1. (a) Every employing unit, as defined in RSA 282-A:7 shall file with the department of employment security a fully and properly executed "Employer Status Report":

   1. (1) Within 30 days of furnishing any employment;
   2. (2) Within 30 days of becoming an employer as defined in RSA 282-A:8;
   3. (3) Within 30 days of any and all changes in its status or any other information required to be furnished in said "Employer Status Report";
   4. (4) Within 30 days of the employing unit transferring all, or a portion of, the employer’s trade, business, or workforce to another employing unit; and
   5. (5) As often as required by the department for the purpose of clarifying inconsistent or out-of-date information.

2. (b) Employing units shall supply on the "Employer Status Report" the following information:

   1. (1) Full business name and telephone number;
   2. (2) Federal identification number;
   3. (3) Address of principal place of business and other employing unit locations, if more than one, within New Hampshire. If there is no NH location indicate other state;
   4. (4) Mailing address if different than subparagraph (3) above;

   5. (5) For each establishment or operation maintained in New Hampshire the:

      1. a. Principal activity; and
      2. b. Principal product, processes or services;
   6. (6) Type of business entity;

   7. (7) If a corporation or LLC, the:

      1. a. Full corporate or LLC name;
      2. b. Date of registration; and
      3. c. State of registration;
   8. (8) If the business is a non-profit organization, a copy of its letter of exemption;
   9. (9) The date on which employment was first furnished in New Hampshire;
   10. (10) The date on which wages were first paid in New Hampshire;
   11. (11) The date on which it ceased to furnish employment in New Hampshire, if any, and the reason for cessation;
   12. (12) If it will be subject to the Federal Unemployment Tax Act in the current year;
   13. (13) If it furnished employment in New Hampshire in preceding years during which it was subject to the Federal Unemployment Tax Act and if so which years;

   14. (14) If it acquired any of the organization, trade, business, workforce or New Hampshire assets of any other employing unit or employer and if so:

       1. a. The name and address of prior owner;
       2. b. The date acquired;
       3. c. The percentage of assets acquired;
       4. d. If any business assets were not acquired and what they were;
       5. e. If the prior owner will remain in business in New Hampshire and if so, to what extent, in what capacity, and using what assets; and

       6. f. The type of change occurring such as:

          1. 1. Reorganization;
          2. 2. Transfer of trade or business;
          3. 3. Change of entity;
          4. 4. Transfer or workforce and if so complete the “Trade, Business and Workforce Transfer Report”;
          5. 5. Purchase assets of business;
          6. 6. Merger; and
          7. 7. Lease of business;
   15. (15) Its gross payroll for each quarter of the current and two prior calendar years;

   16. (16) If it expects to have a gross payroll of at least $1,500 in a calendar quarter and:

       1. a. If answering yes, indicate the earliest quarter and year this occurred (or will occur);
       2. b. If answering no, indicate whether it has or expects to employ at least one worker in 20 different weeks in a calendar year, and if so, when did or will this occur;
   17. (17) By week, the number of workers to whom it furnished employment in New Hampshire in the current and all preceding calendar years;

   18. (18) If it also engaged any self-employed individuals, subcontractors or consultants and if so, for each, their:

       1. a. Name;
       2. b. Trade; and
       3. c. Address;
   19. (19) If it had or expects to have a $1,000 quarterly payroll for domestic services and if so the earliest quarter and year this has occurred or will occur;

   20. (20) If the report was prepared by other than a sole proprietor the preparer's:

       1. a. Name;
       2. b. Firm name;
       3. c. Date;
       4. d. Signature;
       5. e. Address;
       6. f. Telephone number; and
       7. g. Affirmation of accuracy regarding information in the report and any attachments made under penalty of law (RSA 282-A:166); and

   21. (21) A list of the owner, all partners, authorized corporate officers and authorized members of limited liability companies including the:

       1. a. Affirmation of accuracy regarding information in the report and any attachments made under penalty of law (RSA 282-A:166);
       2. b. Typed or printed name of each individual;
       3. c. Social security number of each individual;
       4. d. Resident address of each individual;
       5. e. Title of each individual; and
       6. f. Signature of each individual.

Source. #2234, eff 1-1-83; ss by #2930, eff 12-21-84, EXPIRED: 12-21-90 New. #5143, eff 5-6-91; ss by #6504, INTERIM, eff 5-5-97, EXPIRED: 9-2-97; ss by #6566, eff 9-2-97, EXPIRED: 9-2-05 New. #8470, INTERIM, eff 11-1-05, EXPIRED: 4-30-06 New. #8625, eff 5-6-06; ss by #8946, eff 7-21-07; renumbered by #10081 (formerly Emp 302.01); ss by #10973, eff 11-12-15