De 9Adj Form PDF Details

In the list, there's some information in regards to the de 9adj form. It's going to give you the estimated time you'll need to fill out the form plus some further details.

QuestionAnswer
Form NameDe 9Adj Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswage adjustment, ca edd de 9adj form, edd de 9 adj, de9adj

Form Preview Example

QUARTERLY CONTRIBUTION AND

WAGE ADJUSTMENT FORM

STATUTE OF LIMITATIONS

A claim for refund or credit must be filed within three years of the last timely filing date of the quarter being adjusted.

You can file this adjustment form online through the Employment Development Department’s (EDD) e-Services for Business. Please visit our website at www.edd.ca.gov. See Instructions for Completing the Quarterly Contribution and Wage Adjustment Form (DE 9ADJ-I) for completing this form.

SECTION I: (PLEASE PRINT)

BUSINESS NAME

YEAR / QUARTER

Select:

EMPLOYER ACCOUNT NO.

ADDRESS

CITY, STATE, ZIP CODE

REASON FOR ADJUSTMENT

 

(1)

(2)

(3)

SECTION II:

 

 

DIFFERENCES

ADJUSTMENT TO WAGES AND CONTRIBUTIONS

Previously reported

Should have reported

Debit/(Credit)

A. TOTAL SUBJECT WAGES

0

0

0

B. UNEMPLOYMENT INSURANCE (UI) Taxable Wages

0

0

0

C. STATE DISABILITY INSURANCE (SDI) Taxable Wages

0

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

D. EMPLOYER’S UI CONTRIBUTIONS (UI Rate

 

 

% times B)

 

0

 

0

 

0

 

 

 

E. EMPLOYMENT TRAINING TAX (ETT Rate

 

 

% times B)....

0

 

0

 

0

 

 

 

 

 

 

 

 

 

 

 

 

F. STATE DISABILITY INSURANCE* (SDI) Withheld (SDI Rate

0

 

0

 

0

 

 

% times C; complete Box 1 below if credit on row F.) ...

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G. PERSONAL INCOME TAX (PIT) Withheld (Complete

0

 

0

 

0

Box 2 below if credit on line G.)

 

 

 

 

 

 

H. SUBTOTAL (Lines D, E, F, and G)

 

 

 

0

 

0

 

0

 

I. Penalty (Refer to instructions on DE 9ADJ-I)

 

 

 

0

 

J. Interest (Refer to instructions on DE 9ADJ-I)

 

 

 

0

 

 

 

 

 

 

 

 

 

 

 

 

K. Erroneous SDI Deductions not refunded (See Box 1, NOTE below)

 

 

 

0

 

L. Less contributions and withholdings paid for the quarter

 

 

 

0

 

M. Total taxes due or overpaid (H2 + I + J + K) - L

 

 

 

0

 

 

 

 

 

 

 

 

 

 

 

* Includes Paid Family Leave amount.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BOX 1. STATE DISABILITY INSURANCE OVERPAYMENTS (Must be completed for credit to be allowed.)

1. Was the credit claimed in column 3 withheld from the wages of employee(s)?

Yes

No

If yes, has this amount been refunded to employee(s)?

Yes

No

If not refunded: employee(s) no longer employed, unable to locate.

NOTE: The EDD cannot refund these contributions to you unless you first refund the erroneous deductions to the employee(s). (List each employee name, Social Security Number, and amount of SDI not refunded.)

BOX 2. PERSONAL INCOME TAX OVERPAYMENTS (Must be completed for credit to be allowed.)

If you paid the Employment Development Department (EDD) more than the amount of California PIT withheld from wages of employee(s), you can adjust the amount reported by using this form. The EDD will allow credit adjustments prior to the issuance of Forms W-2. If you

have already issued Forms W-2, please read the additional information on page 2 before proceeding.

1. Was the credit claimed in column 3 withheld from the pay of employee(s)?

Yes

No

If yes, has this credit been refunded to employee(s)?

