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.
Question | Answer |
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Form Name | Form Uc 30 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | dc form uc30 fillable, dc form uc 30h, applying for unemployment in dc, form uc 30 |
W W W
Government of the District of Columbia
Department of Employment Services
Office of Unemployment Compensation P.O. Box 96664 Washington, D.C.
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FORM ID: |
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EMPLOYER'S QUARTERLY CONTRIBUTION |
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POSTMARK DATE |
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AND WAGE REPORT |
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(DO NOT USE THIS SPACE) |
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EMPLOYER NUMBER: |
NAME CHK: |
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FEDERAL IDENTIFICATION NUMBER: |
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TAX RATE: |
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QUARTER ENDING: |
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TAXABLE WAGE BASE: |
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THIS REPORT DUE: |
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SEE INSTRUCTIONS ON PAGE 3 |
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HERE |
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1st Month |
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2nd Month |
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3rd Month |
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1. |
TOTAL NUMBER OF COVERED WORKERS (employed in Washington, DC.) |
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3. |
m m m m m |
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m m |
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m m m m m m |
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2. |
TOTAL WAGES PAID (this quarter, to all |
covered workers) m |
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ORDER |
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DO YOU SUBMIT YOUR WAGE DATA ON MAGNETIC MEDIA? m |
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YES |
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NO |
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MONEYORCHECK |
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RATED EMPLOYERS COMPLETE ITEMS 3 THROUGH 10 - SELF INSURED EMPLOYERS SKIP TO ITEM 11 |
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7. |
PLUS INTEREST DUE |
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4. |
TAXABLE WAGES (Subtract |
ITEM 3 from ITEM 2) |
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8. |
PLUS PENALTY DUE |
m m m m |
m m m m m |
4 |
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m m m m m m m m m |
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5. |
CONTRIBUTION DUE (Multiply ITEM |
by your tax rate of |
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%) |
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9. |
MINUS APPROVED CREDIT |
m m m m m |
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6. |
PLUS ADMIN. ASSESSMENT DUE (Multiply |
ITEM |
4 by two tenths of one percent (0.2%) |
$ |
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ATTACH |
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10. |
EQUALS TOTAL REMITTANCE AMOUNT (Make check or money order payable to 'DOES') |
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STATUS CHANGES |
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11. |
ENTER THE APPROPRIATE INFORMATION IF ANY CHANGE HAS OCCURRED: |
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ENTITY NAME: |
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TRADE NAME: |
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ADDRESS LINE 1: |
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ADDRESS LINE 2: |
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CITY: |
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STATE: |
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ZIP CODE: |
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CONTACT NAME: |
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CONTACT TELEPHONE: |
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BUSINESS TELEPHONE: |
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BUSINESS FAX: |
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EMAIL ADDRESS: |
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NEW FEIN: |
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12. |
IF YOU HAVE SOLD OR TRANSFERRED YOUR BUSINESS, enter date of sale or transfer: |
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IF NO LONGER IN BUSINESS, enter date wages last paid in DC: m |
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13. |
DESCRIBE ANY OTHER CHANGE IN STATUS: |
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CERTIFICATION |
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I CERTIFY THAT THE INFORMATION CONTAINED IN THIS REPORT AND ANY WAGE REPORTS ATTACHED HERETO IS TRUE |
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AND CORRECT AND THAT NO PART OF THE TAX WAS OR IS TO BE DEDUCTED FROM THE WORKER'S WAGES. |
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SIGNATURE: |
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TITLE: |
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Page 1 |
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uc30p1.frm rev 02/06 |
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1062 |
6Z1035 2.000
W W W
Government of the District of Columbia
Department of Employment Services
Office of Unemployment Compensation P.O. Box 96664 Washington, D.C. |
Local: (202) |
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FORM ID: |
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EMPLOYER'S QUARTERLY CONTRIBUTION |
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AND WAGE REPORT |
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EMPLOYER NUMBER: |
NAME CHK: |
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FEDERAL IDENTIFICATION NUMBER: |
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TAX RATE: |
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QUARTER ENDING: |
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TAXABLE WAGE BASE: |
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THIS REPORT DUE: |
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14. EMPLOYEE WAGE INFORMATION FOR THIS QUARTER |
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EMPLOYEE |
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EMPLOYEE NAME (PLEASE TYPE OR PRINT) |
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TOTAL GROSS WAGES |
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PAID THIS QUARTER |
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SOC. SEC. NO. |
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LAST |
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FIRST |
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MI |
DOLLARS |
CENTS |
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TOTAL WAGES THIS PAGE
NOTE: All employers with more than 25 employees are encouraged to file wage reports electronically. However, employers with
250or more employees MUST FILE wage reports electronically. For further information about electronic filing, please refer to PART 2 on Page 4.
Page 2 |
uc30p2.frm rev 12/06 |
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1062 |
6Z1036 2.000