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This document is used to report changes in employer and employee information, as well as changes in dependent information related to employer-sponsored group plans.
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How to fill out employer change report

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How to fill out Employer Change Report

01
Obtain the Employer Change Report form from the appropriate agency.
02
Fill out the employer's legal name in the designated section.
03
Provide the employer's tax identification number (EIN).
04
Indicate the previous address and the new address of the employer.
05
Update any changes in the contact person's name and phone number.
06
Review the report for accuracy and completeness.
07
Sign and date the report.
08
Submit the completed report to the appropriate agency by the specified deadline.

Who needs Employer Change Report?

01
Employers who are changing their business address.
02
Employers who are updating their contact information.
03
Any organization or business that needs to report changes regarding its employer status.
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Email the PHRC or call your regional office. After you file a discrimination complaint: The complaint will be assigned a docket number. The complaint will be served to the respondent (the person you have named in your complaint as responsible for the alleged discrimination) within 30 days of the date of docketing.
Discuss the matter with your supervisor. If faced with job role changes, the most appropriate first step is to discuss the matter with your supervisor and ask about the ways you can keep adding value to the organization.
Employers can share information about the former employee's professional conduct. This could include interactions with colleagues and adherence to workplace policies. Insights into their ability to work collaboratively and maintain a positive work environment are within legal boundaries.
Contact Us By phone. You can contact the New Hire Reporting Program by calling 888-724-4737. By email. You can request information and send general questions via email to the New Hire Reporting Program. By Fax. Submit information by mail to the New Hire Reporting Program.
An employer may terminate the services of an “at will” employee, with or without cause, at any time — as long as an employee is not let go for an unlawful purpose, such as age or racial discrimination.
Contact Us By phone. You can contact the New Hire Reporting Program by calling 888-724-4737. By email. You can request information and send general questions via email to the New Hire Reporting Program. By Fax. Submit information by mail to the New Hire Reporting Program.
New Employee Pay and Fringe Benefit Notification (Pennsylvania) – All Pennsylvania employers are required to notify new hires of their pay rate, the date and time of payments, and the amount of fringe benefits they will receive if any. This form contains spaces for employers to fill in all the necessary information.
Additionally, it is important to realize that an employer can generally change its handbook or personnel policy at anytime, so if your employer sends out a personnel policy update be sure to read through it to be aware of your rights.

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The Employer Change Report is a document used to notify relevant authorities of changes in the employer's status, such as a change in ownership, address, or business structure.
Employers who experience any significant changes in their business, such as a merger, acquisition, name change, or relocation, are required to file the Employer Change Report.
To fill out the Employer Change Report, gather all necessary information including the current and new details of the employer, then complete the form accurately, ensuring all sections are filled out and submit it to the appropriate authority.
The purpose of the Employer Change Report is to ensure that the records maintained by government agencies are up to date and accurate, reflecting any changes in the employer's business status to maintain compliance with regulations.
The information that must be reported includes the employer's name, address, change in ownership, tax identification number, type of business structure, and any other relevant changes that could impact the employer's obligations.
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