Printable Maryland New Hire Template

The Maryland New Hire Registry Reporting Form is a document that employers in Maryland must complete to report new hires or rehires to the state. This form plays a crucial role in ensuring compliance with state regulations and facilitating the collection of child support payments. To ensure accurate reporting, employers should fill out the form carefully and submit it within 20 days of the employee's start date.

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The Maryland New Hire form plays a crucial role in the state’s efforts to streamline the reporting of new employees to the Maryland New Hire Registry. This form is designed to gather essential information about both employers and employees, ensuring compliance with state regulations. It requires employers to provide their Federal Employer Identification Number (FEIN) and, if applicable, their State Unemployment Insurance Number (SUIN). For those who have not yet received a SUIN, there is a simple instruction to indicate that the application is in process. The form also requests detailed employer contact information, including the address where income withholding orders should be sent, which is vital for effective communication. On the employee side, critical data such as the Social Security Number, date of hire, and salary information must be accurately recorded. Employers must also indicate if health care benefits are available and provide the employee's gender. Importantly, the completed forms must be submitted within 20 days of hiring or rehiring an employee to remain compliant with state laws. By following these guidelines, employers can contribute to a more organized and efficient employment verification process in Maryland.

Maryland New Hire Preview

Maryland New Hire Registry Reporting Form

Send completed forms to:

Maryland New Hire Registry PO Box 1316

Baltimore, MD 21203-1316

Fax: (410) 281-6004 or toll-free fax 1 (888) 657-3534

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):

State Unemployment Insurance Number (MD Only SUIN):

Please use the same FEIN that appears on quarterly wage reports.

If SUIN not issued yet, please write “APPLIEDFOR” in

Employer Name:

the above box. If Exempt, write “EXEMPT”.

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

Employer City:

Employer State: Zip Code (5 digit):

Employer Phone (optional):

Employer Fax (optional):

Contact Name (optional):

Email (optional):

EMPLOYEE INFORMATION

Employee Social Security Number (SSN):

Date of Hire (mm/dd/yyyy):

Employee First Name:

Middle Initial

(optional):

Employee Last Name:

Employee Address:

Employee City:

Employee State:

Zip Code (5 digit):

Date of Birth mm/dd/yyyy (optional):

Employee Salary (Dollars and Cents):

Hourly

Monthly Yearly

Are health care benefits available to employee? (Y/N):

Employee Gender (M)ale/(F)emale:

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

Rev (09/02)

Questions? Call us at (410) 281-6000 or toll-free 1 (888) MDHIRES (634-4737). Report online at www.mdnewhire.com

Click for Maryland New Hire File

Form Attributes

Fact Name	Description
Purpose	The Maryland New Hire Registry Reporting Form is used to report newly hired or rehired employees to the state.
Submission Deadline	Employers must submit the form within 20 days of the employee's date of hire or rehire.
Contact Information	Completed forms should be sent to the Maryland New Hire Registry at PO Box 1316, Baltimore, MD 21203-1316.
Governing Law	This form is governed by Maryland law, specifically the Maryland Family Law Article, Section 10-101.
Required Information	Employers must provide details such as the Federal Employer ID Number (FEIN), employee's Social Security Number, and date of hire.
Optional Fields	Fields such as employer phone, fax, contact name, email, and employee's date of birth are optional but can be included for better communication.

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