Alaska Quarterly Contribution Report Form PDF Details

did you know that the Alaska Quarterly Contribution Report Form is due by April 15th? If you're like me, you may have missed the deadline. But don't worry, there's still time to submit your report! This form is used to report all of your political contributions made during the previous calendar year. Be sure to include all donations, even those of $1 or less. You can find more information on the Alaska Public Offices Commission website. Thanks for reading!

QuestionAnswer
Form NameAlaska Quarterly Contribution Report Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesTQ01C 13 alaska quarterly contribution report 2013 form

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Alaska Quarterly Contribution Report

THE 2013 TAXABLE WAGE BASE FOR EACH EMPLOYEE IS $36,900.

Quarter Hnding:

Due Gate:

Employer DccountQo:

FEIN:

AGENCY USE ONLY

A report must be filed even if no wages are paid for the quarter.

You may now file your quarterly contribution report online. Please visit our web site located at www.labor.state.ak.us/estax or call

8884483527. To amend your quarterly report, please submit a “Correction of Wage Item,” Form TADJ also available online.

Notice to employers: Wage information and other confidential UC information may be requested and utilized for other authorized governmental purposes, including, but not limited to, verification of an individual’s eligibility for other government programs.

1. For each month, report the number

 

 

If none enter "0"

 

 

 

 

 

 

 

1st

 

2nd

3rd

of workers who worked during or

 

 

 

 

Month

 

Month

Month

received pay for the payroll period,

 

 

 

 

 

 

 

which includes the 12th of the month.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Total reportable wages paid this

 

 

 

 

 

 

 

 

quarter. (See Instructions, page 2)

 

$

 

 

 

 

 

3.

Less excess wages over the taxable

($

 

 

 

)

 

wage base.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Taxable wages paid this quarter.

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer's rate

 

 

 

 

 

 

5.

Employer's contribution

 

%

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee's

 

 

 

 

 

 

6.

Employee's contribution

Rate

 

$

 

 

 

 

 

.68%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Total contributions due

Total Rate

 

 

 

 

 

 

 

%

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Amount remitted

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Wages reported to other states? See

 

 

 

Yes

 

 

 

 

 

 

instructions explaining this on page 2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*see area map for geographic location codes

 

10. Employee's

11. Employee's Qame - Wype or Srint

12. Reportable wages

13. Full

14.

 

 

Social Security

(Do not list employees more than once.)

paid this quarter.

Occupational

Geographic

 

 

Number

Last

First

MI

(No negative wages)

WLtle or Fode

FRde *

S

 

 

 

 

 

 

 

 

T N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A O

 

 

 

 

 

 

P

 

 

 

 

 

 

 

 

L

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

T

 

 

 

 

 

 

 

 

U

 

 

 

 

 

 

C B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H S

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

C P

 

 

 

 

 

 

 

 

 

 

 

 

 

 

K L

 

 

 

 

 

 

 

S

E

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

HS E E

R

Make checks payable to the

15. Total Qumber of Sages 16. Total Ueportable Zages - Dll Sages

E

 

Alaska Department of Labor and Workforce Development

(Same Wotal as in Block 2 above.)

 

If you have any questions,

 

 

call toll free 8884483527

 

I hereby certify that the information on this report is true and correct.

Signed: ________________________________________________ Title: ________________________________ Date: ________________

Printed Name:

Contact telephone number: (

)

Alaska Department of Labor DQG Workforce Development, Employment Security Tax, PO Box 115506, Juneau, AK 99811-5506

TQ01C (11/1)

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