Record Type	Employer DOL Number	Employer FEIN	Employer Name	Employer Address Line 1	Employer Address Line 2	Employer Address Line 3	Employer City	Employer State	Employer Zip Code	Employer Zip +4	Employer Phone Number	Filler																
1																												
Record Type	Employer FEIN	Employee SSN#	Employee Last Name	Employee First Name	Employee Middle Initial	Employee Address Type	Employee Address Line 1	Employee Address Line 2	Employee Address Line 3	Employee City	Employee State	Employee Zip Code	Employee Zip +4	Employee Home Phone	Employee Work Phone	Employee Date of Birth	Employee Insurance	Employee Insurance Amt	Employee Ins Avail Dep	Employee Ins Dep Cov	Employee Action Type	Employee Action Date	Employee Occupation	Employee Wage Type	Employee Wage Amt	Employee Wage Freq	Country Code	Foreign Postal Code
2