File submission instructions for using spreadsheet formats *Important note- please do not use ANY column headers for your submission. Begin in cell A1 with your company FEIN. |
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COLUMN |
FIELD NAME |
REQUIRED/OPTIONAL |
REMARKS |
A |
FEIN |
R |
Must be 9 numbers. Do not include dashes. |
B |
SEIN |
O |
Do not include dashes. |
C |
Employer/Company Name |
R |
|
D |
Employer Street Address |
R |
If you have more than one location with the same FEIN, use the address where the Income Withholding Order should be sent. |
E |
Ste #, BLDG, etc. |
O |
|
F |
Employer City |
R |
|
G |
Employer State |
R |
Must be 2 letter abbreviation (MO for Missouri). |
H |
Employer Zip Code |
R |
|
I |
Employer (Zip) +4 |
O |
|
J |
Employer Country |
R |
Must be 2 letter abbreviation (US for United States). |
K |
Employee First Name |
R |
|
L |
Employee Middle Name/Initial |
O |
|
M |
Employee Last Name |
R |
|
N |
Employee SSN |
R |
Do not include dashes. |
O |
Employee Street Address |
R |
|
P |
Ste #, BLDG, etc. |
O |
|
Q |
Employee City |
R |
|
R |
Employee State |
R |
Must be 2 letter abbreviation (MO for Missouri). |
S |
Employee Zip Code |
R |
|
T |
Employee (Zip) +4 |
O |
|
U |
Employee Date of Birth |
O |
Format should be MM/DD/YYYY |
V |
Date of Hire |
R |
Format should be MM/DD/YYYY |
W |
Work State |
O* |
*Should ONLY be completed for Multi-State Employers |
X |
n/a |
R |
Must leave this field blank |
Y |
n/a |
R |
Must leave this field blank |
Z |
n/a |
R |
Must leave this field blank |
AA |
n/a |
R |
This is the submission column. To complete the form, enter one single space in column AA for each entry. For example, if items are entered in Rows 1-3, there should be a single space in Column AA for Rows 1, 2 and 3. No data should be entered in this column, or past this column. |