Dws Ui Form1 Form PDF Details

Navigating the intricacies of unemployment insurance (UI) in Utah requires a thorough understanding of various forms and reports, among which the DWS-UI FORM1 plays a crucial role. Revised in January 2016, this form is a comprehensive tool issued by the Utah Department of Workforce Services for businesses to report their status regarding UI. Located in Salt Lake City, the department mandates the completion of this form for every business and independent professional operating within the state. The form seeks detailed information about the business, including the type of ownership, contact details, Federal Employer ID Number (FEIN), and the Utah Unemployment Registration Number. Additionally, it delves into the specifics of the business's operations, such as the number of permanent work sites, the description of products or services, and details regarding the first Utah wages paid. Key segments also cover categories like construction, domestic, agriculture employers, and leasing companies, reflecting the diverse spectrum of businesses affected by UI policies. Furthermore, the form addresses scenarios of business acquisition, merger, or transfer, demanding transparency about any changes in ownership, assets, or workforce. Through completing the DWS-UI FORM1, businesses not only comply with state regulations but also contribute to a system designed to support workers in times of unemployment, highlighting its importance beyond mere bureaucratic procedure.

QuestionAnswer
Form NameDws Ui Form1 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesutah form 1, ut ui, ut dws state nm, ui 1 form

Form Preview Example

DWS-UI

FORM1

REV.

01/16

Utah Department of Workforce Services

Unemployment Insurance

140 East 300 South

P.O. Box 45288 Salt Lake City, UT 84145-0288

(801) 526-9235

s 1-800-222-2857 s Fax: (801) 526-9377

STATUS REPORT

Please Read the Instructions then Complete All Items. Type or Print Legibly.

 

1. Type of Ownership:

 

Individual

 

Corporation

 

Partnership

 

LLC

 

Corporate Election

 

 

Other: _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Business name, DBA and mailing address for UI quarterly reports:

 

 

 

2a:

Telephone:

 

 

3a.

Federal Employer ID Number

 

 

 

 

 

 

 

 

 

 

 

(

 

)

 

 

 

(FEIN):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b: Fax:

 

 

3b. Utah Unemployment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registration Number:

 

 

 

 

 

 

 

 

 

 

 

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2c: E-mail:

 

 

4. County in Utah

5. Number of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

where principal

Utah

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activity is located:

permanent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

work sites:

 

 

 

 

 

 

 

 

 

 

6. Mailing address & phone for Wage and

 

 

7. Street address & phone of principal work

 

8. Mailing address & phone for New Hire

Separation Requests (if different from item 2):

 

 

site in Utah (if different from item 2):

 

information (if different from item 2):

 

Telephone # (

) _______________

 

 

Telephone # (

) ____________

 

 

Telephone # (

) _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. List owners or corporate officers (e.g., sole proprietor, general partners, corporate officers or LLC members)

Name

 

 

SSN

Title

 

Home Address

 

Home Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Describe in detail your principal business product and/or service of your Utah operation (see instructions):

 

 

 

 

 

 

 

 

 

 

 

11a. Enter DATE of first Utah wages

 

 

 

11b. Enter

 

12. If Utah wages have not yet been

paid to employees including corporate

 

Amount of first $

 

paid, give estimated DATE when you

officers. (see instructions)

 

 

 

 

Utah wages paid.

 

expect to pay Utah wages:

13. Complete this Section if your business falls into one of the categories below, otherwise select:

N/A

A. Construction Employer:

Business has operated only in the State of Utah or

 

 

 

 

 

 

Business has operated in another state prior to operating in the State of Utah. Name of prior State:___________________

B. Domestic Employer:

 

Employer has paid or will pay $1,000 or more in wages in a calendar quarter for domestic service. Yr/Quarter:___________

 

 

Request to file UI contribution reports and payment annually on January 31st instead of filing quarterly.

C. Agriculture Employer:

 

Business has paid or will pay $20,000 or more in wages in a calendar quarter. Yr/Quarter:___________ or

 

 

Business has or will have 10 or more employees working in at least 20 different weeks during the calendar yr _________.

D. Leasing Company:

 

Business is a Professional Employer Organization (PEO):

 

 

 

 

 

 

Utah PEO (Professional Employer Organization) registration number: ______________________

 

 

 

 

 

 

 

 

 

 

 

14a. Did or will your business obtain in full or part, through an acquisition, merger or transfer, the assets, the trade or business, or workforce of another

company?

 

 

 

 

 

 

 

 

 

 

NO

YES.

Please complete Sections 14 and 15

 

 

 

 

 

Enter the date of acquisition, merger or transfer: _________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

14b. Check the type of change:

Reorganization

Repossession

Transfer of trade or business

Change of entity (e.g., proprietorship to corporation) Sale of business to new business

Purchase assets of business

Purchase assets of business from the bankruptcy court

Merger

Lease of business to new business Transfer of workforce (employees)

Other: (explain) ____________________________________________________________

Page 2

14c. What portion of the previous owner's assets, trade or business, or workforce was or will be obtained?

