Form C-61 - New Hire Reporting July 2000
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1Vermont Department of
Federal Identification No.: ____________________________
Employment & Training
Employer Name:
____________________________
NEW HIRE REPORTING FORM
Employer Address:
____________________________
____________________________
Return to:
VERMONT
____________________________
Vermont Dept. of Employment & Training
DET
P.O. Box 488
This information may also be submitted through the internet at
Montpelier, VT 05601-0488
D e p a r t m e n t o f E m p l o y m e n t & T r a i n i n g
the following address:
we help vermont work
FAX
or
to: 802-828-4286
Date Employee
Social Security No.
Employee Name
Address (Street, City/Town, State, Zip Code)
Actually Began
Working
NOTE: All new hires must be reported within 20 days of the date of hire. The date of hire is the first day the individual performs services for you.
VT.DET
C-61 (7/00)
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