Fillable Printable Report Of New Employee(S) (De 34) Printing Specifications Computer Or Laser Generated Alternate Forms (De 34Ps)
Fillable Printable Report Of New Employee(S) (De 34) Printing Specifications Computer Or Laser Generated Alternate Forms (De 34Ps)
Report Of New Employee(S) (De 34) Printing Specifications Computer Or Laser Generated Alternate Forms (De 34Ps)
DE 34PS Rev. 2 (4-13) (INTERNET) Page 1 of 7
REPORT OF NEW EMPLOYEE(S) (DE 34)
PRINTING SPECIFICATIONS
COMPUTER OR LASER GENERATED ALTERNATE FORMS
The Employment Development Department (EDD) provides Report of New Employee(s) (DE 34)
forms suitable for laser printers at no cost to our customers.
These specifications will assist you in creating an alternate (facsimile) DE 34 form that we can image
with our equipment. A sample alternate and an original DE 34 are included with these specifications.
The sample alternate format should not be used to align with your alternate format as reproduction
has caused distortion.
Please use the print and line positions provided in these specifications to create your alternate form.
The DE 34 form is the correct template to use to verify that your alternate format is correct. Place the
DE 34 over or under your alternate format and visually verify that the data on your alternate form is
printing within the corresponding boxes on the DE 34. If this is the case, the alternate format has
been designed to meet our specifications.
ALL FORMS MUST BE SUBMITTED FOR APPROVAL BEFORE USE.
Please submit a sample deck for testing and approval. The test deck should include 25 original
documents – no photocopies. You may use dummy data and repeat the data on all the pages.
The test deck should be mailed to the following address:
Attention: Alternate Forms Coordinator
Information Management Group/MIC 96
Employment Development Department
P.O. Box 826880
Sacramento, CA 94280-0001
For express mail, include the phone number 916-255-0649 on the air bill. The street address is:
Attention: Alternate Forms Coordinator
Information Management Group/MIC 96
Employment Development Department
9815 C Goethe Road
Sacramento, CA 95827
TEST SAMPLES MUST MEET A 95 PERCENT (%) OR BETTER READ-RATE TO BE APPROVED.
DE 34PS Rev. 2 (4-13) (INTERNET) Page 2 of 7
DE 34 PRINTING SPECIFICATIONS
COMPUTER OR LASER GENERATED ALTERNATE FORMS
GENERAL REQUIREMENTS
Paper: Use 8 ½" x 11" white, 20-pound bond paper. Recycled paper and No Carbon Required (NCR)
paper will not feed into the scanners and is not acceptable.
Alignment: The top edge of the form is zero, the bottom of the form is line 66, the left edge is print
position zero, and the right edge is print position 85. Print six vertical lines per inch and 10 horizontal
print positions per inch.
Ink: Use black ink only. If possible, use non-ferric ink as ferric ink contains metal which interferes with
our automated mail sorting equipment.
Printer: Do not use a dot matrix printer. Dot matrix printing will not meet the 95 percent read-rate
requirement.
Font Size: Please use 10 or 12 point Lucinda Console or Courier font to print the data to be captured.
Data to be captured is indicated by bold print. Do not print your alternate format in bold type,
unless indicated. ALL LETTERS MUST BE PRINTED IN UPPER CASE ONLY.
EDD Approval Number: This number will be assigned to forms that the EDD has tested and
approved.
Non-Scannable File Copies: If you provide your customers with copies that are not Optical Character
Reader (OCR) compatible, please advise them not to submit their file copies to the EDD. We have
found that the warning DO NOT SEND THIS COPY TO THE EDD is effective when printed on the
file copy.
User Codes: If you print code numbers or letters on your forms, please position them above the
“Date” field between lines 6 and 7 and print positions 7 thru 25.
Display of Social Security Account (SSA) Numbers: The SSA numbers must always contain nine
digits. Do not use “/” between digits. Acceptable ways of printing are 012345678 or 012 34 5678 or
012-34-5678 (if your program cannot delete the dashes).
Display of Names: Please show first name, middle initial, and the last name. Our equipment requires
that names be printed in the first name, middle initial, last name format. We cannot accept names
printed with the last name first.
DE 34PS Rev. 2 (4-13) (INTERNET) Page 3 of 7
DE 34 PRINTING SPECIFICATIONS
COMPUTER OR LASER GENERATED ALTERNATE FORMS
BARCODE AND TARGET MARK SPECIFICATIONS
Form Identification: A form identification barcode is added to the DE 34 to help the EDD identify
the forms automatically. The Form Identifier String “00340600” is encoded in Code 3 of 9 (also
called Code 39) barcode format. This barcode is 2" wide, 3/8" high, is located 3/8" below the top
paper edge and 1 3/16" off the right paper edge. The Form Identifier String should be printed 1/8"
beneath the barcode in 12 point Courier bold font.
