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The Wyoming New Hire Reporting Form is an essential document for all employers operating within the state. Under Wyoming Statute Section 27-1-115, effective since October 1, 1997, employers—whether public or private—are required to report newly hired, rehired, or returning employees to the State of Wyoming. This form collects crucial information to facilitate the enforcement of child support laws and to maintain accurate workforce data. Employers must provide specific details, including their Federal Employer Identification Number (FEIN), business name, and contact information. Employee data such as the Social Security Number, name, address, and start date are also required. To ensure compliance, reports must be submitted within 20 days of the employee's hire or rehire date. Incomplete forms will not be processed, emphasizing the importance of accuracy when filling out the information. For any questions regarding the reporting process, employers can reach out to a dedicated toll-free number for assistance. Access to online reporting and additional resources is available on the official website, making it easier for employers to fulfill their obligations.

Preview - Wyoming New Hire Reporting Form

Wyoming New Hire Reporting Form

Federal and state legislation (Wyoming Statute Section 27-1-115), effective October 1, 1997 requires all Wyoming employers, both public and private, to report to the State of Wyoming all newly hired, rehired, or returning to work employees. Information about new hire reporting and online reporting is available on our Web site: www.wy-newhire.com.

Send completed forms to: Wyoming New Hire Reporting Center PO Box 1408

Cheyenne, WY 82003-1408 Fax: (800) 921-9651

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:

1

2

A

B

C

 

EMPLOYER INFORMATION

Federal Employer ID Number (FEIN) (Please use the same FEIN that appears on your quarterly wage reports you submit to the State):

-

Employer Name:

Employer Address: (Please indicate the address where the Income Withholding Order should be sent).

Employer City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer State:

 

Zip Code (5 digit):

Employer Phone (optional):

 

 

 

 

 

 

 

 

 

Extension:

 

Employer Fax (optional):

 

 

 

 

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYEE INFORMATION

 

 

 

 

 

 

Employee Social Security Number (SSN):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Initial:

 

Employee First Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee Last Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee State:

Zip Code (5 digit):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START Date:

 

 

 

Date of Birth (optional):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reports must be submitted within 20 days of date of hire or rehire.

REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING

Questions? Call us toll free at: (800) 970-9258

Document Characteristics

Fact Name Description
Governing Law The Wyoming New Hire Reporting Form is governed by Wyoming Statute Section 27-1-115.
Effective Date This reporting requirement became effective on October 1, 1997.
Who Must Report All employers in Wyoming, both public and private, are required to report new hires.
What to Report Employers must report newly hired, rehired, or returning employees.
Submission Deadline Reports must be submitted within 20 days of the employee's hire or rehire date.
Submission Methods Completed forms can be mailed or faxed to the Wyoming New Hire Reporting Center.
Contact Information For questions, employers can call toll-free at (800) 970-9258.
Accuracy Requirement To ensure accuracy, employers should print neatly in capital letters and avoid touching the edges of the boxes.
Online Resources Information about new hire reporting is available at www.wy-newhire.com.
Form Contents The form requires detailed employer and employee information, including Social Security Number and Federal Employer ID Number.
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