Record Identifier	Format Version Number	Employee First Name	Employee Middle Name	Employee Last Name	Employee SSN#	Employee Address Line 1	Employee Address Line 2	Employee Address Line 3	Employee City	Employee State	Employee Postal Code	Employee Zip+4	Employee Country Code	Employee Date of Birth	Employee Date of Hire	Employee State of Hire	Filler	Employer FEIN	Filler	Employer Name	Employer Address Line 1	Employer Address Line 2	Employer Address Line 3	Employer City	Employer State	Employer Postal Code	Employer Zip+4	Employer Country Code	Employer Phone Number	Employer Phone Extension	Employer Contact Name	Employer (Alt) Address 1	Employer (Alt) Address 2	Employer (Alt) Address 3	Employer (Alt) City	Employer (Alt) State	Employer (Alt) Postal Code	Employer (Alt) Zip+4	Employer (Alt) Country Code	Employer (Alt) Contact Phone	Employer (Alt) Contact Extension	Employer (Alt) Contact Name	Filler