Form Uc 30 PDF Details

Form UC 30, Request for Leave of Absence, is used to request a leave of absence from your job. The form must be completed and submitted to your employer in advance of the leave. There are several types of leaves that can be requested, including medical, family care and military service. Each type of leave has specific requirements that must be met in order to qualify. Be sure to review the instructions carefully before completing the form.

Below, you may find some information regarding form uc 30 PDF. There, you will get the specifics of the document you want to fill out, which includes the likely time for you to complete it along with other particulars.

QuestionAnswer
Form NameForm Uc 30
Form Length4 pages
Fillable?Yes
Fillable fields178
Avg. time to fill out36 min 36 sec
Other namesuc 30h, dc form uc30 fillable, form uc 30, dc does uc30

Form Preview Example

Office of Unemployment Compensation

P.O. Box 96664

Washington, D. .

20090-6664 Telephone: Local: (202 ) 698-7550

Toll Free: (877) 319-7346

 

FORM ID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(DO NOT USE THIS SPACE)

 

EMPLOY R #:

 

NA E CHK:

 

EMPLOYER NAME AND ADDRE

 

FEDERAL EIN #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QUARTER ENDING:

 

 

T X RATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T X BLE WAGE BASE:

 

 

 

 

 

 

 

 

 

 

THIS REPORT DUE:

 

 

$9,000.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

TOTAL NUMBER

F COV

RED WORKE

S (employed in Washington, DC)

1st Month

 

2nd Month

3rd Month

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

TOTA WAGES

AID (this quarter, to all covered workers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

NON-TAXABLE WAGES

 

 

 

 

 

 

 

 

 

 

4

TAXABLE WAGES (

ITEM 3 from ITEM 2)

 

 

 

 

 

 

 

 

 

5

CONTRIBUTION DUE (

 

ITEM 4 by your tax rate of

 

 

%)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

PLUS ADMIN. ASSESSMENT DUE

ITEM 4 by two tenths of one percent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

PLUS INTEREST DUE

... .. .. ... .. .. ... .. .. ... ... .. ....

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

PLUS PENALTY DUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED CREDIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.EQUALS TOTAL REMITTANCE AMOUNT(Make check or money order payable to '

11. ENTER THE APPROPRIATE INFORMATION BELOW

 

:

 

ENTITY NAME:

TRADE NAME:

 

 

 

 

 

 

STREET ADDRESS:

ADDRESS LI

2:

 

 

 

 

 

 

 

CITY:

STATE:

ZIP:

 

 

 

 

C NT CT N M :

CONT CT TELEPHONE:

 

 

 

 

 

BUSI ESS TELEP ONE:

BUSINESS FAX:

 

 

 

 

EM IL ADDRESS:

FEIN CORRECTION: *

12.

OU

V SOLD

TRA SFER ED YOUR BUS NESS, enter date of sale or transfer:*

 

/

/

 

 

 

O L NGER IN BUSINESS, enter date wages last paid in DC:

 

/

/

 

 

13.

DESCRIBE

NY OTHER CHA GE IN ST TUS:

 

 

 

 

 

Asterisk (*) Indicates supporting documents required. Please attach supporting documents to the report.

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:

TELEPHONE:

DATE:

PRINT AME:

EMAIL:

TITLE:

UC30p1.FRM rev 03/19

GovernmentofTheDistrictofColumbia

DepartmentofEmploymentServices

 

 

14. EMPLOYEEEE WAGE INFORMATIONEMPLOYEENAMEFOR(PLEASETHISTYPEQUARTERORPRINT)

 

 

TAL

 

 

 

TOTALGROSSPAIDTHISQUARTRWAGES

 

 

 

Office of Unemployment Compensation .

