Centralized Employee Registry Reporting Form
The Centralized Employee Registry Reporting Form must be completed by Iowa employers within 15 days of hiring or rehiring employees or contractors. Employers can report online, via fax, or by mail. The form includes sections for employer and employee information.
Edit, Download, and Sign the Centralized Employee Registry Reporting Form
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this form, start by providing your employer information, including your Federal Employer Identification Number (FEIN). Next, complete the sections regarding employee information, such as their Social Security Number and start date. Finally, submit the form using one of the specified methods.
How to fill out the Centralized Employee Registry Reporting Form?
1
Provide your Federal Employer Identification Number (FEIN).
2
Fill in your employer name and address.
3
Enter employee information such as start date and Social Security Number.
4
Include any additional required information such as dependent health care coverage.
5
Submit the form via online, fax, or mail.
Who needs the Centralized Employee Registry Reporting Form?
1
Iowa employers who hire new employees need this form to report hires to the Centralized Employee Registry.
2
Employers rehiring previous employees must submit this form within 15 days of rehire.
3
Contractors working in Iowa require this form for compliance.
4
Businesses that handle income withholding and garnishment need this form for record-keeping.
5
Companies offering dependent health care coverage must document eligibility dates with this form.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Centralized Employee Registry Reporting Form along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Centralized Employee Registry Reporting Form online.
With PrintFriendly, you can easily edit this PDF form by uploading the document and using our intuitive PDF editor. Make adjustments, fill out fields, and ensure accuracy before downloading or printing. Enjoy a seamless editing experience on our platform.
Add your legally-binding signature.
PrintFriendly allows you to sign PDFs effortlessly. Upload your document, add your signature using our built-in tools, and finalize your form with ease. Say goodbye to printing, signing manually, and scanning back your documents.
Share your form instantly.
Sharing your PDF on PrintFriendly is simple and efficient. Upload your document to our platform, make any necessary edits, and use our sharing options to send the file via email or generate a shareable link. Collaborate seamlessly with colleagues or clients.
How do I edit the Centralized Employee Registry Reporting Form online?
With PrintFriendly, you can easily edit this PDF form by uploading the document and using our intuitive PDF editor. Make adjustments, fill out fields, and ensure accuracy before downloading or printing. Enjoy a seamless editing experience on our platform.
1
Upload the PDF form to PrintFriendly.
2
Use the PDF editor to enter the required information in the specified fields.
3
Make any necessary adjustments to ensure completeness and accuracy.
4
Preview the edited form to confirm all details are correctly filled out.
5
Download or print the completed form directly from PrintFriendly.
What are the instructions for submitting this form?
To submit this form, you can fax it to 800-759-5881 or 515-281-3749 (local). Alternatively, mail it to Centralized Employee Registry, PO Box 10322, Des Moines, IA 50306-0322. For online reporting, visit iowachildsupport.gov to enter employee information or upload data. For further assistance, you may call 877-274-2580.
What are the important dates for this form in 2024 and 2025?
The Centralized Employee Registry Reporting Form must be submitted within 15 days of hire or rehire for 2024 and 2025 compliance.
What is the purpose of this form?
The purpose of the Centralized Employee Registry Reporting Form is to ensure employers in Iowa comply with state and federal requirements for reporting new hires and rehires. The form helps maintain accurate records to support income withholding, garnishment orders, and dependent health care coverage eligibility. Submitting this form in a timely manner aids in the efficient administration of child support and other vital services.
Tell me about this form and its components and fields line-by-line.
- 1. Federal Employer Identification Number (FEIN): Provide the 9-digit FEIN used on your quarterly wage reports along with the 3-digit suffix.
- 2. Employer name: Enter the trade or DBA name of the employer, if applicable.
- 3. Employer address: Include the physical address of the employer, and any applicable post office box or unit number.
- 4. Employer contact and phone number: Optional field for employer contact details, including any applicable phone extensions.
- 5. Income Provider name and address: Provide details related to income withholding and garnishment if different from the employer address.
- 6. Is dependent health care coverage available: Indicate if health care coverage is offered to employee's dependents.
- 7. Approximate date this employee qualifies for coverage: Enter the date the employee qualifies for dependent health care coverage.
- 8. Employee start date: The date the employee starts or is rehired, in month, day, and year format.
- 9. Employee date of birth: Enter the employee's date of birth in month, day, and year format.
- 10. Employee Social Security Number: The employee's SSN is required for all individuals, including minors.
- 11. Employee name: Provide the employee's full name, including the middle initial.
- 12. Employee address: The employee's current home address, including city, state, and ZIP code.
What happens if I fail to submit this form?
Failure to submit this form may result in penalties and non-compliance with state and federal regulations.
- Penalties: Employers may face financial penalties for failing to report new hires and rehires in a timely manner.
- Non-compliance: Non-compliance can lead to further legal consequences and complications with income withholding and garnishment processes.
How do I know when to use this form?
- 1. New hires: Report newly hired employees within 15 days of their start date.
- 2. Rehires: Submit the form for rehired employees within 15 days of their return date.
- 3. Contractors: Contractors working in Iowa must also be reported using this form.
- 4. Dependent health care coverage: Document eligibility dates for employees qualifying for dependent health care coverage.
- 5. Income withholding: Provide accurate details for income withholding and garnishment orders.
Frequently Asked Question
How do I fill out the Centralized Employee Registry Reporting Form on PrintFriendly?
Upload the form to PrintFriendly, use the editor to fill in the required information, and download or print the completed form.
Can I sign the form on PrintFriendly?
Yes, you can sign the form using PrintFriendly's built-in signature tools.
How do I share the filled-out form?
Use PrintFriendly to share the form via email or generate a shareable link.
What information do I need to provide as an employer?
You need to provide your Federal Employer Identification Number (FEIN), employer name, and address.
What employee information is required?
The employee's Social Security Number, start date, date of birth, and home address are required.
Can I edit the form after downloading?
It's best to complete all edits on PrintFriendly and download the final version. You may need additional software to edit the downloaded PDF.
Do I need to report rehires?
Yes, employers must report rehires within 15 days using this form.
Is dependent health care coverage information required?
Yes, if dependent health care coverage is available, you need to provide relevant information.
How do I submit the completed form?
Submit the completed form via online reporting, fax, or mail as specified in the form instructions.
What should I do if I make a mistake?
Use PrintFriendly's editor to correct any mistakes before downloading or printing the final form.
Related Documents - Employee Registry Form
North Carolina New Hire Reporting Form
The North Carolina New Hire Reporting Form is required by law to report information about newly hired, rehired, or returning to work employees. Employers can complete this form, submit a copy of the employee's IRS W-4 form, or submit the information by magnetic tape or floppy diskette. The form must be submitted within 20 days of the date of hire or rehire to avoid fines.
