If a multistate employer designates one state to report all new hires, the employer must notify the Secretary of Health and Human Services, in writing, as to which state the employer has designated to receive all of their new hire information.

Please access the online application at https://ocsp.acf.hhs.gov/OCSE/ and submit the completed form by e-mailing it to msedb@acf.hhs.gov. This is currently the only method to submit this form.

For assistance in completing this form, call Health and Human Services, Child Support at 800-258-2736 (8:00 a.m. – 5:00 p.m. ET).