%of assets

%of trade or business

%of workforce (employees)

14d. Previous owner:

Business name: _______________________________________________________________

Address: _____________________________________________________________________

Utah Unemployment Registration Number: __________________________________________

Federal Employer Identification Number: ____________________________________________

14e. Does the previous owner continue to:

Have Utah employees? YES

Operate a separate business in Utah? YES

NO

 

NO

If NO: DATE closed: _____________________________

 

 

 

15a. List any current owner who was also a previous owner. Also, list any current owner who is related to any previous owner. "Related" means one's self, spouse, parent, step-parent, child, step-child, sibling or step-sibling.

NAME

SSN or FEIN

Percentage of

Ownership

Family Relationship

15b. Select the common management practices of your business retained from the previous owner:

Management, managers, officers, board of directors

Personnel and human resource policies

Operating procedures

Sales and pricing policies

Collection procedures

Financing policies

Accounting practices

Purchasing practices

Other (explain): _____________________________________________________

None of the above.

15c. Select the common control practices your business retained from the previous owner:

Control of the assets used to conduct the business enterprise

Financing and/or leasing arrangements

Contracts

Business, professional and regulatory licenses of the business enterprise

Other (explain): _____________________________________________________

None of the above.

Any person or advisor who knowingly violates or attempts to violate Utah Code Section 35A-4-304 and Section 76-8-1301

may be subject to civil and criminal penalties (see instructions)

I certify that the information contained in this report is true and correct

Signature:__________________________________

Print Name & Title:__________________________________

Telephone:__________________________________

Date: ___________________________________________

Form 1 Rev: 05/10

Unemployment Insurance (UI) Instructions for Status Report, Form 1

The Utah Employment Security Act states that the Department of Workforce Services (DWS) must determine the status of each business and each person independently established in a trade, occupation, or profession. After paying wages, complete and return this form immediately to the Department of Workforce Services, UI Employer Accounts Unit, P.O. Box 45288, Salt Lake City, Utah, 84145-0288.

All items must be completed. If an item does not apply to your business, enter N/A (Not Applicable).

Item 1:

LLC (Limited Liability Company) is considered a partnership unless corporate election is selected. LLC corporate election means the business has authorization or has requested approval from the IRS to be taxed as a corporation. In this case, LLC members would be considered corporate officers. All payments for corporate officer's services are taxable and reportable for Utah unemployment insurance coverage.

Item 2:

If you have more than one trade or business name, list the name or names by which your company is best known to the public. List the telephone and fax numbers for the employer rather than those for the accountant or employer representative.

Item 3b:

Enter your current Utah Unemployment Registration Number if previously registered.

Item 6:

Address and telephone number of the agent or office able to provide wage data, weeks of employment and other information about employees separated from your employment.

Item 7:

Provide the telephone number and physical location (street address, city, state and zip) for the principal work site in Utah. If there are multiple permanent work sites, attach a separate sheet listing the name, address and telephone number for each work site.

Item 10:

Describe in detail the specific product or service you provide. For example, do you manufacture, install, sell wholesale or retail, or offer services? Describe the product, what is sold, or the type of services offered. (Some examples are wholesale mens wear, construction single residential housing, or computer integrated systems design.)

Item 11:

Wages are currently defined by Section 3306(b) of the Internal Revenue code of 1986 and Section 35A-4-208 of the Utah Employment Security Act. Wages represent all payments for services performed including commissions, bonuses, salaries or draws to corporate officers, tips and the cash value of all remuneration in any medium other than cash.

Wages paid to the entity owner (e.g., sole proprietor, general partners and LLC members) are not considered as wages for unemployment insurance. See Item 1 instruction of LLC member exceptions. Wages paid for services performed by a sole proprietor's spouse, parents, or children under age 21 should not be reported for unemployment insurance.

An account will not be established until wages have actually been PAID.

Item 13b:

A domestic employer hires a household worker such as, but not limited to, a nanny, babysitter, yard worker, driver, health aide, private nurse, housekeeper, caretaker, and cleaning people. In addition, employees of college fraternities and sororities are included in this category.

Item 13d:

A Professional Employer Organization (PEO) must register with the Utah Insurance Department before DWS can recognize its PEO status. (http://www.insurance.utah.gov/PEO.html)

Item 14a:

If you acquired (in whole or part) the business activity previously conducted by another entity, or if the business entity has changed (i.e., changed entity from a sole proprietorship to a corporation) even if the owners are still principally the same, complete Items 14a-15c. "Acquired" means to come in possession of, obtain control of, or obtain the right to use the assets, business, or workforce through any legal means. An acquisition can include change to the form of ownership, inheritance, repossession, foreclosure, gift, purchase or any items noted in Item 14b.

Item 15a:

If you are a current owner of this business as well as a previous owner of the transferred business, enter your name, social security number and percentage of ownership in the new business. If you are a current owner and are related to any previous owner of the transferred business, enter your name, social security number, percentage of ownership in the new business and your family relationship.

Any employer, employer representative, or advisor who knowingly violates or attempts to violate Utah Code Section 35A-4-304 and Section 78-8-1301 may be subject to civil and criminal penalties which consist of contribution rate increases to their UI accounts and a fraud assessment of up to $5,000.

To obtain additional information: call (801) 526-9235 or toll-free: 1-800-222-2857 or contact:

Utah Department of Workforce Services

UI Employer Accounts Unit

140 East 300 South

P.O. Box 45288

Salt Lake City, UT 84145-0288