IMPORTANT
This form requests information about employees on YOUR payroll.
Temporary Help Agencies: Provide information on employment, job openings, hires, and separations with reference to each location shown. Include all employees placed at client sites from this office.
Professional Employer Organizations (PEOs): Provide information on employment, job openings, hires, and separations for each location shown.
Column A Total Employment for the pay period that includes the 12th of the month. Report all persons on your payroll who worked or received pay for the pay period that includes the 12th of the month. INCLUDE:
DO NOT INCLUDE:
Column B Job Openings on the last business day of the month. Report all positions that are open (not filled) on the last business day of the month. A job is open only if it meets all three of these conditions:
What is active recruiting? Active recruiting means your establishment is taking steps to fill a position. It may include advertising in newspapers, on television, or on radio; posting Internet notices; posting "help wanted" signs; networking or making "word of mouth" announcements; accepting applications; interviewing candidates; or soliciting employees at job fairs, state or local employment offices, or similar sources. DO NOT INCLUDE:
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Column C Hires and Recalls for the entire month. Report all additions to your payroll during the month for each location shown. INCLUDE:
DO NOT INCLUDE:
Columns D, E, and F Separations for the entire month. Report all separations from your payroll during the month for each location shown. Report by type of separation.
DO NOT INCLUDE:
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We estimate it will take an average of 10 minutes to complete this form each month, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this information. If you have any comments regarding these estimates or any other aspect of this survey, send them to the Bureau of Labor Statistics, 2 Massachusetts Avenue, NE, Room 4840, Washington, DC 20212. You are not required to respond to the collection of information unless it displays a currently valid OMB control number.
Job Openings and Labor Turnover Report U.S. Department of Labor
Bureau of Labor Statistics, JOLTS DCC, 61 Forsyth Street SW, Rm 7T50, Atlanta, GA 30303 • Phone: (800) 341-4620 • FAX: (800) 876-2815 • www.bls.gov
This report is authorized by 29 U.S.C.2. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate, and timely. The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the information you provide for statistical purposes only and will hold the information in confidence to the full extent permitted by law. In accordance with the Confidential Information Protection and Statistical Efficiency Act (44 U.S.C. 3572) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. Per the Federal Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data. |
BLS Form No. BLS-1411-FM2 OMB No. 1220-0170
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Ext. FAX |
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FAX: 1-800-876-2815 Your reporting number is: Need help with this form? Call 1-800-341-4620. |
On each line, provide data for the period indicated for each item. Enter “0” if none. Enter “NA” if data are not available. See the previous page for explanations of the terms below. |
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Report for month of
JOLTS Reporting ID and Establishment: Location |
Employment |
Job Openings |
Hires |
SEPARATIONS |
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Number of full- or part-time employees who worked or received pay for the pay period that includes the 12th of the month |
A job is open if it meets all three conditions: A specific position exists Work could start within 30 days You are actively seeking workers from outside each location to fill the position |
A hire is any addition to your payroll, and: May be a new hire or a previously separated rehire
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Quits (Except retirements) |
Layoffs and Discharges
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Other
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A |
B |
C |
D |
E |
F |
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Total Employment for the pay period that includes the 12th of the month |
Number of Job Openings on the last business day of the month |
Hires and Recalls for the entire month |
Quits |
Layoffs and Discharges |
Other Separations |
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- - - - - - for the entire month - - - - - |
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FM3
- 5613Multi_Basic_Alt2 Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | IMPORTANT |
Author | Oslund, Charlotte - BLS |
File Modified | 0000-00-00 |
File Created | 2023-08-30 |