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.
| Question | Answer |
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| Form Name | Kentucky Ui 1 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | kentucky unemployment tax form, ky unemployment tax form, download a paper unemployment application in kentucky, what is a pay order form for ky unemployment |
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COMMONWEALTH OF KENTUCKY |
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This form is to determine if an employer is liable for Unemployment Insurance in |
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Division of Unemployment Insurance |
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Kentucky. |
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P. O. Box 948 |
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NO ACTION WILL BE TAKEN AND |
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Frankfort, Kentucky |
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THE FORM RETURNED IF NOT |
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(502) |
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PROPERLY COMPLETED AND |
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APPLICATION FOR UNEMPLOYMENT INSURANCE |
SIGNED. |
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PART I - IDENTIFICATION AND TYPE OF EMPLOYMENT |
EMPLOYER RESERVE ACCOUNT |
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1. Business Name & Mailing Address: |
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Legal Entity Name |
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Business Name |
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(To be completed by all employers) |
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Address |
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5. |
Check type of employment and complete remainder |
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Of form as indicated. |
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Address |
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Acquired all or part of an existing business - Parts II and VI |
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Address |
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New Business Employer - Parts II and III |
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Domestic Employer - Parts II and IV |
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City |
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State |
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Zip Code |
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Agricultural Employer – Parts II and V |
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New 501(c)(3) |
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2. |
Telephone # |
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Governmental Entity - Part I Only* |
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Fax # |
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Resumed Employment - Part II |
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Enter Date Employment Resumed: |
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3. |
Federal Employer ID |
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* Form |
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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)
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(g) |
Agricultural (Type) |
(a) |
Retail Trade (Product) |
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(h) |
Wholesale Trade (Product) |
(b) |
Service (Type) |
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(i) |
Manufacturing (Product) |
(c) |
Construction (Type) |
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(j) |
Mining (Product) |
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Residential |
(k) |
Other (Explain) |
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(d) Information/Publishing/Broadcasting/Internet
(e) |
Finance/Insurance/Real Estate (Product) |
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(f) |
Transportation/Communication/Utilities (Type) |
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7. |
Is this establishment primarily engaged in performing services for other units or locations for this company? |
YES |
NO |
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If, “YES”, indicate the nature of activity of this establishment: |
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(a) |
Central Administrative Office |
(c) |
Storage (warehouse) |
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(b) |
Research, development or testing |
(d) |
Other (specify) |
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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):
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Have you or do you expect to have a quarterly payroll of at least $1,500.00? |
YES |
NO |
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If “YES” in what month and year did (or will) this first occur? |
Month |
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Year |
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Have you or do you expect to employ at least one worker in 20 different calendar weeks during a calendar year? |
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YES |
NO |
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If “YES” in what month and year did (or will) the 20th week occur? |
Month |
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Year |
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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 |
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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 |
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statement (KRS 341.990). |
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SIGNATURE |
TITLE |
DATE |
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 |
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If yes, in what month and year did (or will) this first occur? |
Month |
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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 |
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EMPLOYER NO. |
FEDERAL NO. |
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Names of Owner/s or Officer/s Phone |
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TYPE OF OWNERSHIP |
REASON FOR CHANGE |
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Proprietorship |
Sold |
Leased |
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Partnership |
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Corporation |
Lease Reverted |
Other (Explain) |
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Other (Explain) |
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TYPE OF CHANGE |
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Trade or Business Name & Address |
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Transferred in Entirety (ALL KY OPERATIONS)... |
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(Complete #22 - Both Parties Must Sign) |
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Transferred in Part |
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(Complete #22, 23, 24, 25 & 26 - Both Parties Must Sign |
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22. |
ENTER DATA FOR NEW OWNERSHIP |
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EMPLOYER NO. |
FEDERAL NO. |
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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 ( |
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Principal Activity |
Principal Product |
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23. |
ENTER DATA FOR RETAINED PORTION |
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EMPLOYER NO. |
FEDERAL NO. |
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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 ( |
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Principal Activity |
Principal Product |
24. |
Portion of prior owner/operator’s reserve account to be transferred: |
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% |
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 |
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(Owner or Officer) |
(Owner or Officer) |
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