De 1870 Form PDF Details

The 1870 Census was the first census to be taken after the Civil War. The population of the United States had almost doubled in the ten years since the 1850 Census, and this census was an attempt to get a better understanding of who lived in America and where they lived. The data from the 1870 Census is still used by genealogists today to learn about their ancestors. This post will highlight some of the most interesting findings from the 1870 Census.

QuestionAnswer
Form NameDe 1870 Form
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other nameshow to california edd status, de 1870, ca employment status, edd determination

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DETERMINATION OF EMPLOYMENT WORK STATUS FOR PURPOSES OF STATE OF CALIFORNIA EMPLOYMENT TAXES AND PERSONAL INCOME TAX WITHHOLDING

 

Purpose

 

 

 

 

 

 

This form is to be used by business entities who would

This form should be completed carefully, and it should be

 

like to receive a determination as to whether a worker is

completed for one individual who is a representative of the

 

an employee for purposes of California Unemployment

class of workers whose status is in question. If a written

 

Insurance, Employment Training Tax, State Disability

determination is desired for another class of workers,

 

Insurance (SDI)*, and Personal Income Tax (PIT)

complete a separate DE 1870. A written determination for

 

withholding.

 

 

any worker will apply to other workers of the same class if

 

General Information

 

 

facts are the same as those of the worker whose status is

 

 

 

the subject of the written determination.

 

For assistance in completing this form, contact your local

This form is designed to cover many work activities. Some

 

Employment Tax Office of the Employment Development

of the questions may not apply to you. You must answer

 

Department (EDD) or call the Taxpayer Assistance Center

questions 1-39 or mark them “UNKNOWN” or “DOES

 

at 1-888-745-3886. Upon completion, return to:

NOT APPLY.” Answer questions 40-79 only if applicable.

 

State of California

 

 

If additional space is needed, please attach another sheet

 

 

 

with the question number clearly identified. Write your

 

Employment Development Department

 

 

 

business name, federal identification number, and the EDD

 

FACD-Central Operations, MIC 94

 

 

 

employer payroll tax account number at the top of each

 

PO Box 826880

 

 

 

 

 

additional sheet attached to this form.

 

Sacramento, CA 94280-0001

 

 

 

 

 

 

 

The EDD may need to contact you if additional

PLEASE TYPE OR PRINT ALL INFORMATION CLEARLY.

 

 

 

 

 

information is required.

 

 

 

 

 

* Includes Paid Family Leave (PFL).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF ENTITY

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS OF ENTITY

 

(CITY)

(STATE)

(ZIP CODE)

 

 

 

 

 

 

 

PHONE NUMBER (INCLUDING AREA CODE)

 

 

 

 

 

 

 

 

 

ENTITY’S FEDERAL EMPLOYER IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

ENTITY’S EDD EMPLOYER PAYROLL TAX ACCOUNT NUMBER

 

 

 

 

 

 

 

 

Check the type of entity for which the work relationship is in question:

 

 

 

Individual

Partnership

Corporation

Limited Liability Company (LLC)

 

 

Limited Liability Partnership (LLP)

Other (specify):

If the entity is a corporation, is the worker an officer of the corporation?

If the entity is an LLC, is the worker a member of the LLC?

Yes

Yes

No

No

If the entity is an LLC, how is the LLC treated for federal income tax reporting purposes?

 

Sole Proprietorship

Partnership

Corporation

 

DE 1870 Rev. 14 (12-18) (INTERNET)

 

Page 1 of 7

CU

1.Provide a brief description of the entity’s business operation (e.g., drug store, farmer, construction, etc.): ____________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

2.Has this issue been the subject of a prior or current EDD audit, benefit claim investigation, hearing, or prior DE 1870

determination?

Yes

No

Unknown

If “Yes,” please explain and provide any applicable dates: ___________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

3. Has any other governmental agency ruled on the status of services performed by the worker or another person

performing the same or similar services?

Yes

No

Unknown

If “Yes,” please attach a copy.

4.Total number of workers in this class: __________

Attach names, addresses, and phone numbers of the workers in this class. If there are more than 10 workers, attach the information for only 10.

5.This information is about services performed by the worker from ________________ to _________________.

(Date)(Date)

6.State the worker’s occupation, title, and give a complete description of the services provided: _____________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

7.How did the worker learn of the job (e.g., advertisement, online, in a newspaper, word of mouth, etc. If there was a job announcement, please attach a copy.):____________________________________________________________________

_____________________________________________________________________________________________________

8.What were the requirements for the worker’s position (e.g., previous experience, education, etc.):__________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

9. Is the worker still performing services for the entity?

Yes

No

If “No,” explain why and how the worker was terminated, laid off, or quit: _____________________________________

_____________________________________________________________________________________________________

10.Were the services performed under a written agreement or contract? If “Yes,” please attach a copy.

