Ky Ui 3 Form Details

Kentucky UI 1 Form is an unemployment insurance application that residents of Kentucky can use to apply for benefits. The form is available on the Kentucky Department of Employment and Workforce website, and applicants can submit their completed forms online or by mail. In this article, we will outline the steps that you need to take to complete the Kentucky UI 1 application, and we will also provide some tips on how to increase your chances of being approved for benefits.

Listed below are some information about kentucky ui 1 form. You may want to browse it prior to typing in the form.

QuestionAnswer
Form NameKentucky Ui 1 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameskentucky unemployment tax form, ky unemployment tax form, download a paper unemployment application in kentucky, what is a pay order form for ky unemployment

Form Preview Example

 

 

 

 

COMMONWEALTH OF KENTUCKY

 

 

 

This form is to determine if an employer is liable for Unemployment Insurance in

 

 

 

 

Division of Unemployment Insurance

 

 

 

Kentucky.

 

 

 

 

 

 

 

 

P. O. Box 948

 

 

 

 

 

 

 

NO ACTION WILL BE TAKEN AND

 

 

 

 

Frankfort, Kentucky 40602-0948

 

 

 

 

 

 

 

THE FORM RETURNED IF NOT

 

 

 

 

(502) 564-2272 FAX (502) 564-9332

 

 

 

 

 

 

 

PROPERLY COMPLETED AND

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FOR UNEMPLOYMENT INSURANCE

SIGNED.

PART I - IDENTIFICATION AND TYPE OF EMPLOYMENT

EMPLOYER RESERVE ACCOUNT

 

1. Business Name & Mailing Address:

 

 

 

UI-1 (R. 06/91) (V-3)

 

 

Legal Entity Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(To be completed by all employers)

Address

 

 

 

 

 

 

 

 

 

 

5.

Check type of employment and complete remainder

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Of form as indicated.

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acquired all or part of an existing business - Parts II and VI

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Business Employer - Parts II and III

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Domestic Employer - Parts II and IV

City

 

 

 

 

 

 

 

 

State

 

Zip Code

 

 

 

 

Agricultural Employer – Parts II and V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New 501(c)(3) Non-Profit Employer – Part I Only*

2.

Telephone #

(

 

 

)

 

 

 

 

 

 

 

 

 

Governmental Entity - Part I Only*

 

Fax #

(

 

)

 

 

 

 

 

 

 

 

 

Resumed Employment - Part II

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter Date Employment Resumed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Federal Employer ID

 

 

 

 

 

 

 

 

 

 

 

* Form UI-1S will be sent to you upon return of this form.

4.If you have previously been assigned an Unemployment Insurance Number, enter it here:

PART II - GENERAL INFORMATION

6.Describe MAJOR Business Activity IN KENTUCKY (BE SPECIFIC)

 

 

 

 

(g)

Agricultural (Type)

(a)

Retail Trade (Product)

 

 

(h)

Wholesale Trade (Product)

(b)

Service (Type)

 

 

(i)

Manufacturing (Product)

(c)

Construction (Type)

 

 

(j)

Mining (Product)

 

Residential

Non-residential

(k)

Other (Explain)

(d) Information/Publishing/Broadcasting/Internet

(e)

Finance/Insurance/Real Estate (Product)

 

 

 

 

 

(f)

Transportation/Communication/Utilities (Type)

 

 

 

 

 

7.

Is this establishment primarily engaged in performing services for other units or locations for this company?

YES

NO

 

If, “YES”, indicate the nature of activity of this establishment:

 

 

 

 

 

(a)

Central Administrative Office

(c)

Storage (warehouse)

 

 

 

(b)

Research, development or testing

(d)

Other (specify)

 

 

8.Identification of Owner, Partners (General or Limited), Corporate Officers, Members, etc. (Attach additional sheet if necessary)

SOCIAL SECURITY NUMBER

FIRST NAME

M.I.

LAST NAME

TITLE

TELEPHONE NO.

RESIDENCE ADDRESS

9.Name, Mailing Address and Telephone Number of person with payroll records (if different from above):

10.

Type of Organization:

Sole Proprietorship

Partnership

Corporation

11.Provide the following information for each establishment or location in Kentucky: Physical Location of Business in Kentucky (Street, City, Zip Code)

(If no physical location, please provide home address of employee or work site in Kentucky.)

LLP

LLC

County

Other

No. of Workers

Check here if you wish to file a separate wage and tax report for each location.

12.Prior to beginning employment in Kentucky, were you subject in the current or preceding year under the unemployment compensation

law of any other state?

