STATE OF SOUTH CAROLINA NEW HIRE REPORTING FORM
- Make copies for future use. -

------- EMPLOYER INFORMATION -------

EMPLOYER NAME

  

EMPLOYER ADDRESS

  

EMPLOYER CITY

  

STATE

  

ZIP

  

EMPLOYER FEDERAL ID NO.

  

EMPLOYER PHONE NO.

  




------- NEW OR REHIRED EMPLOYEE INFORMATION -------

EMPLOYEE NAME

  

EMPLOYEE ADDRESS

  

CITY

  

STATE

  

ZIP

  

SSN

  

DATE OF BIRTH

  

DATE OF REMUNERATION (first day of work)  

  

  

https://newhire.sc.gov

  

Mail completed form to:
   South Carolina Department of Social Services
   Child Support Services Division
   Attn: New Hire Reporting Program
   P.O. Box 1469
   Columbia, SC 29202-1469
Or fax completed form to:
  (803) 898-9100

Phone: (803) 898-9235