Field |
Type |
Length |
Start Position |
End Position |
Status |
Comments |
Worker's First Name |
Char |
11 |
1 |
11 |
Required |
|
Worker's Middle Initial |
Char |
1 |
12 |
12 |
Optional |
|
Worker's Last Name |
Char |
15 |
13 |
27 |
Required |
|
Worker's Address Line 1 |
Char |
30 |
28 |
57 |
Required |
|
Worker's Address Line 2 |
Char |
30 |
58 |
87 |
Optional |
|
Worker's City |
Char |
18 |
88 |
105 |
Required |
|
Worker's State |
Char |
2 |
106 |
107 |
Required |
Valid 2 letter state code (e.g. MS) |
Worker's Zip Code |
Numeric |
5 |
108 |
112 |
Required |
|
Worker's Zip +4 |
Numeric |
4 |
113 |
116 |
Required |
|
Worker's SSN |
Number |
9 |
117 |
125 |
Required |
All zeroes will be rejected |
Worker's Date of Hire |
Numeric |
8 |
126 |
133 |
Required |
YYYYMMDD |
Worker's Date of Birth |
Numeric |
8 |
134 |
141 |
Required |
YYYYMMDD, if unknown -00000000 |
Worker's Gender |
Char |
1 |
142 |
142 |
Required |
M/F/U |
Worker's Work State |
Char |
2 |
143 |
144 |
Required |
Valid 2 letter state code (default to MS) |
Employer's Name |
Char |
30 |
145 |
174 |
Required |
|
Employer's Payroll Address Line 1 |
Character |
30 |
175 |
204 |
Required |
|
Employer's Payroll Address Line 2 |
Char |
30 |
205 |
234 |
Optional |
|
Employer's Payroll City |
Char |
18 |
235 |
252 |
Required |
|
Employer's Payroll State |
Char |
2 |
253 |
254 |
Required |
Valid 2 letter state code (default to MS) |
Employer's Payroll Zip Code |
Numeric |
5 |
255 |
259 |
Required |
|
Employer's Payroll Zip +4 |
Numeric |
4 |
260 |
263 |
Required |
|
Employer's Payroll Country Code |
Char |
2 |
264 |
265 |
Optional |
|
Employer's Federal EIN |
Numeric |
9 |
266 |
274 |
Required |
|
Employer's State EIN |
Numeric |
10 |
275 |
284 |
Required |
If unknown default to 0000000000 |
Employee Salary |
Numeric |
8 |
285 |
292 |
Required |
No decimal, last two digits for cents. Right-justify with leading zeroes |
Payment Frequency |
Char |
1 |
293 |
293 |
Required |
Effective December 1, 2010 use W (weekly), B (bi-weekly), M (monthly), and A (annual). If unavailable, default to a space or blank |
Employee eligible for an insurance benefit |
Char |
1 |
294 |
294 |
Required |
Y or N |
Filler |
Char |
6 |
295 |
300 |
Required |
blank spaces |