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    Muhammad Nurwegiono
    This document is an Oklahoma New Hire Reporting Form that employers can fill out to report new or rehired employees. It requests information such as the employer and employee's name, address, social security number, date of hire, salary, and whether dependent health insurance is available. Employers can mail or fax the completed form to the Oklahoma New Hire Reporting Center to comply with new hire reporting requirements.

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    © All Rights Reserved
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    Oes 112

    Uploaded by

    Muhammad Nurwegiono
    19 views1 page
    This document is an Oklahoma New Hire Reporting Form that employers can fill out to report new or rehired employees. It requests information such as the employer and employee's name, address, social security number, date of hire, salary, and whether dependent health insurance is available. Employers can mail or fax the completed form to the Oklahoma New Hire Reporting Center to comply with new hire reporting requirements.

    Original Description:

    oes-112

    Original Title

    oes-112

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    This document is an Oklahoma New Hire Reporting Form that employers can fill out to report new or rehired employees. It requests information such as the employer and employee's name, address, social security number, date of hire, salary, and whether dependent health insurance is available. Employers can mail or fax the completed form to the Oklahoma New Hire Reporting Center to comply with new hire reporting requirements.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views1 page

    Oes 112

    Uploaded by

    Muhammad Nurwegiono
    This document is an Oklahoma New Hire Reporting Form that employers can fill out to report new or rehired employees. It requests information such as the employer and employee's name, address, social security number, date of hire, salary, and whether dependent health insurance is available. Employers can mail or fax the completed form to the Oklahoma New Hire Reporting Center to comply with new hire reporting requirements.

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    of 1

    Oklahoma New Hire Reporting Form

    Please fill out completely and mail to:


    (PRINT or TYPE Please!)

    Oklahoma New Hire Reporting Center


    PO Box 52003
    Oklahoma City OK 73152-2003
    1-800-317-3786 or OKC Metro Area (405) 557-5350

    OR FAX to:

    OES112(12-04)
    Download a copy of this form at:
    http://www.oesc.state.ok.us/newhire/

    Information Number: 1-800-317-3785 or OKC Metro Area (405) 557-7133

    Employer Information
    Federal Employer Identification Number

    Oklahoma Account Number

    Company Name

    Payroll Processing Area Code,

    Payroll Processing Address Line 1

    City

    Payroll Processing Address Line 2

    Country

    Payroll Processing Address Line 3

    ZIP Code

    Phone Number

    Extension

    State

    New or Rehired Employee Information


    Social Security Number
    _
    First Name

    Occupation
    _
    Middle

    Last Name

    Starting Salary

    Hour
    Month

    Week
    Year

    Commission / Other

    Mailing Address
    New Hire
    City

    Date Started to Work or Recalled


    Month

    State

    ZIP Code

    Date of Birth
    Month

    State of Hire

    Recalled

    Day

    Dependent health insurance available?


    Yes

    No

    Is this person currently employed with your company?


    Day

    Year

    Yes

    No

    Year

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