Please note that every record must be on its own line.
Field | Type | Length | Start Position | End Position | Status | Comments |
---|---|---|---|---|---|---|
Employer FEIN | Numeric | 9 | 1 | 9 | Required | Federal Employer Identification Number. Must be 9 digits; include leading zeroes. |
Employer Name | Char | 35 | 10 | 44 | Required | Left Justify |
Employer Address Line 1 | Char | 35 | 45 | 79 | Required | Employer payroll processing address. Left justify |
Employer Address Line 2 | Char | 35 | 80 | 114 | Optional | Left justify if present. Spaces if unused |
Employer City | Char | 22 | 115 | 136 | Required | Left justify |
Employer State | Char | 2 | 137 | 138 | Required | Required if domestic address. Spaces if international address |
Employer Zip Code | Numeric | 5 | 139 | 143 | Required | Required if domestic address. Spaces if international address |
Employer Zip+4 | Numeric | 4 | 144 | 147 | Optional | If present, must be 4-digits. Spaces if unknown or international address |
Employer Country | Char | 25 | 148 | 172 | Required | Required if international address. Left justify. Spaces if domestic address. Do not report "USA" or "US" |
Employer International Postal Code | Char | 15 | 173 | 187 | Optional | Spaces if domestic address or unknown |
Employee SSN# | Numeric | 9 | 188 | 196 | Required | Must be 9 digits |
Employee Last Name | Char | 20 | 197 | 216 | Required | Left justify |
Employee First Name | Char | 15 | 217 | 231 | Required | Left justify |
Employee Middle Name | Char | 15 | 232 | 246 | Optional | Left justify. Space if unknown |
Employee Address Line 1 | Char | 35 | 247 | 281 | Required | Left justify |
Employee Address Line 2 | Char | 35 | 282 | 316 | Optional | Left justify. Spaces if unused |
Employee City | Char | 22 | 317 | 338 | Required | Left justify |
Employee State | Char | 2 | 339 | 340 | Required | Required if domestic address. Spaces if international address |
Employee Zip Code | Numeric | 5 | 341 | 345 | Required | Required if domestic address. Spaces if international address |
Employee Zip+4 | Numeric | 4 | 346 | 349 | Optional | If present, must be 4-digits. Spaces if unknown or international address |
Employee Country | Char | 25 | 350 | 374 | Required | Required if international address. Left justify. Spaces if domestic address. Do not report "USA" or "US" |
Employee International Postal Code | Numeric | 15 | 375 | 389 | Optional | Spaces if domestic address or unknown |
Employee Date of Birth | Numeric | 8 | 390 | 397 | Required | CCYYMMDD. Must be a valid date |
Employee Date of Hire | Numeric | 8 | 398 | 405 | Required | CCYYMMDD. Must be a valid date. Emloyee's first day of work |
Employee State of Hire | Char | 2 | 406 | 407 | Required | Standard postal abbreviation. Only required if other than "WI" |
Filler | Char | 43 | 408 | 450 | Optional | Spaces |