Yes

No

11.If the agreement was not in writing, or the terms of the written agreement were not complied with in practice, describe the actual terms and conditions of the arrangement: ________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

12. Was it agreed or understood that the worker would perform the services personally?

Yes

No

If “No,” please explain: ________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

DE 1870 Rev. 14 (12-18) (INTERNET)

Page 2 of 7

13a.

Does the worker have helpers?

Yes

No

 

 

 

 

If “Yes,” answer questions 13b through 13g.

 

 

 

 

 

If “No,” go to question 14.

 

 

 

 

 

b.

Who hired the helpers?

Worker

The entity

 

Unknown

 

c.

Who could discharge the helpers?

Worker

The entity

 

Unknown

 

d.

Who paid the helpers?

Worker

The entity

 

Unknown

 

e.

If the worker paid the helpers, did the entity reimburse the worker?

Yes

No

Unknown

f.What services do the helpers perform? __________________________________________________________________

g.Are Social Security/Medicare (FICA), SDI, and PIT withheld from the helpers’ wages?

Yes

No

Unknown

If “Yes,” who reports and pays these taxes? ______________________________________________________________

14a. Was the worker permitted to provide services for others during the same time periods services were performed for the

entity?

Yes

No

Unknown

If “Yes,” answer questions 14b through 14f.

If “No” or “Unknown,” go to question 15.

b.What percent of the worker’s total working time was spent working for others? ________________________________

c.What percent of the worker’s total income was earned from others? _________________________________________

d.Describe services the worker performed for others: _______________________________________________________

___________________________________________________________________________________________________

e. Did the entity have first call on the worker’s time and efforts?

Yes

No

Unknown

f.Who owned or rented the premises where the services were performed? _____________________________________

15a. List the kind and value of tools, equipment, and/or facilities furnished by the entity: ____________________________

___________________________________________________________________________________________________

b. Was the worker required to wear a uniform or badge?

Yes

No

If “Yes,” describe what the worker was required to wear: __________________________________________________

Who paid for the items? ______________________________________________________________________________

16.List the kind and value of tools, equipment, and/or facilities furnished by the worker?___________________________

___________________________________________________________________________________________________

17a. List any expenses connected with the services of the worker: _______________________________________________

___________________________________________________________________________________________________

b.Who was responsible for paying these expenses? _________________________________________________________

c.

Was the worker reimbursed by the enitity for any of these expenses?

Yes

No

18.

Did the worker perform under:

His/her business name

The entity’s name

 

19.Did the worker advertise or maintain a business listing in the phone directory, a trade journal, Internet, etc.?

Yes

No

Unknown If “Yes,” please attach a copy.

DE 1870 Rev. 14 (12-18) (INTERNET)

Page 3 of 7

20a.

Did the worker hold himself/herself out to the public as available to provide services of this nature?

 

Yes

No

Unknown

 

 

 

 

 

 

 

If “Yes,” please explain: ______________________________________________________________________________

 

___________________________________________________________________________________________________

b.

Or any other nature?

Yes

No

Unknown

 

 

 

 

 

If “Yes,” please explain: ______________________________________________________________________________

 

___________________________________________________________________________________________________

21.

Did the worker have an office or shop of his/her own?

Yes

No

 

Unknown

 

If “Yes,” where (e.g., was the office in the worker’s home or was it rented office space?): ________________________

 

___________________________________________________________________________________________________

22a.

Was a license or certificate required to perform the services?

 

Yes

No

Unknown

 

If “Yes,” does the entity possess such a valid license or certificate?

Yes

No

 

 

If “Yes,” does the worker possess such a valid license or certificate?

Yes

No

Unknown

b.Who issued the license or certificate to the entity and/or worker? State type and number for the entity and/or worker:

___________________________________________________________________________________________________

c.Who paid the worker’s license or certificate fee?__________________________________________________________

23.

How did the entity engage the worker?

Full-time

 

Part-time

Particular Job

Indefinite Period

 

Other, please explain: ____________________________________________________________________________

24.

Did the entity require the worker to perform during a scheduled time?

Yes

No

 

If “Yes,” please explain: ______________________________________________________________________________

25a.

Was the worker provided training by the entity?

Yes

No

 

 

 

If “Yes,” what kind and how often? _____________________________________________________________________

 

___________________________________________________________________________________________________

b.Who paid for the worker’s training expenses? ____________________________________________________________

c. Was the worker provided an orientation by the entity?

Yes

No

If “Yes,” please describe:______________________________________________________________________________

26.Was the worker required to follow a work schedule by the entity specifying days and hours in which work had to be

 

performed?

