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Use this form to register your company for online access to Indiana New Hire Program Services.

*Note: Fields marked with an asterisk indicates required fields.

Company Information
Your password must be at least 8 characters long.
Your password must utilize at least three of the following four:
  • Special characters
  • Alphabetical characters
  • Numerical characters
  • Combination of upper case and lower case letters

Is the company less than one year old?
Offer Medical Insurance?
Number of Employees
Industry Type
Payroll Provider
  • If you are a PAYROLL PROVIDER (or Service Bureau) registering YOUR OWN ACCOUNT (through which you will report for other employers), use this form, and be sure to click the Payroll Provider check box below.
  • If you are NOT A PAYROLL PROVIDER and WILL NOT REPORT FOR OTHER EMPLOYERS, use this form, and do not click the Payroll Provider check box below.
Contact Information
Contact Preference
Reporting Preference
Indiana New Hire Reporting Center
PO Box 3429
Trenton, NJ 08619
Phone (866) 879-0198
Fax (800) 408-1388
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