| 1. |
|
Employer - Record |
|
| |
A. |
Emplyer - Record - Type |
Record identifier '1' |
| |
B. |
Employer - DOL - Number |
Employer's Maine Department of Labor Identification Number |
| |
C. |
Employer - Fed ID - Number |
Employer's federal (without the '-') Identification Number (or spaced) |
| |
D. |
Employer - Name |
Employer's Name |
| |
E. |
Employer - Address |
Employer's Street Address or Post Office Box |
| |
F. |
Employer - City |
Employer's City |
| |
G. |
Employer - State |
Employer's State |
| |
H. |
Employer - Zip |
Employer's Zip Code |
| |
I. |
Employer - Phone |
Employer's Phone Number |
| |
|
|
|
| 2. |
|
Employee - Record |
|
| |
A. |
Employee - Record - Type |
Record identifier '2' |
| |
B. |
Employee - DOL - Number |
Employer's Maine Deopartment of Labor Identification Number |
| |
C. |
Employee - SSN - Number |
Employer's Federal (without the '-') Identification Number (or spaced) |
| |
D. |
Employee - Last - Name |
Employee's Last Name |
| |
E. |
Employee - First - Name |
Employee's First Name |
| |
F. |
Employee - Middle - Initial |
Employee's Middle Initial |
| |
G. |
Employee - Address - Type |
Address Type M - Mailing, R - Residence |
| |
H. |
Employee - Address |
Employee's Street Address or Post Office Box |
| |
I. |
Employee - City |
Employee's City |
| |
J. |
Employee - State |
Employee's State |
| |
K. |
Employee - Zip |
Employee's Zip Code |
| |
L. |
Employee - Home - Phone |
Employee's Home Phone |
| |
M. |
Employee - Work - Phone |
Employee's Work Phone |
| |
N. |
Employee - Birth - Date |
Employee's Date of Birth in MM/DD/CC/YY format |
| |
O. |
Employee - Insurance |
Insurance Available for Employee (Y/N) |
| |
P. |
Employee - Ins. - Amount |
Cost for Employee Insurance |
| |
Q. |
Employee - Ins. - Avail - Dep |
Insurance Available for Dependent(s) (Y/N) |
| |
R. |
Employee - Ins. Avail - Dep - Cov |
Dependent(s) Covered by Insurance (Y/N) |
| |
S. |
Employee - Action - Type |
Type of Action Date N - New Hire, R - Re Hire, T - Termination |
| |
T. |
Employee - Action - Date |
Employee's Action Date in MM/DD/CC/YY format |
| |
U. |
Employee - Occupation |
Employee's Occupation |
| |
V. |
Employee - Wage - Amt |
Employee's Pay Type, H - Hourly, S - Salaried |
| |
W. |
Employee - Wage- Amt |
Employee's Wages
Hourly=Hourly Wage
Salaried=Gross Wage per Pay Period |
| |
X. |
Employee - Wage - Freq |
Employee's Pay Period W - Weekly, B - Bi Weekly, T - Twice Monthly, M - Monthly |
