Employe enrollment request form

Employe enrollment request form. (1) Employe enrollment. An employer may enroll an employe in the employer notification program by submitting a written request to the department. (2) Content. The written request shall contain the following information: (a) The employer’s name and address. (b) The employer’s account code. (c) The employe’s driver license number. (d) The employe’s name as it appears on the employe’s driver license. (e) The employe’s date of birth. (f) The employe’s social security number. (g) Such other information as the department may require.