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 |
---|---|---|---|
Record Identifier | Alphanumeric | Required | This must contain the characters 'HR'. |
Format Version Number | Alpha | Required | The following text: "1.00". |
Employee First Name | Alpha | Required | Left justify |
Employee Middle Name | Alpha | Optional | Left justify. Space if unknown |
Employee Last Name | Alpha | Required | Left justify |
Employee SSN # | Numeric | Required | Must be 9 digits |
Employee Address Line 1 | Alphanumeric | Required | Left justify |
Employee Address Line 2 | Alphanumeric | Optional | Left justify. Spaces if unused |
Employee Address Line 3 | Alphanumeric | Optional | Left justify. Spaces if unused |
Employee City | Alpha | Required | Left justify |
Employee State | Alpha | Required | Required if domestic address. Spaces if international address |
Employee Zip Code | Numeric | Required | Required if domestic address. Spaces if international address |
Employee Date of Birth | Numeric | Optional | MMDDYYYY. Must be a valid date |
Employee Date of Hire | Numeric | Required | MMDDYYYY. Must be a valid date. Employee's first day of work |
Employee State of Hire | Alpha | Optional | Standard postal abbreviation |
Employee Independent Contractor (IC) | Alpha | Optional | "Y" if independent contractor. "N" if not a contractor. |
Dependent Health Insurance Available | Alpha | Optional | "Y" if dependent health insurance available, "N" if not available |
Date Employee Qualifies for Family Health Insurance | Alpha | Optional | This date must be submitted in the format of: MMDDYYYY. |
Filler | Alpha | Optional | Blank fill. Reserved for future use. |
Employer FEIN | Alphanumeric | Required | Federal Employer Identification Number. Must be 9 digits; include leading zeroes. |
Filler | Alpha | Optional | Spaces |
Employer Name | Alphanumeric | Required | Left Justify |
Employer Address Line 1 | Alphanumeric | Required | Employer address. Left justify |
Employer Address Line 2 | Alphanumeric | Optional | Left justify if present. Spaces if unused. |
Employer Address Line 3 | Alphanumeric | Optional | Left justify if present. Spaces if unused. |
Employer City | Alpha | Required | Left justify |
Employer State | Alpha | Required | Required if domestic address. Spaces if international address |
Employer Zip Code | Numeric | Required | This must contain a 5-digit or 9-digit number. No dashes. |
Employer Contact Name | Alpha | Optional | |
Phone Number of Contact Person | Numeric | Optional | Must be in a format with area code first then number. This field must have numbers only. (no hyphens or parentheses). |
Filler | Char | Optional | Spaces |