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                             REPORT OF NEW EMPLOYEE(S)
                       NOTE:  Failure to provide all of the information below may result in  
                                  this form being rejected and/or a penalty being assessed.
DATE                             CA EMPLOYER ACCOUNT NUMBER BRANCH CODE                    FEDERAL ID NUMBER00340600

M  M  D  D   Y  Y

BUSINESS NAME                                     CONTACT PERSON                                            PHONE NUMBER

ADDRESS                   STREET                            CITY                                   STATE                        ZIP CODE

EMPLOYEE FIRST NAME                            MI EMPLOYEE LAST NAME

SOCIAL SECURITY NUMBER           STREET NUMBER STREET NAME                                                                      UNIT/APT

CITY                                                                                         STATE ZIP CODE                     START-OF-WORK DATE
                                                                                                                                M  M  D  D   Y  Y

EMPLOYEE FIRST NAME                            MI EMPLOYEE LAST NAME

SOCIAL SECURITY NUMBER           STREET NUMBER STREET NAME                                                                      UNIT/APT

CITY                                                                                         STATE ZIP CODE                     START-OF-WORK DATE
                                                                                                                                M  M  D  D   Y  Y

EMPLOYEE FIRST NAME                            MI EMPLOYEE LAST NAME

SOCIAL SECURITY NUMBER           STREET NUMBER STREET NAME                                                                      UNIT/APT

CITY                                                                                         STATE ZIP CODE                     START-OF-WORK DATE
                                                                                                                                M  M  D  D   Y  Y

EMPLOYEE FIRST NAME                            MI EMPLOYEE LAST NAME

SOCIAL SECURITY NUMBER           STREET NUMBER STREET NAME                                                                      UNIT/APT

CITY                                                                                         STATE ZIP CODE                     START-OF-WORK DATE
                                                                                                                                M  M  D  D   Y  Y

EMPLOYEE FIRST NAME                            MI EMPLOYEE LAST NAME

SOCIAL SECURITY NUMBER           STREET NUMBER STREET NAME                                                                      UNIT/APT

CITY                                                                                         STATE ZIP CODE                     START-OF-WORK DATE
                                                                                                                                M  M  D  D   Y  Y

EMPLOYEE FIRST NAME                            MI EMPLOYEE LAST NAME

SOCIAL SECURITY NUMBER           STREET NUMBER STREET NAME                                                                      UNIT/APT

CITY                                                                                         STATE ZIP CODE                     START-OF-WORK DATE
                                                                                                                                M  M  D  D   Y  Y

     DE 34 Rev. 10 (3-17) (INTERNET)    Page 1 of 2         MAIL TO:  Employment Development Department / PO Box 997016, MIC 96                            CU
                                                                           West Sacramento, CA 95799-7016 or fax to 916-319-4400



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  INSTRUCTIONS FOR COMPLETING ALL OF THE ELEMENTS ON THE                        REPORT OF NEW EMPLOYEE(S), DE 34

REQUIREMENTS:
Federal law requires all employers to report all newly hired employees, who work in California, to the Employment 
Development Department (EDD) within 20 days of their start-of-work date, which is the first day of work. In addition, 
any employee who is rehired after a separation of at least 60 consecutive days must also be reported within the 20 
days. State and county agencies use this information to assist them in locating parents who are delinquent in their 
child support obligations.

PENALTIES:
Employers who fail to report the hiring or rehiring of an employee, as required and within the time frame required, 
may be assessed a penalty of $24 for each failure to report or $490 if the failure to report is an intentional 
agreement between the employer and employee to not supply the required information or to supply a false or 
incomplete report.

WHAT MUST BE REPORTED ON THIS FORM:
Employer’s:                                                      Employee’s:
California employer payroll tax account number                      First name, middle initial, and last name.
       on each form completed.                                        Social Security number.
Branch Code - Complete only if employer was                         Home address.
  assigned a Branch Code number.                                      Start-of-work date.
Federal Employer Identification Number.
Business name and address.
Contact person and phone number.

HOW TO COMPLETE  THIS FORM:
Please complete the following information in the spaces provided. If you type the information, ignore the boxes and type in 
UPPER CASE as shown. Do not use dashes, slashes, commas, or periods.
  EMPLOYEE FIRST NAME                         MI EMPLOYEE LAST NAME
  IMOGENE                                     A SAMPLE 
  SOCIAL SECURITY NUMBER        STREET NUMBER STREET NAME                                                                         UNIT/APT
  000000000                      1234         ANY STREET                                                                          312 

If handwritten, use CAPITAL LETTERS and print each letter or number in a separate box as shown. Do not use dashes, 
slashes, commas, or periods.
  EMPLOYEE FIRST NAME                         MI EMPLOYEE LAST NAME
  I    M  O   G    E   N   E                  A          S    A  M   P    L   E 
  SOCIAL SECURITY NUMBER        STREET NUMBER STREET NAME                                                                         UNIT/APT
   0    0    0    0    0     0    0    0    0           1     2    3   4               A   N    Y         S    T   R    E   E   T 3     1    2

ADDITIONAL INFORMATION:
If you have any questions concerning the new employee reporting requirement, you may visit our web page at  
www.edd.ca.gov/Payroll_Taxes/New_Hire_Reporting.htm, call the New Employee Registry and Independent Contractor 
Reporting at 916-657-0529, call the Taxpayer Assistance Center at 888-745-3886, or visit your local Employment Tax 
Office, which is listed in the California Employer’s Guide, DE 44, and on our web page at www.edd.ca.gov/Office_Locator/.
To obtain additional DE 34 forms:
• Visit our website at www.edd.ca.gov/Forms.
• For 25 or more forms, call 916-322-2835.
• For less than 25 forms, call 916-657-0529 or call 888-745-3886.
HOW  TO REPORT:
       For a fast, easy, and secure way to report your new employee information, use e-Services for Business. For more 
       information or to enroll, visit www.edd.ca.gov/e-Services_for_Business.  

To file a paper DE 34 form, complete all of the information on the reverse side of this form and fax it to 916-319-4400 or mail it to:
       EMPLOYMENT DEVELOPMENT DEPARTMENT
       PO Box 997016, MIC 96
       West Sacramento, CA  95799-7016
DE 34 Rev. 10 (3-17) (INTERNET)                             Page 2 of 2 






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