Data to Report

The mandatory elements employers are required to report can be found on the federal W-4 form and include the following:

1. Employer name
2. Employer mailing address (If providing only one address, please provide the payroll address.)
3. Federal Employer Identification Number (FEIN)
4. Employee name
5. Employee address
6. Employee Social Security Number
7. Employee date of hire

The employer may choose to report the following optional data:

• Employer payroll address
• Employee date of birth
• Employment Type (full, part-time or temporary)
• Employee state of hire (This is required if reporting as a multistate employer)
• Employee Eligible for Health Insurance