Every employer required to deduct and withhold tax under this chapter from the wages or other remuneration of an employee shall furnish to each such employee, in respect to the wages or other remuneration paid by such employer to such employee during the calendar year, on or before January 31 of the succeeding year, or, if such employee’s employment is terminated before the close of such calendar year, within 30 days from the date on which the last payment of wages or other remuneration is made, a written statement, as prescribed by the Director of the Division of Revenue, showing:
(1) The amount of wages or other remuneration paid by the employer to the employee;
(2) The amount deducted and withheld as tax;
(3) All information required by the Internal Revenue Service regarding the employee’s eligibility for the federal earned income tax credit; and
(4) Such other information as the Director of the Division of Revenue shall prescribe.