FEIN)Employee NameEmployee AddressEmployee Social Security NumberDate of Hire - First date services performed for compensation As a temporary employment agency, does each individual placed by the be reported asa new hire? f the agenpaying wages to e dividual, bmit a new hire report. Thindividual needs be reported onl once, unless there is a break in service from the agenand a new W-4 form is required. If the agency refeindividuals for employment anddoes not pay salaries, new hire reports are not necessaryAdditionalederal policy statesbeing performed basedon a contract ratherthan an employer/employeerelationship, it is not required to submita new hire report.wever the responsible for reporting his/her employees. What is the “date of hire” considered to be? The “date of hire” is the first day services are performed for compensation by an individual for an employer. When must an employer report the hire? The new hire report be made within 10days of the first day services are actuallyperformed or compensation If an employee is laid off, and then re-hired, or an employee returns after a bsence, Nneed to be sent? Yes,employee was previouslyemployed by the employer but has been separated from such prior employment for at least 60consecutive When doubt, theemployerencouragedreporthe new hire, especily upon return fromy layoff,becomesuick methodopopriate payment of unemployment insurabenefits. 5 Green Mountain Drive P.O. Box 488Montpelier, VT 05601-0488 Requirements for Mandated New Hire Reporting Welfare reform legislatioown as the Personalesponsibility OpportunityReconciliation Act, provides for strong measures for ensuring that children receive support. New Hire eporting is anintegral partof this legislation. New Hire Reporting isVermont employer reports information on newly hired employees to theVermont Department of Labor (VDOL). Vermont will match ew hire reports against chilsupport to locate parents,establish an order for child support, or enforce an existing order. This information is also transmitted tothe Nationalrectory of New Hires, lowsthe Federal Office of Child Supportorcement to assist states in locating parenon a New Hire Reporting will result in significaincreases to child supportollections, reductionwelfare payments, and millions of dollars saved in Medicaid and Food Stamps. New HireReporting can also benefit employ redunemploymentinsurance orkerscompensafraud. Vermont H.792 passed intomade two changes related to New eporting: 1) reports be filed within days of the first dateof employment; requirement for employers to report of emnow defined to “the first date services are performed for compensation.” eport Federal legislation statesan “emplewire eporting purposesas forthe federal income tax purposesdefinedSection 3401 (d) of the Revenue of 1986) and includes any government entity or labor organization. Atminimum, in any casewherean employer requiredindividual aemployershall comply withNewHire Reporting requirements. (Section 253(a) of the TAAEA adds a nw section 453(a)(2)(C), SSA, expanding the scope of individuals reported to the e irectoryew ires by specifically defining a “newly hired employee” as an employee who “has not previously been eemployer” or “was previously employed by the employer but has been separated from such prior employment for at least 60 consecutive days.” Newly terms be reported to theirectories of ew ires. C-63 () Methods of Reporting Employers may choose one of these convenient reporting methods Reports shalldays. This allows quick and easyonline reporting. Access New Hire Reporting from t

7 heDepartment of Labor’s website at:
heDepartment of Labor’s website at:- Employer Online Services Submit new hire using the Vermont Department of Labor’s C-portingerits own form ensuring that it includes theseven required elementA copyofthe reportunetor onour website http://www.labor.vermont.govEmployers 10 new hire reports SHALL report Form: This method of reporting only be used if the emoyer completes informationon lines 8 and 10 of the form and includes the employee’s date of hire (first day services areperformed). Fax or mail a copy of the W-4 form to the Vermont Department of Labor. Employ- ers filing more than 10 new hire reports SHALL report electronically. Compact Disc (CD): Data specifications are contained in this packet. Please contact the Department of Labor at 802-828-4344, for approval to use this filing method. oyers the e ormto: Vermont Department of Labor New Hire Reporting5 Green Mountain DriveP.O. Box 488 Montpelier, VT 05601-0488 Fax:Employers may fax the following to the Vermont Department at (802) 828-4286. The Vermont Department of Labor’s C-61 New Hire Reporting Form, orA form the employer created that includes the seven required data elements, orA copy of the W-4 form, to: Fax (802) 828-4286. For additional help or information about Vermont’s New Hire Reporting call the Vermont NewHire Help Line to talk to a customer service representative: (802) 241-2194 or Toll-Free800-786-3214. questions regarding thesubmissionof data, contact thent of Labor (802) 828-4344 orLaborUIandWages@vermont.gov Note: Employers filing more than new hir reports SH submit the reports electronically. 1) ternetwww.labor.vermont.go– Employer Online Services For those withouternetccess: reports be transmitted form C-61 and mailed to: w Hire Reporting 5 Green Mountain DriveP.O. Box 488Montpelier, VT 05601-0488 Questions about reporting? f an employer has questions about the actual submission ofdata, contact the Departmentof Labor Employer Services Unit iskettesd by services an exterfollowing information: NameContact PersonTelephone Number NOTE: Payroll Servmay submitmultiple employers on the same file. For questions regarding the actual submDepartment of Labor’s Employer Services shall Vermont Department of LaborNew Hire Reporting5 Green Mountain DriveO. BoxMontpelier, VT 05601- Methods of Reporting Employers may choose one of these convenient reporting methods Reports shalldays. This allows quick and easyonline reporting. Access New Hire Reporting from theDepartment of Labor’s website at:- Employer Online Services Submit new hire using the Vent Department of Labor’s C-61portingmployerits own form ensuring that it includes theseven quired elementA copy ofthe reportundetor onour website http://www.labor.vermont.govEmployers filing more10 new hire reports SHALL report Form: This method of reporting only be used if the employer completes informationon lines 8 and 10 of the form and includes the employee’s date of hire (first day services areperformed). Fax or mail a copy of the W-4 form to the Vermont Department of Labor. Employ- rs filing more than 10 new hire reports SHALL report electronically. Compact Disc (CD): Data specifications are contained in this packet. Please contact the Department of Labor at 802-828-4344, for approval to use this filing method. oyers ormsor CD to: Vermont Department of Labor New Hire Reporting5 Green Mountain DriveP.O. Box 488 Montpelier, VT 05601-0488 Fax:Employers may fax the following to the Vermont Department at (802) 828-4286. The Vermont Department of Labor’s C-61 Hire Reporting FormA form the emoyer created that includes the seven required data elementsA copy of the W-4 for For additional help or information about Vermont’s New Hire Reporting call the Vermont NewHire Help Line to talk to a customer service representative: (802) 241-2194 or Toll-Free800-786-3214. questions regarding theal submissionof data, contact thepartment of Labor (802) 828-4344 orLaborUIandWages@vermont.gov Federal Identification No.: NEW HIRE Employer Name: NG FORM Return to:Vermont Department of Labor ATTN: New HireP.O. Box 488This information may also be submitted through the internet at Montpelier, VT 05601-0488 .vermont.gov FAX to: 802-828-4286 ity No. yee Name ss (Street, City/Town, State, Zip Code)Date Employee Actually Began WorkingCompensation thin 10 days of the date of hire, the employment for at least 60consecutive days. C-61