Form Dws Ui Form 6 PDF 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.

Form NameForm Dws Ui Form 6
Form Length2 pages
Fillable fields23
Avg. time to fill out5 min 6 sec
Other namesutah form hire, utah hire search, employer utah hire, utah form registry

Form Preview Example


Form 6

Rev. 0214


Submit this completed form within 20 days of a

new employee’s first day of work to:

Utah New Hire Registry

P.O Box 45247

Salt Lake City UT 84145-0247


FAX to 801-526-4391

You may photo copy this original form for future use

See important instructions on second page

PRINT 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) ________________________


Federal Employer ID Number (FEIN) ____________________________________________________

Employer’s Business Name ____________________________________________________________

Employer’s Street Address ____________________________________________________________
















Social Security Number



Employee’s first name


Employee’s middle initial





Employee’s last name



Employee’s home address ____________________________________________________________





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

OPTIONAL INFORMATION: 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


Form 6

Rev. 0214


This form is used to report new hires by mail or fax. We strongly recommend entering new hire data on our web site at 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, 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. If hand- printing, use black ink and print in CAPITAL LETTERS with clear character separation.

REQUIRED ITEMS must be completed. Forms submitted with missing data will be returned.

Federal Employer ID 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.


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

How to Edit Form Dws Ui Form 6 Online for Free

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Fill in the utah new hire registry reporting form PDF and enter the content for each part:

example of fields in utah form hire

In the area Social, Security, Number Employees, first, name Employees, middle, initial Employees, lastname Employees, home, address City, State, ZIP, Date, of, hire, rehire, mm, dd, yyyy East, South, Salt, Lake, City, Utah and or, toll, free, FAX, Relay, Utah provide the information that the system asks you to do.

Entering details in utah form hire part 2

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