"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" "Optional Employer Address Line 1" "Optional Employer Address Line 2" "Optional Employer Address Line 3" "Optional Employer City" "Optional Employer State" "Optional Employer Postal Code" "Optional Employer Zip+4" "Optional Employer Country Code" "Employer Optional Phone Number" "Employer Optional Contact Extension" "Employer Optional Contact"