Utah Hire Search Details

Form Dws Ui Form 6, also known as The Disability Welfare Services (ui) Application, is a form that is used to apply for disability welfare services. This form can be used by residents of Singapore who are 18 years or older and have a disability that affects their daily activities. The Disability Welfare Services provides assistance to disabled residents in the areas of housing, employment, and education. If you would like to apply for disability welfare services, be sure to complete this form accurately and submit it to the relevant authorities.

You can find additional information in regards to the form dws ui form 6 by checking out the listing our team prepared.

QuestionAnswer
Form NameForm Dws Ui Form 6
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesutah form hire, employer utah hire, utah new hire, utah report for new hire report

Form Preview Example

DWS-UI

Form 6

Rev. 0214

UTAH NEW HI RE REGI STRY REPORTI NG FORM

Submit this completed form w ithin 20 days of a

new employee’s first day of w ork to:

Utah New Hire Registry

P.O Box 45247

Salt Lake City UT 84145-0247

Or

FAX to 801-526-4391

You may photo copy this original form for future use

See important instructions on second page

PRI NT legibly in ink or TYPE all entries

Please write all entries in CAPS

All required items MUST be completed

Contact Person _________________________

Phone number _________________________

Today’s Date (mm/ dd/ yyyy) ________________________

REQUIRED EMPLOYER INFORMATION

Federal Employer I D Number (FEI N) ____________________________________________________

Employer’s Business Name ____________________________________________________________

Employer’s Street Address ____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

 

City

State

ZI P

 

 

 

REQUIRED EMPLOYEE INFORMATION

 

 

 

 

Social Security Number

____________________________________________________________

Employee’s first name

____________________________________________________________

Employee’s middle initial

____________

 

 

Employee’s last name

____________________________________________________________

Employee’s home address ____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

CityStateZI P

Date of hire/ rehire (mm/ dd/ yyyy) ______________________________________________________

OPTI ONAL I NFORMATI ON: Employee’s birthdate (mm/ dd/ yyyy) ___________________________

140 East 300 South Salt Lake City, Utah 84111

801-526-9235 or toll free 800-222-2857 FAX 801-526-9236 Relay Utah 711

Spanish Relay Utah 1-888-346-3162 Equal Opportunity Employer/Programs jobs.utah.gov

DWS-UIC

Form 6

Rev. 0214

I NSTRUCTI ONS

This form is used to report new hires by mail or fax. We strongly recommend entering new hire data on our web site at https: / / jobs.utah.gov/ UI / Employer/ EmployerHome.aspx. Larger employers may consider submitting new hire information by CD or by uploading a file on our website. For further information about electronic reporting, please refer to the New Hire Registry Handbook or visit our web site,

https: / / jobs.utah.gov/ UI / Employer/ EmployerHome.aspx. You can contact us at 801-526-9235 or 1-800- 222-2857.

The Form: You may download, complete, and print this form in Acrobat Reader, but you cannot electronically save a completed form, or retain your work on a partially completed work. Alternately, you may print the form and use a typewriter with a dark simple print font with 10 or 12 pitch. I f hand- printing, use black ink and print in CAPI TAL LETTERS with clear character separation.

REQUI RED I TEMS must be completed. Forms submitted with missing data will be returned.

Federal Employer I D Number: The 9-digit federal employer identification number used for Federal tax reporting. Do not place a hyphen between numbers.

Employer’s Name: List the employer’s legal name.

Employer’s Address: The address where child support payment orders are sent .

Employee’s Social Security Number: The 9-digit number issued by the Social Security Administration. Do not place hyphens between numbers. Forms and reports without a Social Security Number will not be accepted.

Date of Hire/ Rehire: This is the date that labor or services for compensation are first performed by the employee. The date of rehire is the date labor or services for compensation are first performed by an employee who was previously employed by the employer, but has been separated from that employment for at least 60 consecutive days.

SUBMI SSI ON OF NEW HI RE REPORTS

You may choose the filing method that is most convenient for you. You may also submit a copy of the employee’s W - 4 Form or a printed list.

An employer who fails to timely report the hiring or rehiring of an employee as required by law is subject to a civil penalty of $25 to $500 for each such failure.

All required information must be provided within 20 calendar days of the employee’s first day of work.

Submit all data using the address, fax number or web site printed on the front of the form.

140 East 300 South Salt Lake City, Utah 84111

801-526-9235 or toll free 800-222-2857 FAX 801-526-9236 • Relay Utah 711

Spanish Relay Utah 1-888-346-3162 Equal Opportunity Employer/Programs jobs.utah.gov

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