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EEOC Standard Form 100 (SF 100) Revised 08/2023 OMB Control Number: 30460049 Expiration Date: 11/30/2026U.S. EQUAL EMPLOYMENT OPPORTUNITY COMMISSION (EEOC) 2023 EMPLOYER INFORMATION REPORT (EEO1 COMPONENT
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How to fill out 165-02195-01-employer-information-report

01
Start by downloading the 165-02195-01 Employer Information Report form from the official website.
02
In the first section, enter the employer's name and address as it appears in your business registration documents.
03
Provide the contact person's name, title, and phone number for the employer.
04
Fill in the employer's federal employer identification number (FEIN) accurately.
05
Indicate the type of business organization (e.g., corporation, partnership, sole proprietorship).
06
Specify the industry in which the employer operates, using the appropriate industry codes if available.
07
Complete the number of employees in the business, including full-time and part-time workers.
08
Include any additional information required by the report, such as tax identification numbers and licensing information.
09
Review all entries for accuracy and completeness before signing the report.
10
Submit the completed report by the due date specified in the instructions, ensuring you retain a copy for your records.

Who needs 165-02195-01-employer-information-report?

01
Employers who are required to provide information about their business and employees for compliance with state and federal regulations.
02
Businesses applying for certain licenses or permits that necessitate an Employer Information Report.
03
Employers looking to document their workforce statistics for audits or statistical analysis purposes.
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The 165-02195-01 Employer Information Report is a document used by employers to provide information regarding their workforce and employment practices to relevant authorities.
All employers who meet certain criteria regarding the number of employees and business operations in a specified jurisdiction are required to file the 165-02195-01 Employer Information Report.
To fill out the 165-02195-01 Employer Information Report, employers need to gather necessary employee data and follow the instructions provided on the form, ensuring all sections are completed accurately.
The purpose of the 165-02195-01 Employer Information Report is to collect data that helps governmental agencies analyze employment trends, assess compliance with employment laws, and promote equal opportunity in the workplace.
The report must include information such as the employer's name, address, tax identification number, number of employees, and details regarding employee demographics.
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