If you are applying for an IDHR Employer Eligibility Number for the First Time, there will be a $75.00 non-refundable fee. The number expires five (5) years after the date of issue and may be renewed at that time for an additional $75.00 fee.
If your company has multiple locations, the corporate headquarters for the company must submit a First Time Employer Report Form (PC-1) for the location(s) it wishes to register for no additional fee.
Definitions, Clauses & Policies — (PC-1 Form) (Please read before filling out the form)
NO BUSINESS OR PERSONAL CHECKS WILL BE ACCEPTED --- only cashier’s check, certified check, or money order will be accepted and processed. All forms accompanied by a business or personal check will be returned unprocessed. Also, at this time, we do NOT accept credit cards for first time applications.
First Time Employer Report Form (PC-1) (pdf format)
(First time applicant beginning January 1, 2010)
Privacy Statement | Web Accessibility | DHR Outlook Login | Contact IDHR