Ohio New Hire Reporting

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Ohio New Hire Reporting
Ohio Revised Code section 3121.89 to 3121.8910 requires all Ohio employers, both public and private, to report
all contractors and newly hired, rehired, or returning to work employees to the state of Ohio within 20 days of the
contract, hire, or rehire date.
EMPLOYER INFORMATION
Federal Employer ID Number (FEIN):
31 6402079
Employer Address:
Kent State University
237 Schwartz Center
Employer City:
Employer State:
Employer Zip Code:
OH
Kent
Employer Phone:
44242
Employer Fax:
(330) 672-2607
(330) 672-6385
Employer Email:
payments@kent.edu
CONTRACTOR INFORMATION
Social Security Number (SSN):
(Check here if using FEIN for the Contractor)
State of Hire:
First Name:
Middle Name/Initial:
Last Name:
Address:
City:
Date of Hire:
State:
Date of Birth:
Date payments will begin for Contractor:
Zip Code:
Is this a Contractor?
Yes
No
Length of time the Contractor will be performing service:
Months
Reports will not be processed if required information is missing
Revised 08/12/10
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