Yes

No

2. Was the credit claimed in column 3 included on Forms W-2 issued to employee(s)?

Yes

No

Be sure to sign this declaration: I declare that the information herein is true and correct to the best of my knowledge and belief.

Signature

 

Title

 

 

Phone (

)

Date

 

 

 

 

 

 

 

 

 

 

 

 

(Owner, Accountant, Preparer, etc.)

 

 

SIGN AND MAIL TO: Employment Development Department / P.O. Box 989073 / West Sacramento, CA 95798-9073

DE 9ADJ Rev. 3 (7-13) (INTERNET)

Page 1 of 2

CU

QUARTERLY CONTRIBUTION AND WAGE ADJUSTMENT FORM

EMPLOYER ACCOUNT NO.

BUSINESS NAME

SECTION III: QUARTERLY WAGE AND WITHHOLDING ADJUSTMENTS

Enter amounts that should have been reported; if unchanged, leave field blank. Correcting the Social Security Number or Name requires two entries. See Instructions for Completing the Quarterly Contribution and Wage Adjustment Form (DE 9ADJ-I), Section III, for additional information and instructions.

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

YEAR / QUARTER

SOCIAL SECURITY NUMBER

EMPLOYEE NAME (FIRST, MIDDLE INITIAL, LAST)

 

 

 

 

 

 

 

 

TOTAL SUBJECT WAGES

PIT WAGES

PIT WITHHELD

 

 

 

 

 

DE 9ADJ Rev. 3 (7-13) (INTERNET)

Page 2 of 2

How to Edit De 9Adj Form Online for Free

Few things can be quicker than creating documents making use of this PDF editor. There isn't much you have to do to manage the wage adjustment file - simply follow these steps in the following order:

Step 1: The initial step will be to choose the orange "Get Form Now" button.

Step 2: After you get into the wage adjustment editing page, you will notice lots of the functions you may undertake about your document at the top menu.

Feel free to provide the following information to fill out the wage adjustment PDF:

de9 adj gaps to complete

The program will expect you to fill in the H SUBTOTAL Lines D E F and G, I Penalty Refer to instructions on, Interest Refer to instructions on, K Erroneous SDI Deductions not, L Less contributions and, M Total taxes due or overpaid H I, Includes Paid Family Leave amount, BOX STATE DISABILITY INSURANCE, Was the credit claimed in column, Yes Yes, No No, If not refunded employees no, NOTE The EDD cannot refund these, List each employee name Social, and BOX PERSONAL INCOME TAX segment.

stage 2 to filling out de9 adj

You should be required some crucial data to fill in the EMPLOYER ACCOUNT NO, BUSINESS NAME, SECTION III QUARTERLY WAGE AND, YEAR QUARTER, SOCIAL SECURITY NUMBER, EMPLOYEE NAME FIRST MIDDLE INITIAL, TOTAL SUBJECT WAGES, PIT WAGES, PIT WITHHELD, YEAR QUARTER, SOCIAL SECURITY NUMBER, EMPLOYEE NAME FIRST MIDDLE INITIAL, TOTAL SUBJECT WAGES, PIT WAGES, and PIT WITHHELD box.

Filling out de9 adj stage 3

In part YEAR QUARTER, SOCIAL SECURITY NUMBER, EMPLOYEE NAME FIRST MIDDLE INITIAL, TOTAL SUBJECT WAGES, PIT WAGES, PIT WITHHELD, YEAR QUARTER, SOCIAL SECURITY NUMBER, EMPLOYEE NAME FIRST MIDDLE INITIAL, TOTAL SUBJECT WAGES, PIT WAGES, PIT WITHHELD, YEAR QUARTER, SOCIAL SECURITY NUMBER, and EMPLOYEE NAME FIRST MIDDLE INITIAL, indicate the rights and responsibilities.

Entering details in de9 adj step 4

Step 3: Press the Done button to confirm that your completed document can be exported to every device you prefer or delivered to an email you indicate.

Step 4: To stay away from probable forthcoming troubles, it is important to possess a minimum of a few copies of each separate form.

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