Yes

No

 

 

 

If “Yes,” please provide work schedule: _________________________________________________________________

 

Who established the work schedule? ___________________________________________________________________

27.

Was the worker given instructions about the way the service was to be performed?

Yes

No

If “Yes,” explain the nature of the instructions:____________________________________________________________

___________________________________________________________________________________________________

28.Could the entity change the methods used by the worker in performing the services or otherwise direct him/her as to

how to perform the work?

Yes

No

Explain your answer: _________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

DE 1870 Rev. 14 (12-18) (INTERNET)

Page 4 of 7

29a. Does the worker report to the entity or its representatives?

Yes

No

If “Yes,” how often? __________________________________________________________________________________

b.For what purpose? ___________________________________________________________________________________

c.In what manner (in person, in writing, by phone, time record, etc.)? _________________________________________

Attach copies of report forms used in reporting to the entity.

30.Was the worker required to produce a certain amount of work regularly or achieve certain performance goals if

 

services were to continue?

Yes

 

No

 

 

 

 

 

 

31a.

Check the type of pay the worker received?

Salary

 

Commission

Hourly

Other

 

 

If “Other,” please explain: ____________________________________________________________________________

31b.

Who set the pay rate?

Worker

Business Entity

 

Negotiated

 

Other

 

 

 

If “Other,” please explain:_____________________________________________________________________________

31c.

Was the worker paid in regular intervals?

 

Yes

No

 

 

 

 

 

 

If “Yes,” what was the frequency?

Daily

Weekly

 

Monthly

 

Other

 

 

 

If “Other,” please explain:_____________________________________________________________________________

32.

Was the worker guaranteed a minimum pay?

Yes

 

No

 

 

 

 

33.

Was the worker eligible for a pension, bonuses, paid vacations, sick pay, etc.?

 

Yes

No

 

 

If “Yes,” please explain: ______________________________________________________________________________

 

___________________________________________________________________________________________________

34.

Did the entity carry workers’ compensation insurance on the worker?

Yes

No

 

 

35.

Could the entity discharge or layoff the worker without notice?

Yes

No

 

 

36.

Could the worker quit at any time?

Yes

No

 

 

 

 

 

 

37.

Would a liability be incurred if the worker quit or was discharged before the job was complete?

Yes

No

 

If "Yes," please explain: _______________________________________________________________________________

38.Please explain why you believe the worker is/was an employee of the entity or an independent contractor:

___________________________________________________________________________________________________

___________________________________________________________________________________________________

39.How did the worker report earnings for income tax purposes?

Wages

Self-employment Income

Unknown

ANSWER QUESTIONS 40 THROUGH 45 ONLY IF THE WORKER IS AN AGENT DRIVER OR

COMMISSION DRIVER

An agent driver or commission driver is a person who operates his/her own truck or the truck of the entity and

serves the customers of the entity as well as soliciting his/her own customers.

40.State the products and/or services the driver distributes (for example: bakery products and laundry services):

___________________________________________________________________________________________________

41.If the driver distributes more than one product or service, which is considered the principal or main product? Explain: ____________________________________________________________________________________________

42.

Who does the driver serve?

Customers or routes designated by the entity

His/her own customers

Both

43.

Was the driver required to perform the services personally?

Yes

No

 

44.Were the driver’s services part of a continuing relationship with the entity and not in the nature of a single transaction?

Yes No

45.What investment, other than for transportation, does the driver have in his/her business?

___________________________________________________________________________________________________

___________________________________________________________________________________________________

DE 1870 Rev. 14 (12-18) (INTERNET)

Page 5 of 7

ANSWER QUESTIONS 46 THROUGH 58 ONLY IF THE WORKER WAS A

TRAVELING OR CITY SALESPERSON

46.What type of product is sold? _________________________________________________________________________

47.To whom are sales made?____________________________________________________________________________

48.What typical type of business is the buyer in? ___________________________________________________________

49.Does the buyer resell the product or use it in its business? _________________________________________________

50.

Did the worker have an exclusive territory?

Yes

No

 

 

51.

Did the entity specify when and how often to work the territory?

Yes

No

If “Yes,” please explain: _____________________________________________________________________________

__________________________________________________________________________________________________

52.What percent of total sales that the worker made for the entity were made to wholesalers, retailers, contractors, or operators of hotels, restaurants, or other similar establishments? ____________________________________________

53.What was the percent of working time that the worker spent in selling to organizations other than those specified in #52, such as manufacturers, schools, churches, and homeowners? _________________________________________

54.What was the approximate number of hours worked per day for the entity? __________________________________

55.

Was the worker required to perform the services personally?

Yes

No

 

56.

