Bwc 7578 Form PDF Details

Every business needs to keep accurate records of their transactions. This will help them know what is going on with their money and make it easier for them to file taxes and report income. The Business Withholding Calculator (BWC) 7578 form is a document that can be used by businesses to withhold the right amount of federal tax from wages, bonuses, commissions, etc. It calculates withholding using information like total compensation, marital status, number of allowances claimed on Form W-4P (Wage and Tax Statement), state or local income tax deductions claimed on Line 11a of Form 1040EZ if any).

Below is the details in regards to the form you were seeking to fill out. It can show you how much time you'll need to complete bwc 7578 form, exactly what parts you will have to fill in and some other specific details.

QuestionAnswer
Form NameBwc 7578 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmisrepresentation, bwc 7578 fill in, BWC-7578, rps

Form Preview Example

Amended Payroll Report

Instructions

You must complete this form in its entirety along with a reason for the change. If supplemental coverage applies (sole proprietor, partnership, limited liability company acting as a sole proprietor/partnership, family farm corporate officer or ministers), you must report the payroll under the correct National Council on Compensation Insurance (NCCI) classification and manual type code (SN).

 

 

 

 

 

 

 

Policy number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legal business name

 

Trading name or doing business as name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address

 

 

Email address

 

Telephone number

 

 

 

 

 

 

 

 

 

(

 

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City

 

 

 

 

State

 

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payroll period

 

 

 

 

 

 

 

 

 

 

from

 

through

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NCCI manual classification

 

Original reported

 

 

Actual

Manual

 

Type code

Description

 

payroll

 

 

payroll

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification

I hereby certify the amended payroll reported herein is correct as to the classification and amount for the period stated. I understand that misrepresentation of payroll for premium purposes could lead to a penalty of 10 times the amount of the premium underreported, as provided by Section 4123.25 of the Ohio Revised Code.

By my signature, I certify I have the authority to execute this document, and that the facts set forth on this document are true and correct to the best of my knowledge and belief. I am aware that any person who does not secure or maintain workers’ compensation coverage and pay all appropriate premiums in accordance with Ohio laws, or misrepresents, conceals facts or makes false statements to obtain coverage may be subject to civil, criminal and/or administrative penalties.

Signature and title (must be signed by owner, partner or officer)

Date

BWC-7578 (Rev. 10/26/2011)

RPS-Amend P/R

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