January 27, 2020
NEW! Employer Information Form is Consolidated
Out of many, comes one 4258 form!
The new 4258 may be used for both NL and LSW and replaces 4258N, 4258E, 7501A and 1620.
Not to worry! We will not deny any of the legacy forms, if submitted. But strongly urge your transition to this new form.
Employer Information Form 4258