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Free North Carolina Reporting Form

The North Carolina New Hire Reporting Form is a document that employers in North Carolina must complete when hiring, rehiring, or bringing back employees. Since October 1, 1997, it has been mandatory for employers to report specific information about new hires to ensure compliance with state regulations. To avoid potential fines, it is crucial to submit the form within 20 days of the hire date.

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Contents

The North Carolina New Hire Reporting Form is an essential tool for employers in the state, ensuring compliance with state regulations regarding the reporting of newly hired or rehired employees. Since its implementation on October 1, 1997, this form has required employers to provide specific information about their employees, including their Social Security number, date of hire, and personal details. Employers have three options for submission: completing the designated form, submitting a copy of the employee's IRS W-4 form with additional details, or reporting the information electronically via magnetic tape or floppy diskette. To maintain accuracy, it is important to fill out the form neatly in capital letters and avoid writing outside the designated areas. Reports must be submitted within 20 days of the employee's hire or rehire date, as failure to do so may result in penalties. Employers can send the completed forms to the North Carolina New Hire Reporting Program in East Point, Georgia. For those seeking to submit reports electronically, assistance is available through a dedicated phone line or the official website.

Sample - North Carolina Reporting Form

North Carolina New Hire Reporting Form

Effective October 1, 1997, North Carolina 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, (2) submit a copy of the employee’s IRS W-4 form with the employee’s date of birth and date of hire filled out on this form, or (3) submit the information by magnetic tape or floppy diskette.

This form may be reproduced as necessary.

Send completed forms to:

North Carolina New Hire Reporting Program

P.O. Box 90369

East Point, GA 30364-0369

To ensure the highest level of accuracy, please print neatly in capital letters and avoid contact with the edges of the boxes.

The following will serve as an example:

A B C 1 2 3

EMPLOYER INFORMATION

Federal Employer ID Number (FEIN) (Please enter the same FEIN used to report the employee’s quarterly wages.)

State ID:

Employer Name (Include middle initial):

Employer Payroll Address:

Employer City:

Employer State:

Zip Code (5 digit):

Employer Phone (optional):

Extension:

Employer Fax (optional):

Email Address:

EMPLOYEE INFORMATION

Employee Social Security Number (SSN):

Is this employee an Independent Contractor?

Yes:

No:

Employee Name (Include middle initial):

Employee Address:

Employee City:

Employee State:

Zip Code (5 digit):

Date of Hire:

Date of Birth:

Reports must be submitted within 20 days of date of hire or rehire. Failure to report could result in a fine.

REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING.

	Call 1-888-514-4568 to obtain information about submitting new hire reports electronically,	REV 04/08
	or visit our website at www.ncnewhires.com to report you new hires online.

⇩ North Carolina Reporting PDF Form

File Breakdown

Fact Name	Details
Reporting Requirement	Since October 1, 1997, employers in North Carolina must report information about newly hired, rehired, or returning employees.
Submission Methods	Employers can complete the North Carolina New Hire Reporting Form, submit a copy of the employee’s IRS W-4 form, or send the information via magnetic tape or floppy diskette.
Deadline for Reporting	Reports must be submitted within 20 days of the employee's date of hire or rehire to avoid potential fines.
Governing Law	The requirement to report new hires is governed by North Carolina General Statutes, specifically G.S. 110-129.2.

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