Was the worker required to forward the orders to the entity?

Yes

No

 

57.

Were the worker’s services part of a continuing relationship with the entity?

Yes

No

58.What investment, other than transportation, does the worker have in the business? ____________________________

__________________________________________________________________________________________________

ANSWER QUESTIONS 59 THROUGH 67 ONLY IF THE INDIVIDUAL WORKED AT HOME

59.

Who furnished materials or goods used by the worker?

Individual

Entity

 

 

60.

Was the worker furnished a pattern or given instructions to follow in making the product?

Yes

No

If “Yes,” please explain: _____________________________________________________________________________

__________________________________________________________________________________________________

61.Was the worker required to return the finished product either to the entity or to someone designated by the entity?

Yes No

62.

Was the worker required to perform the services personally?

Yes

No

 

 

63.

Were the worker’s services part of a continuing relationship with the entity?

Yes

No

 

64.

Is the entity licensed by the California Division of Labor Standards Enforcement?

Yes

No

Unknown

65.Does the worker have a valid permit from the California Division of Labor Standards Enforcement?

Yes

No

Unknown

 

 

66. Who bears the cost of material damaged by the worker?

Worker

Entity

67.Explain the nature of any substantial investment in facilities used in connection with performance of the worker’s services: __________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

DE 1870 Rev. 14 (12-18) (INTERNET)

Page 6 of 7

ANSWER QUESTIONS 68 THROUGH 72 ONLY IF THE INDIVIDUAL IS A

REAL ESTATE SALESPERSON OR BROKER

68.Does the entity provide advances against unearned commissions, expense accounts, or reimbursements of expenses

 

incurred by the worker?

Yes

No

 

 

 

 

Please explain: ____________________________________________________________________________________

 

__________________________________________________________________________________________________

 

__________________________________________________________________________________________________

69.

Does the entity approve the sales before they are placed in escrow?

Yes

No

 

70.

Does the worker have any other duties with the entity besides selling real estate?

Yes

No

 

If “Yes,” please explain the nature of such duties and the method of payment: _______________________________

 

__________________________________________________________________________________________________

 

__________________________________________________________________________________________________

71.

Does the entity allow the worker to have exclusive listings?

Yes

No

 

72.

Does the worker have a valid license to sell real properties?

Yes

No

 

ANSWER QUESTIONS 73 THROUGH 79 ONLY IF THE ENTITY IS A

TEMPORARY SERVICES EMPLOYER OR LEASING EMPLOYER

73.Does the entity negotiate with clients or customers for such matters as time, place, type of work, working conditions,

quality, and price of the services?

Yes

No

74.Does the entity determine the assignments or reassignments of the workers, even though workers retain the right to

refuse specific assignments?

Yes

No

75.Does the entity retain the authority to assign or reassign a worker to other clients or customers when a worker is

 

determined unacceptable by a specific client or customer?

 

Yes

No

 

 

76.

Does the entity assign or reassign the worker to perform services for a client or customer?

Yes

No

77.

Does the entity set the rate of pay of the worker, whether or not through negotiation?

Yes

No

78.

Does the entity pay the worker from its own account(s)?

Yes

 

No

 

 

79.

Does the entity retain the right to hire and terminate workers?

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I declare that all copies of contracts and all statements submitted are true, correct, and complete to the best of my knowledge and belief. If any misrepresentation has been made or facts have been omitted, I understand that the determination will not be valid and will not be binding upon the EDD.

(NAME PRINTED)

 

(DATE)

 

 

 

(SIGNATURE)

 

(PHONE NUMBER)

 

 

 

(TITLE)

 

 

 

 

 

 

 

 

DE 1870 Rev. 14 (12-18) (INTERNET)

Page 7 of 7

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2. Right after the first section is done, go on to type in the applicable details in these: Provide a brief description of, Has this issue been the subject, determination, Yes, Unknown, If Yes please explain and provide, Has any other governmental agency, performing the same or similar, Yes, Unknown If Yes please attach a copy, Total number of workers in this, Attach names addresses and phone, and This information is about.

Has any other governmental agency, If Yes please explain and provide, and This information is about of de 1870

3. Completing This information is about, Date, Date, State the workers occupation, How did the worker learn of the, What were the requirements for, Is the worker still performing, Yes, Were the services performed under, and Yes is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

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5. The final step to finalize this form is essential. You'll want to fill in the appropriate blanks, like f What services do the helpers, Unknown, Yes, Worker, If Yes answer questions b through, a Does the worker have helpers b, If the worker paid the helpers did, The entity, The entity, The entity, Unknown, Worker, Worker, Yes, and Yes, prior to finalizing. Failing to accomplish that may lead to an unfinished and potentially unacceptable document!

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