Georgia Department Of Labor Form – Fill Out and Use This PDF

The Georgia Department of Labor form, known as the Employer Status Report, is an essential document for all employers in Georgia. It serves to report various employment and business related details to the state, ensuring compliance with local labor laws. This process is crucial for businesses beginning operations or undergoing changes in Georgia.

To ensure your business meets Georgia's regulatory requirements, click the button below to fill out the form.

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Georgia Department Of Labor Form PDF Details

Navigating the complexities of employer obligations within Georgia can be a process made significantly easier with the proper understanding of the Georgia Department of Labor Form, also known as DOL-1A. This critical document serves multiple purposes: from establishing an employer's account with the Georgia Department of Labor, assessing liability for unemployment tax, to potentially transferring experience rating histories during business acquisitions. Designed with a comprehensive approach, it covers various employment types including private business, agricultural, domestic, and even nonprofit organization employment under IRS Code 501(c)(3), each with its own set of criteria determining tax liability and reporting obligations. For instance, criteria such as employing one worker in 20 different calendar weeks or expecting to pay $1,000 in cash wages in a quarter for domestic employment trigger specific reporting requirements. Information provided on this form extends to intricate details about the business such as type, industry, number of employees, and principal services or products, among others. Completing this form accurately and timely is not merely a bureaucratic step but a crucial legal requirement that ensures compliance with Georgia’s employment security law, OCGA Section 34-8-121. The Georgia Employer Status Report doubles as a tool for both new and existing employers to navigate their responsibilities, ensuring the proper administration of unemployment insurance—a safety net for workers who find themselves unemployed through no fault of their own. The importance of accurately completing and timely returning this form to the Georgia Department of Labor cannot be underestimated, as it directly impacts the employer's legal standing, potential tax liabilities, and the broader contribution to Georgia’s workforce development initiatives.

Question	Answer
Form Name	Georgia Department Of Labor Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	georgia dol a1 application employer status report georgia department of labor 2001 form

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GEORGIA DEPARTMENT OF LABOR

SUITE 850 - 148 ANDREW YOUNG INTERNATIONAL BLVD NE - ATLANTA, GA 30303-1751

EMPLOYER STATUS REPORT

READ INSTRUCTIONS ON REVERSE SIDE

BEFORE COMPLETION OF FORM

1.ENTER OR CORRECT BUSINESS NAME AND ADDRESS

RETURN ORIGINAL WITHIN 10 DAYS

GEORGIA DOL

ACCOUNT NUMBER

(If already assigned)

3. TRADE NAME

2. TYPE OF ORGANIZATION

Individual

Partnership

Corporation

Nonprofit org.

4. PRINCIPAL BUSINESS,

Street Address

Limited Liability CO. (LLC)

FARM OR

HOUSEHOLD

Other (specify)

LOCATION IN

GEORGIA

City

Zip Code

County

Telephone Number

(Do not use a

(

)

P. O. Box number)

5. DATE FIRST BEGAN

DATE OF

6. ARE YOU LIABLE

Yes

FEDERAL

EMPLOYING WORKERS

FIRST GA.

FOR FEDERAL

I.D.

WITHIN STATE OF GA.

PAYROLL

UNEMPLOYMENT TAX?

NUMBER

7. HAVE YOU...

DATE ACQUIRED

DID YOU ACQUIRE...

OR CHANGED

Acquired another business?

Yes

All of Georgia operations?

PREDECESSOR’S

Merged with another business?

Yes

GEORGIA DOL

Substantially all of Georgia operations

ACCOUNT NUMBER

(90% or more)

DOES THE FORMER OWNER

Part of Georgia operations (less than 90%)

CONTINUE TO

Formed a corporation or

Yes

HAVE EMPLOYEES?

partnership?

Yes

Made any other change in the

ownership of your business?