YES

NO If “YES”, what State:

PART III - NEW BUSINESS EMPLOYMENT (Do not include agricultural or domestic employment!) (INCLUDE CORPORATE OFFICERS!)

13.Date on which you first employed a worker in Kentucky (month, day, year):

14.Date you first paid wages in Kentucky (month, day, year):

15.

Have you or do you expect to have a quarterly payroll of at least $1,500.00?

YES

NO

 

 

 

 

 

 

 

If “YES” in what month and year did (or will) this first occur?

Month

 

 

 

Year

 

 

 

 

 

 

16.

Have you or do you expect to employ at least one worker in 20 different calendar weeks during a calendar year?

 

 

YES

NO

 

If “YES” in what month and year did (or will) the 20th week occur?

Month

 

 

 

 

Year

 

 

 

 

 

 

Signature:

I hereby affirm that I am authorized to sign this report on behalf of the indicated employer, and further affirm that the information provided herein is

 

 

complete and accurate to the best of my knowledge. I understand that I may be subject to the full penalty of the law for knowingly making a false

 

 

statement (KRS 341.990).

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE

TITLE

DATE

UI-1, Page 2 (V-3)

PART IV - DOMESTIC (HOUSEHOLD) EMPLOYMENT

17.Date on which you first employed a worker in domestic employment in Kentucky (month, day, year):

18.Have you or do you expect to have a quarterly domestic (household) payroll of at least $1,000.00?

If yes, in what month and year did (or Will) this first occur?

Month

YES Year

NO

PART V - AGRICULTURAL EMPLOYMENT (INCLUDE CORPORATE OFFICERS!)

19.Date on which you first employed a worker in agricultural employment in Kentucky (month, day, year):

20.Have you or do you expect to have a quarterly agricultural payroll of at least $20,000.00; or, have you or do you

expect to employ at least 10 agricultural workers in 20 different weeks during a calendar year?

YES

If yes, in what month and year did (or will) this first occur?

Month

 

 

Year

NO

PART VI - ACQUISITION OF EXISTING BUSINESS - To be completed by both the transferring and acquiring parties.

21.ENTER DATE OF TRANSFER AND STATUS OF OWNERSHIP PRIOR TO TRANSFER

DATE OF TRANSFER

 

 

EMPLOYER NO.

FEDERAL NO.

 

Names of Owner/s or Officer/s Phone

(

)

 

TYPE OF OWNERSHIP

REASON FOR CHANGE

 

 

 

 

 

 

Proprietorship

Sold

Leased

 

 

 

 

 

Partnership

 

 

 

 

 

 

 

Corporation

Lease Reverted

Other (Explain)

 

 

 

 

 

Other (Explain)

 

 

 

 

 

 

 

 

TYPE OF CHANGE

 

Trade or Business Name & Address

 

 

 

 

 

 

 

 

 

 

 

 

Transferred in Entirety (ALL KY OPERATIONS)...

 

 

 

 

 

 

(Complete #22 - Both Parties Must Sign)

 

 

 

 

 

 

Transferred in Part

 

 

 

 

 

 

 

 

 

 

 

 

(Complete #22, 23, 24, 25 & 26 - Both Parties Must Sign

 

 

 

 

 

 

22.

ENTER DATA FOR NEW OWNERSHIP

 

EMPLOYER NO.

FEDERAL NO.

 

Name, Address & S.S. # of Owner/s or Officer/s

TYPE OF OWNERSHIP

Proprietorship

Partnership

Corporation

Other (Explain)

TRADE OR BUSINESS NAME, ADDRESS & ZIP CODE

Location of Business in Kentucky (Street, City, Zip Code)

Phone (

)

Principal Activity

Principal Product

 

 

 

 

 

 

 

 

 

 

 

 

23.

ENTER DATA FOR RETAINED PORTION

 

EMPLOYER NO.

FEDERAL NO.

 

Name, Address & S.S. # of Owner/s or Officer/s

TYPE OF OWNERSHIP

Proprietorship

Partnership

Corporation

Other (Explain)

TRADE OR BUSINESS NAME, ADDRESS & ZIP CODE

Location of Business in Kentucky (Street, City, Zip Code)

Phone (

)

Principal Activity

Principal Product

24.

Portion of prior owner/operator’s reserve account to be transferred:

 

%

25.Percentage of reserve transferred must be based on payroll or number of employees transferred. Please indicate which basis has been used.

26.Predecessor’s date of first employment for transferred portion.

Signature & Title of Transferor or

Signature & Title of Transferee or

Date

Disposing Employer Shown in Part 1

Acquiring Employer Shown in Part 2

 

(Owner or Officer)

(Owner or Officer)