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.
| Question | Answer |
|---|---|
| Form Name | Form Dws Ui Form 6 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | utah form hire, employer utah hire, utah new hire, utah report for new hire report |
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
Or
FAX to
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 ____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
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City |
State |
ZI P |
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REQUIRED EMPLOYEE INFORMATION |
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Social Security Number |
____________________________________________________________ |
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Employee’s first name |
____________________________________________________________ |
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Employee’s middle initial |
____________ |
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Employee’s last name |
____________________________________________________________ |
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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
Spanish Relay Utah
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
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
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
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
Spanish Relay Utah