Name
Position
Length
A/N*
Description
M/O**
Record Identifier:
1-2
2
A
Enter "DK" if filing by CD or Electronic File Transfer.
M
Employee Social Security Number:
3-11
2
N
All zeroes will be rejected and returned to the employer.
M
Employee First Name
12-27
16
A
At least one character, no suffixes such as "Jr.","Sr.", &
"III".
M
Employee Middle Name
28-43
16
A
At least one character if known. If none, fill with blank
O
Employee Last Name
44-73
30
A
At least one character, no suffixes such as "Jr.","Sr.", &
"III".
M
Employee Street Address (line 1)
74-113
40
A/N
Non-blank.
M
Employee Street Address (line 2)
114-153
40
A/N
If address line is less than 40 characters, do not concatenate.
O
Employee Street Address (line 3)
154-193
40
A/N
into a single line. No special characters except for hyphen
Employee City
194-218
25
A
At least two characters. No special characters except for hyphen.
M
Employee State
219-220
2
A
State or territory in US Postal Service format
M
Employee Zip Code (1)
221-225
5
A/N
Must be Numeric, or blanks if foreign.
M
Employee Zip Code (2)
226-229
4
O
If four digit zip code extention present, must be numeric.
)
Employee Foreign Country Code
230-231
2
A/N
Refer to US Dept. of Commerce FIPS code manual (Pub. 10-4).
M (if foreign)
Employee Foreign Country Name
232-256
25
A/N
If present, at least two characters
M (if foreign)
Employee Foreign Zip Code
257-271
15
A/N
M (if foreign)
Employee Date of Birth
272-279
8
A/N
If present, numeric. Format-YYYYMMDD
O
Employee Date of Hire
280-287
8
A/N
Numeric Format-YYYYMMDD
M
Employee State of Hire
288-289
2
A
Alphabetic state or territory abbreviation.
O
Federal Employer ID Number
290-298
9
N
Federal Employer Identification Number (FEIN).
M
BLANK
299-310
12
BLANK FIELD
Employer Name
311-355
45
A/N
At least two characters
M
Employer Street Address (line 1)
356-395
40
A/N
Non-blank; the address where child support orders should be sent.
M
Employer Street Address (line 2)
396-435
40
A/N
If address line is less than 40 characters, do not concatenate
O
Employer Street Address (line 3)
436-475
40
A/N
into a single line. No special characters except for hyphen.
O
Employer
City
476-500
25
A
At least two characters. No special characters except for hyphen.
M
Employer State
501-502
2
A
State or territory in US Postal Service format.
M
Employer Zip Code (1)
503-507
5
A/N
Must be Numeric, or blanks if foreign.
M
Employer
Zip Code (2)
508-511
4
A/N
If four digit zip code extention present, must be numeric.
O
Employer Foreign Country Code
512-513
2
A/N
Refer to US Dept. of Commerce FIPS code manual (Pub. 10-4).
M (if foreign)
Employer Foreign Country Name
514-538
25
A/N
If present, at least two characters.
M (if foreign)
Employer Foreign Zip Code
539-553
15
A/N
M (if foreign)