. Box 96664 Washington, D. . 20090-6664

Telephone: Local: (202)698-7550

Toll Free - (877) 319-7346

 

 

 

DOES-UC30

 

CONTRIBUTIONEMPLOYER'SANDQUARTERLYWAGEREPORT

 

HTOURS

 

POST MARK DATE:

 

 

 

FORM ID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(DO NOT USE THIS SPACE)

 

 

 

EMPLO ER #:

 

NAME CHK:

 

EMPLOYER'S NAME AND ADDRESS

 

FEDERAL EIN #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAX RATE:

 

 

 

 

 

 

 

QU RTER ENDING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAXABLE WAGE BASE:

 

 

 

 

 

 

 

THIS REPORT DUE:

 

 

 

 

$9,000.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOC. SEC. NO.

 

 

 

LAST NAME, FIRST NAME, MI

 

WORKED

 

 

DOLLARS

CENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: DC law requires that employers with 250 or more employeesPageMUST2FILE wage reports electronically on Employer Self-Service Portal (ESSP) at https://essp.does.dc.gov. All employers are encouraged to file wage reports electronically. For further inform-

ation about electronic filing, Please refer to PART 2

on page 4.

 

 

 

TOTALWAGESTHISPAGE

 

 

DONOTEMAILTHISREPORT

 

UC30p2.FRM rev 03/19

GovernmentofTheDistrictofColumbia

 

DepartmentofEmploymentServices

INSTRUCTIONSFORFILINGTHEEMPLOYER'SQUARTERLYCONTRIBUTIONANDWAGEREPORT

 

 

 

 

 

stateofresidence. regardless

oftheir

 

You must file this port for the quarter indicated if you had employees who worked in the District of Columbia

 

 

any

20090-6664. TELEPHONE: Local (202) 698-7550 Toll F - (877) 319-7346

Office of Unempl yment Compensation P.O. Box 96664 Washington, D.C.

 

oYouhavemustclosedyouralso file thisaccountreportorhaveeven if youbeendidplacedinnot pay

wagesinactivestatusto employees.for work done in the District of Columbia unlessyou

RECORDKEPYou mustNG:file this report even if you paid wages and had no tax liability.

 

Please make a copy of the report for your records.

EXTENSPOLICY:ONThis Office has NOauthority to offer extensions of time to file quarterly reports or to pay amount due.

PAYMENT

In addition to the PENALTYdiscussed in ITEM8,if a payment to DOES is DISHONORED,a $65.00 penalty

1:

will be imposed.

TOTAL NUMBER OF COVERED WORKERS: For each month, count all workers (including corporate officials, executives, etc.) who performed services in or received pay for any part of the payroll period that includes the 12th of the month.

2TOTAL WAGES PAID THIS QUARTER. Enter the total gross wages paid (before deductions) including the cash value of all remuneration paid in any medium other than cash. Gross wages must agree with the total of all wages reported under ITEM 14

3:of your quarterly wage report. If you paid no wages, enter '0'.

NON-TAXABLE WAGES. Non-taxable wages can never be greater than gross wages. Enter the total of wages paid to each employee in this quarter that is in excess of the first $9,000 paid to each employee in this Calendar Year (See example in PART 1 on Page 4). If wages for an employee were reported to another state in this calendar year those wages should be included when

4computing the first $9,000 paid.

 

 

 

 

TAXABLE WAGES. Subtract ITEM 3 from ITEM 2. Taxable wages are limited to the first $9,000 of gross remuneration paid to

 

 

 

 

 

 

 

 

 

 

 

 

 

DOES,

 

96664,

 

 

 

 

 

 

 

20090

 

 

 

5each employee in any Calendar Year, regardless of the state to which the wages were reported.

 

 

 

 

 

 

 

 

6

 

CONTRIBUTION DUE. Amount of UI taxes owed to

 

. Multiply ITEM

 

by your tax rate. Report this amount on IRS form 940.

 

 

 

 

ADMINISTRATIVE SSESSMENT DUE. Amount of Administrative Assessment owed to DOES. Multiply ITEM 4 by two tenths of

 

 

7one percent (0.2 %). Do not report this amount on IRS form 940

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10:8:

INTEREST DUE. Interest of 1.5 % p r month or fraction of month of the amount due will be assessed if the amount due

I

 

on the report is not paid by the end of the month f

llowing the close of the quarter to which it pertains.