Yes

If yes, explain

FROM WHOM? (Organization name, including trade name)

ADDRESS

8. IF YOU HAD PRIVATE BUSINESS EMPLOYMENT:

9. IF YOU HAD DOMESTIC EMPLOYMENT:

Did you, or do you expect to employ at least one worker

Did you, or do you expect to pay cash wages

of $1,000 or more in any calendar quarter?

Yes*

in 20 different calendar weeks during a calendar year?

Yes *

* If yes, show date the 20th week first occurred:

* If yes, show date this first occurred:

10. IF YOU HAD AGRICULTURAL EMPLOYMENT:

Yes*

Did you, or do you expect to have a

Did you, or do you expect to employ 10 or more agricultural

quarterly payroll of $1,500 or more?

Yes *

workers in 20 different calendar weeks during a calendar year?

* If yes, show date this first occurred:

* If yes, show date the 20th week first occurred:

11. IF YOU ARE A NONPROFIT ORGANIZATION EXEMPT

Did you, or do you expect to have a gross cash agricultural

FROM INCOME TAX UNDER IRS CODE 501(C)(3):

Yes *

payroll of $20,000 or more in any calendar quarter?

Yes*

Did you, or do you expect to employ four or more

* If yes, show date this first occurred:

workers in 20 different calendar weeks during a

calendar year? (ATTACH COPY OF 501(C)(3) EXEMPTION LETTER)

12. HOW MANY EMPLOYEES do you have, (or anticipate

* If yes, show date the 20th week first occurred:

when in full operation)?

Name

INFORMATION

ABOUT

OWNER,

Social Security

PERSON

Number

OR FIRM

Address

ALL

WHO

PARTNERS,

MAINTAINS

Residence Address

OR PRINCIPAL

FINANCIAL

City

OFFICER

RECORDS

(ATTACH

OF BUSINESS

City

ADDITIONAL

State

Zip Code

Telephone

SHEET,OR

(

)

SHEETS, IF

State

Zip Code

CERTIFICATION: I hereby certify under penalties of perjury, that the foregoing statement and those contained

NECESSARY)

in any attached sheets signed by me are true and correct, and that I am authorized to execute this report on

behalf of the employing unit. This report must be signed by owner, partner or principal officer.

Telephone

Signature

Title

Date

( )

PLEASE COMPLETE INDUSTRY INFORMATION ON REVERSE SIDE.

DOL-1A (R-5/05)

TA489A

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1. To begin with, while filling out the Georgia Department Of Labor Form, start out with the form section that features the next blank fields:

Georgia Department Of Labor Form writing process detailed (stage 1)

2. Just after finishing this section, head on to the subsequent part and fill out the essential particulars in these blanks - FROM WHOM Organi zati on name i, A DDRESS, I F YOU HA D PRI VA TE BUSI NESS, I f yes show date the th week fi, I F YOU HA D DOM ESTI C EM PLOYM, I f yes show date thi s fi rst, Yes, Di d you or do you ex pect to have, I f yes show date thi s fi rst, I F YOU A RE A NONPROFI T ORGA NI, I f yes show date the th week fi, ATTACH COP Y OF C EXEMP TI, Yes, I F YOU HA D A GRI CULTURA L EM, and Yes.

Simple tips to fill out Georgia Department Of Labor Form step 2

3. This third step is generally easy - fill out every one of the fields in NATURE OF BUSINESS Inf ormation is, A How many Georgia locations do, Provide the f ollow ing inf, B Check the box that best, business activities, Agriculture Forestry Fishing, Manuf acturing Transportation, C Enter in order of importance and, approximate of total annual, Principal Products Mf g Grow n Sold, this report, I f Transportati on Trucki ng i, If perf orm services f or other, includes establishments, and the company to complete this segment.

Stage no. 3 in completing Georgia Department Of Labor Form

Always be extremely attentive when completing If perf orm services f or other and Provide the f ollow ing inf, as this is where a lot of people make errors.

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Georgia Department Of Labor Form – Fill Out and Use This PDF

Georgia Department Of Labor Form PDF Details

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