OMB 0970-0166
Publication Date:
October 20, 2022
Current as of:
This registration form (PDF) is for employers who have employees working in two or more states. Use the form to register to report your new hires to one state or to make changes to your previous registration.
Files
- PDF OMB 0970-0166 - Multistate Employer Registration Form.pdf (1,458.57 KB)