Form 631 PDF Details

In understanding the administrative essentials that tether the employment landscape together, the 631 form emerges as a pivotal document crafted by the State of Utah's Department of Workforce Services. Revamped in January 2020, this document serves as an essential tool in the employment termination process. Its primary aim is not to ascertain eligibility for Unemployment Insurance but to present a comprehensive overview of an employee's concluding phase with an organization. The form requires meticulous completion with a black pen and encapsulates crucial employer information including company name, supervisor contact details, and any differing corporate or payroll titles. Additionally, it delves into the employee's history, chronicling averaged working hours, wage details, and pertinent dates ranging from employment commencement to termination. Details concerning final paycheck amounts, severance or vacation pay, and reasons for employment cessation are diligently requested. Furthermore, the form addresses inquiries regarding temporary terminations or furloughs, eligibility for continued medical insurance, retirement benefits, and opens a channel for additional comments. Completing the form demands signatures from both employer and employee, thereby sealing the document's validity, with instructions for its return to the Department of Workforce Services detailed succinctly. This comprehensive form stands as a testament to organized employment termination, ensuring clarity and procedural adherence for both parties involved.

QuestionAnswer
Form NameForm 631
Form Length2 pages
Fillable?Yes
Fillable fields31
Avg. time to fill out6 min 42 sec
Other namesutah form workforce services, dws form 631, employment termination form utah, 631 form

Form Preview Example

DWS-ESD 631 Rev. 01/2020

State of Utah

Department of Workforce Services

EMPLOYMENT TERMINATION

Case name:

 

Case number:

 

Employed person:

 

 

SSN:

 

D32319901250101

Please use a black pen to complete form. This form is not used to determine Unemployment Insurance eligibility.

Employer Information:

Company name:

Corporate name (if different):

Payroll company (if different):

Company address:

Name of supervisor or HR contact:

 

 

 

 

 

Phone number:

 

Employee History:

 

 

 

 

 

 

 

1.Average hours the employee worked per week:

 

 

 

 

Hourly wage: $

2.Date of hire:

 

 

Last day worked:

 

 

 

3.Date final check available to the employee:

4.Gross amount (before taxes) of final paycheck:

5.Total gross pay (before taxes) in the month employee received their final check:

6.Did the employee receive severance pay or vacation pay separate from their final check? If so, how much?

7.Reason for leaving:

Quit (state reason)

 

 

 

Laid off (date)

 

 

 

Fired (state reason)

 

 

 

Leave of absence (length)

 

 

Other (state reason)

 

 

 

 

 

 

 

 

 

 

 

8.Is this a temporary termination or furlough?

Yes

No

 

 

 

 

 

 

 

 

If yes, when is the employee expected to return to work for this company?

If yes, will the employee receive pay during their leave of absence?

 

 

 

 

 

 

 

9.Is there an option for continued medical insurance?

Yes

No

 

 

 

 

 

 

If yes, please list insurance carrier:

 

 

 

 

Group #:

 

 

 

 

 

 

Policy number:

 

 

 

 

 

and COBRA amount: $

 

 

 

 

 

 

 

 

 

 

10.Does the employee have any retirement and/or 401K benefits?

Yes

No If yes, how much?

11.Any additional comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Signature*

 

 

 

 

 

 

 

 

Date

*Additional verification will be required if employer does not sign form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer Signature

 

 

 

 

 

 

 

 

Date

Return form to employee or to Department of Workforce Services:

Mail - Department of Workforce Services, Imaging Operations, P.O. Box 143245, Salt Lake City, UT 84114-3245

Fax - Salt Lake City Area: 801-526-9500 or Toll free: 1-877-313-4717

Questions? Call - Salt Lake City Area: 801- 526-0950 or Toll Free: 866-435-7414

Equal Opportunity Employer/Program

Auxiliary aids and services are available upon request to individuals with disabilities by calling 801-526-9240. Individuals

who are deaf, hard of hearing, or have speech impairments may call Relay Utah by dialing 711. Spanish Relay Utah: 1-888-346-3162.

How to Edit Form 631 Online for Free

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1. Begin filling out the utah dwsesd workforce with a selection of essential blanks. Get all the information you need and ensure absolutely nothing is missed!

form 631 writing process detailed (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Did the employee receive, If so how much, Reason for leaving, Quit state reason, Laid off date, Fired state reason, Other state reason, Leave of absence length, Is this a temporary termination, Yes, If yes when is the employee, If yes will the employee receive, Is there an option for continued, Yes, and If yes please list insurance with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage number 2 in completing form 631

3. This next section is related to Additional verification will be, Customer Signature, Date, Mail Department of Workforce, Return form to employee or to, Fax Salt Lake City Area or Toll, Questions Call Salt Lake City, Auxiliary aids and services are, who are deaf hard of hearing or, and Equal Opportunity EmployerProgram - fill in each one of these blank fields.

Stage # 3 for filling out form 631

Many people often make mistakes while filling in Equal Opportunity EmployerProgram in this section. You need to double-check everything you type in right here.

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