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Delimited File Format Instructions

Files can be submitted in either Tab or Comma Delimited format. Tab or Comma Delimited files must include all of the following fields, in the order listed.

Each field may be enclosed by double-quotes. Each record line of the file should represent one record.

You can download our CSV Template or Tab-Delimited Template to assist you in creating your files.

Field Type Status Comments
Worker's First Name Char Required  
Worker's Middle Initial Char Optional  
Worker's Last Name Char Required  
Worker's Address Line 1 Char Required  
Worker's Address Line 2 Char Optional  
Worker's City Char Required  
Worker's State Char Required Valid 2 letter state code (e.g. MS)
Worker's Zip Code Numeric Required  
Worker's Zip +4 Numeric Required  
Worker's SSN Numeric Required All zeroes will be rejected
Worker's Date of Hire Numeric Required YYYYMMDD
Worker's Date of Birth Numeric Required YYYYMMDD, if unknown 00000000
Worker's Gender Char Required M/F/U
Worker's Work State Char Required Valid 2 letter state code (default to MS)
Employer's Name Char Required  
Employer Payroll Address Line 1 Char Required  
Employer's Payroll Address Line 2 Char Optional  
Employer's Payroll City Char Required  
Employer's Payroll State Char Required Valid 2 letter state code (default to MS)
Employer's Payroll Zip Code Numeric Required  
Employer's Zip +4 Numeric Required  
Employer's Payroll Country Code Char Optional  
Employer's Federal EIN Numeric Required  
Employer's State EIN Numeric Required If unknown, default to 0000000000
Employee Salary Numeric Required No decimal, last two digits for cents
Payment Frequency Char Required Effective December 1, 2010 Use W (weekly), B (Bi-weekly), M (Monthly) and A (annual). If unavailable, default to a space or a blank
Employee eligible for an insurance benefit Char Required Y/N

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