 

 

 

 

 

 

 

 

 

 

Port

or

 

loyees

 

 

 

 

re

 

electroni

ouraged

 

 

TEM

 

 

 

 

 

 

ttps://essp

 

 

 

 

 

 

loyers

 

 

, will be assessed if

 

 

PENALTY DUE. In addition to inter st, a penalty

f 10 % of the amount due, BUT NOT LESS THAN $100.

 

 

 

 

this report is n

filed,

 

if the amount

ue is not paid by the end of the month following

he close of the quarter to which it

 

 

 

reports

 

 

 

 

 

 

informati

 

electronic filing, please

 

 

 

 

 

 

 

 

 

9:

pertains.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROV

D C

EDIT. The amo nt of your approved credit that will be appl ed towards your am unt

wed. (Please contact

 

 

 

 

DOES to confirm he amount any cred t balance

n the acc unt).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

MITTANCE AMOUNT. Add I

EMS 5, 6, 7 and 8, then subtract ITEM 9. Make ch ck

 

mon y rder payable to

 

 

 

 

'DEPARTMENT OF EMPLOYMENT SERVICES'

 

'DOES'. Y u must include your

 

m oy r UI Tax acc unt number nd the

 

S:

 

MAILREPORTANquart /y ar on your checkDONOTsendcashorEMAILTHISREPORTPAYMENTTO:DCmoney o er. Attach y ur paymentPOBOXon the first page.WASHINGTONin the space providedDC,.

 

 

-6664

(11-13)

 

STATUS CHANGES. If any information isted has chaPageged 3since the ast

 

ting period, please enter he chang d inf rmation

TEM14:and

ovide supporting documentation as indicated by asterisk (*).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYEE WAGE INFORMATION. Enter

ach employee's c mplete s

 

 

al security number, c mplete na

e, total h urs

 

 

 

 

w rk

d n the quarter, and total wag

 

paid

this quarter. Wages for an

mploy

are

include all

 

emuneration paid, such as

 

 

 

 

tips receiv

d fr

m cust

mers, bonus s, commi sions, everance p

y, vacati pay, si k

y (unl

ss paid under a third party

NOTE:Employrswith250morePageSelfplan-Service4.orelectronicallysystem),and back(ESSP)at.Forfurtpay awardsemher

ulting fromMUSTFILEwageorts.desornaboutinstatement.dc.gov.Allemof mploymentp

as areenwell thecallyonEmployrsrefertoPART2onvalue of meatosfileandwagelod ing.

UC30p3.FRM rev 03/19

UC30p4.FRM rev 03/19

How to Edit Form Uc 30 Online for Free

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Step 1: To begin the process, select the orange button "Get Form Now".

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example of gaps in applying for unemployment in dc

Provide the appropriate data in the EREHREDROYENOMROKCEHCHCATTA, MINUSAPPROVEDCREDIT, EQUALS, TOTALREMITTANCEAMOUNT, MakecheckormoneyorderpayabletoDOES, STATUSCHANGES, ENTIT, ANY, STREETADDRESS, YCIT, CONT, CTN, BUSINESSTELEPHONE, AILAEM, and DDRESS area.

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The application will request you to write some significant details to automatically fill in the segment SIGN, TURE, PRINTN, DONOTEMAILTHISREPORT, TELEPHONE, EMAIL, Page, TEAD, TITLE, and UCpFRMrev.

Finishing applying for unemployment in dc step 3

Inside the part CONTRIBUTIONANDWAGEREPORT, EMPLO, MECHK, EMPLOYERSNAMEANDADDRESS, DONOTUSETHISSPACEA, LEIN, FEDER, TEAXRAT, AXAT, BLEW, GEB, AQU, RTERENDING, THISREPORTDUE, and EMPLOY, include the rights and responsibilities of the sides.

stage 4 to entering details in applying for unemployment in dc

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