Department of Health and Human Services
State Directory of New Hires

Register

Use this form to register your company for online access to Nebraska New Hire Program Services.

*Note: Fields marked with an asterisk indicates required fields.

Company Information
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* State
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Country
  Is the company less than one year old?
 
  Offer Medical Insurance?
 
 
  Number of Employees
 
  Industry Type
Payroll Provider
  • If you are a PAYROLL PROVIDER (or Service Bureau) registering YOUR OWN ACCOUNT (through which you will report for other employers), use this form, and be sure to click the Payroll Provider check box below.
  • If you are NOT A PAYROLL PROVIDER and WILL NOT REPORT FOR OTHER EMPLOYERS, use this form, and do not click the Payroll Provider check box below.
 
Yes
Contact Information
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  Contact Preference
 
  Reporting Preference
 
 
Nebraska State Directory of New Hires
PO Box 483
Norwell, MA 02061
Phone (888) 256-0293
Fax (866) 808-2007
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