TEXAS EMPLOYER NEW HIRE REPORTING FORM December 2014
INSTRUCTIONS FOR COMPLETING THE TEXAS EMPLOYER NEW HIRE REPORTING FORM
The purpose of the Texas New Hire Reporting Form is to allow employers to fulfill new hire reporting
requirements. You may enter your employer information and photocopy a supply and then enter
employee information on the copies.
REPORTING OF NEW HIRES IS REQUIRED:
All required items (numbers 1, 3, 4, 5, 6, 7, 14, 15, 16, 17, 18, 19, 20, 21, 22) on this form must be
completed.
Box 1: Federal Employer ID Number (FEIN). Provide the 9-digit employer identification number that
the federal government assigns to the employer. This is the same number used for federal tax
reporting. Please use the same FEIN that appears on quarterly wage reports.
Box 2: State Employer ID Number (Optional). Identification number assigned to the employer by
the Texas Workforce Commission.
Box 3: Employer Name. The employer name as listed on the employee’s W4 form. Please do not
provide more than one employer name (for example, “ABC, Inc DBA. John Doe Paint and Body
Shop” is not correct).
Box 4: Employer Address. Please indicate the address where the Income Withholding Orders
should be sent. Do not provide more than one address (for example, P.O. Box 123, 1313 Mockingbird
Lane is not correct).
Box 8: Employer Province/Region (if foreign). Provide this information if the employer address is
not in the United States.
Box 9: Employer Country (if foreign). Provide the two letter country abbreviation if the employer
address is not in the United States.
Box 10: Postal Code (if foreign). Provide the postal code if the employer address is not in the
United States.
Box 13: New Hire Contact Person (Optional). Providing the name of a contact staff person will
facilitate communication between the employer and the Texas Employer New Hire Reporting
Program.
Box 15: Date of Hire. List the date in month, day and year order. Use four digits for the year (for
example, 2001). This should be the first day that services are performed for wages by an individual. If
you are reporting a rehire (where a new W-4 is prepared) use the return date, not the original date of
hire.