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Free Arkansas New Hire Reporting Form

The Arkansas New Hire Reporting Form is a crucial document that employers must complete to report new employees to the state. This form helps ensure compliance with state regulations and assists in the collection of child support. To get started, fill out the form by clicking the button below.

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The Arkansas New Hire Reporting Form plays a crucial role in the state's workforce management and compliance efforts. Employers are required to report newly hired employees to help streamline the collection of child support and ensure that unemployment insurance benefits are properly administered. The form collects essential information, including the employer's Federal Employer Identification Number, name, and contact details, along with the new employee's name, Social Security Number, address, and start date. This information is vital for tracking employment and wage data, which can significantly impact various state programs. Additionally, the form allows for the optional inclusion of the employee's date of birth and state of hire, providing further context for the workforce data. Employers can submit the completed form via mail or fax, ensuring that the process is accessible and straightforward. For any inquiries, a dedicated helpline is available to assist with questions or concerns regarding the reporting process.

Form Sample

Arkansas New Hire Reporting Form

Visit Our Website: www.ar‐newhire.com

Send completed form to:

PO BOX 2540

LITTLE ROCK, AR 72203

Or fax to: 1‐800‐259‐3562

For more information: 1‐800‐259‐2095

Employer Information

(Please Print or Type)

Federal Employer

Identification Number

Employer Name

Street Address

City/State/Zip Code

Contact Name/

Phone/Email

Employee Information

(Please list first, last name)

	REQUIRED		REQUIRED
Name		Name

SSN		SSN

Address		Address

City/State/Zip		City/State/Zip

Start Date*		Start Date*

	OPTIONAL		OPTIONAL
Date of Birth

State of Hire

	REQUIRED		REQUIRED
Name		Name

SSN		SSN

Address		Address

City/State/Zip		City/State/Zip

Start Date*		Start Date*

	OPTIONAL		OPTIONAL
Date of Birth

State of Hire

*First day employee begins work for pay.

The New Hire Reporting Center is an authorized agent of Arkansas Department of Workforce Services

⇓ Arkansas New Hire Reporting PDF Form

File Specifications

Fact Name	Details
Purpose	The Arkansas New Hire Reporting Form is used to report newly hired employees to the state for child support enforcement and other purposes.
Governing Law	This reporting requirement is governed by the Arkansas Code Annotated § 11-10-101 et seq.
Submission Methods	Employers can submit the completed form by mail or fax. Mail it to PO BOX 2540, Little Rock, AR 72203, or fax it to 1-800-259-3562.
Website	For additional information, visit the official website at www.ar-newhire.com.
Employer Information	Employers must provide their Federal Employer Identification Number, name, address, and contact details on the form.
Employee Information	Employee details such as name, Social Security Number (SSN), address, and state of hire are required fields on the form.
Start Date	The start date, which is the first day the employee begins work for pay, is a required entry on the form.
Date of Birth	While the date of birth is optional, it can be provided for additional identification purposes.
Contact Information	Employers should include a contact name, phone number, and email address for any follow-up questions regarding the new hire.
Authorized Agent	The New Hire Reporting Center operates as an authorized agent of the Arkansas Department of Workforce Services.

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Free Arkansas New Hire Reporting Form

Form Sample

File Specifications

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