Target Marks: Two target marks are placed on the top right and lower left corners to help the EDD
equipment de-skew the scanned forms. Target marks are black circles 1/8" in diameter. The top
right target mark is 11/16" off the top and right paper edges, and the bottom left target mark is
11/16" off the left paper edge and 3/8" off bottom paper edge.
The following is a sample of the correct format for the barcode and target marks:
11/16”
3/8”
11/16”
DE 34PS Rev. 2 (4-13) (INTERNET) Page 4 of 7
DE 34 PRINTING SPECIFICATIONS
COMPUTER OR LASER GENERATED ALTERNATE FORMS
FORM IDENTIFIER STRING SPECIFICATIONS (No Barcode/Target Marks)
The EDD prefers that you provide the barcode and target marks on your alternate format to ensure
the most accurate processing of your DE 34. If it is not possible to include the barcode and target
marks, submit your alternate form test samples with the unique FORM IDENTIFIER STRING used
to identify alternate formats without barcode/target marks. The correct format for the Form Identifier
String without barcode/target marks is “B0340600” printed in the 12 point Courier bold font. The
print and line position for the Form Identifier String are listed below:
PRINT PRINT
ITEM LINES POSITIONS PRINT FORMAT
Form Identifier String 6 60 thru 67 B0340600
The following is a sample of the correct position for the Form Identifier String on the alternate
DE 34 form:
DE 34 EDD 12345
B0340600
DE 34PS Rev. 2 (4-13) (INTERNET) Page 5 of 7
DE 34 PRINTING SPECIFICATIONS
COMPUTER OR LASER GENERATED ALTERNATE FORMS
PRINT PRINT
ITEM LINES POSITIONS PRINT FORMAT
DE 34 4 8 thru 13 DE 34
FORM APPROVAL NUMBER 4 27 thru 36 EDD 12345
(Assigned by the EDD)
BARCODE/TARGET MARKS Instructions are on page 3.
FORM IDENTIFIER STRING Instructions are on page 4.
DATE 9 8 thru 18 MMDDYY
CA EMPLOYER ACCOUNT NUMBER 9 27 thru 39 NNN NNNN N
BRANCH CODE 9 43 thru 47 NN
FEDERAL IDENTIFICATION NUMBER 9 52 thru 67 NN NNNNNNN
BUSINESS NAME 12 8 thru 36
CONTACT PERSON 12 39 thru 64
PHONE NUMBER 12 66 thru 80 NNN NNN NNNN
ADDRESS 14 8 thru 37 Address Format
CITY 14 39 thru 56
STATE 14 58 thru 63
ZIP CODE 14 68 thru 78 NNNNN
EMPLOYEE FIRST NAME 17, 25, 33, 8 thru 34 FIRST NAME
41, 49, 57
MIDDLE INITIAL 17, 25, 33, 36 thru 37 MI
41, 49, 57
EMPLOYEE LAST NAME 17, 25, 33, 42 thru 78 LAST NAME
41, 49, 57
SOCIAL SECURITY NUMBER 19, 27, 35, 8 thru 22 NNN NN NNNN
43, 51, 59
N=Numeric
DE 34PS Rev. 2 (4-13) (INTERNET) Page 6 of 7
DE 34 PRINTING SPECIFICATIONS
COMPUTER OR LASER GENERATED ALTERNATE FORMS
PRINT PRINT
ITEM LINES POSITIONS PRINT FORMAT
ADDRESS 19, 27, 35, 27 thru 78 Address Format
43, 51, 59
CITY 21, 29, 37, 8 thru 49
45, 53, 61
STATE 21, 29, 37, 52 thru 54
45, 53, 61
ZIP CODE 21, 29, 37, 58 thru 66 NNNNN
45, 53, 61
START-OF-WORK DATE 21, 29, 37, 70 thru 78 MMDDYY
45, 53, 61
N=Numeric
If you have any questions about these specifications, please call the Alternate Forms Coordinator
at 916-255-0649.
DE 34PS Rev. 2 (4-13) (INTERNET) Page 7 of 7
DE 34 EDD 12345
B0340600
123106 123 4567 8 12 3456789
SAMPLE BUSINESS NAME JENNY SMITH 916 123 4567
1234 SAMPLE STREET SACRAMENTO CA 95827
ALICIA A RASBERRY
123 45 6789 1234 RASBERRY STREET
SACRAMENTO CA 95810 123105
WALTER W PINEAPPLE
123 45 6789 5678 PINEAPPLE DRIVE 123
CARMICHAEL CA 95811 010106
GEORGE G WATERMELON
123 45 6789 9012 WATERMELON COURT B
STOCKTON CA 95812 121505
REBECCA A SMITH
123 45 6789 456 HOMESTEAD CT
CARMICHAEL CA 95608 123105
JENNIFER J JOHNSON
123 45 6789 1345 14 STREET
SACRAMENTO CA 95825 011506
ANTONIO T RAY
123 45 6789 45 LINCOLN AVE
CARMICHAEL CA 95608 012006
