Multiple Worksite Form PDF Details

Understanding the Multiple Worksite Report (MWR) is essential for businesses operating across different locations within the State of California, under the purview of the California Employment Development Department in collaboration with the U.S. Department of Labor. This mandatory report, as outlined by Section 320.5 of the California Unemployment Insurance Code and Section 320-1 Title 22 of the California Code of Regulations, serves a critical function in the aggregation and analysis of employment and wage data on a site-by-site basis. Instituted to aid in monitoring and analyzing business activity trends geographically and by industry, the MWR plays a pivotal role in the broader objective of maintaining accurate, comprehensive labor market data. The meticulous process of completing the MWR includes reviewing and possibly correcting business details, listing and describing each worksite, reporting the employment and wages for each location, and explaining any significant changes in these figures. Furthermore, the MWR aids in ensuring the alignment of reported totals with those on the Quarterly Contribution Return and Report of Wages (Forms DE9, DE9C), thus underscoring its significance in the realm of state unemployment insurance laws and compliance. With an OMB control number of 1220-0134 and an expiration date of 05/31/2016, the MWR underscores the collective effort between federal and state agencies to compile data that is not only accurate but also pivotal in shaping employment policies and programs.

QuestionAnswer
Form NameMultiple Worksite Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescalifornia multiple worksite report, ca multiple fill, california 3020, bls pdf fillable printable

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California Employment Development Dept

Multiple Worksite Report - BLS 3020

Labor Market Information Division

Form Approved, O.M.B. No. 1220-0134

P.O. Box 826220

Expiration Date: 05/31/2016

In Cooperation w ith the U.S. Department of Labor

Sacramento CA 94299-9977

 

Phone: (916) 262-1856

California

This report is mandatory under Section 320.5 of the California Unemployment Insurance Code and Section 320-1 Title 22 of the California Code of Regulations, and is authorized by law, 29 U.S.C. 2. Your cooperation is needed to make the results of this survey complete, accurate, and timely. The totals on this form must match the corresponding totals on your Quarterly Contribution Return and Report of Wages (Form DE9, DE9C).

BUSINESS MAILING ADDRESS Please print.

Business Name: __________________________________________

Street Address: ___________________________________________

City: ___________________________ ST: ______ ZIP: __________

__________________________________________________

QUARTERLY REPORT INFORMATION

U.I. NUMBER: ______________________

QUARTER ENDING: ___ / ___ / ___

DUE DATE: ___ / ___ / ___

WORKSITES

OFFICE USE

BUSINESS NAME (division, subsidiary, etc.)

STREET ADDRESS (physical location)

CITY, STATE, AND ZIP CODE

WORKSITE DESCRIPTION (plant name, store number, etc.)

NUMBER OF

EMPLOYEES

(subject to UI Law s)During the Pay Period

Which Includes the 12th of the Month

Month 1

Month 2

Month 3

QUARTERLY WAGES

OF WORKSITES

(subject to UI law s) Round to the nearest dollar

.00

.00

.00

.00

.00

.00

Note: The totals MUST agree (except for rounding)

 

Total: ______ ______ ______ $ ___________.00

with your Form DE9, DE9C.

 

 

 

 

 

 

 

 

CONTACT PERSON (for questions regarding this report)

NAME: ________________________________________ PHONE: _____________________________________________

INSTRUCTIONS

Please follow these steps to prepare your Multiple Worksite Report. Contact the Agency listed in Step 6 if you have any questions or if you need additional information, or see http://www.bls.gov/cew/cewmwr00.htm

1.Review the business name, contact name, and mailing address and make any necessary corrections (Section 2).

2.The Worksites list (Section 3), shows the individual worksites (business locations) that appear in our files for the U.I. Number.

(a)Please read across the row for each worksite and do the following:

NAME/ADDRESS/DESCRIPTION: Review the name and physical location address for each worksite and make any necessary corrections. Review the description below the physical location to be sure it uniquely identifies each worksite

(plant name, store number, etc.). If there is no printed description, please enter a unique identifier for the site.

EMPLOYMENT: Enter employment for each month of the quarter. Employment is the total number of full- and part-time employees who worked during or received pay for the pay period which includes the 12th of the month. Include all employees who were subject to Unemployment Insurance laws.

WAGES: Enter wages paid during the quarter that are subject to State Unemployment Insurance laws, including the

portion that exceeds the State’s taxable wage base. Round wages to the nearest dollar.

LARGE CHANGES: Use the space beside the worksite to explain any large changes in employment and/or wages.

Changes might result from store closings, strikes, layoffs, bonuses, seasonal increases or decreases, or similar events.

CLOSED OR SOLD: If a worksite has been sold, closed, or is otherwise inactive, use the space beside the worksite to

show the date closed or sold; (b) if sold, the name of the company that bought the business at that worksite; and (c) the purchaser’s U.I. Number, if you know it.

3.Is the list in Section 3 complete? That is, does the business operate any worksites using this U.I. Number that do not appear on the form, such as newly-opened worksites or newly-acquired worksites?

MISSING WORKSITES: Provide the following information for each additional worksite. You may use available blank lines or attach a separate page. If you are not sure how to report a worksite or employee, please call the office listed in Step 6 of these instructions.

a.The business name, street or physical location address (NO POST OFFICE BOXES), city, state, and zip code

b.A unique description or identifier for each worksite (e.g., plant name, store number, or similar description)

c.The number of employees for each month of the quarter, and quarterly wages

d.The county, township, city, independent city, or similar geographic area in which the worksite is located

e.The main business activity at the worksite

f.In addition, if you purchased any of these worksites from another company, please provide:

g.The name of the company that sold the worksite

h.The effective date of the sale, and

i.The seller’s U.I. Number, if you know it.

4.Complete the Totals section at the end of the list. For each month, sum the number of employees at all worksites. Then sum the wages for the quarter at all worksites. Except for rounding, these figures MUST agree with the totals on your Quarterly

Contribution Return and Report of Wages (Form DE9, DE9C).

5.Using the enclosed envelope, return your completed form to the central processing facility.

6.If you have questions, please contact your State Agency listed below:

California Employment Development Dept

Labor Market Information Division

P.O. Box 826220

Sacramento CA 94299-9977

Phone: (916) 262-1856

Fax: (916) 651-5771 or (916) 651-5770

GENERAL INFORMATION

PURPOSE OF THIS REPORT

This Multiple Worksite Report (MWR) collects employment and wages by individual work location in this State. If you operate businesses from more than one location under the Unemployment Insurance Account Number (U.I. Number) shown above, the MWR supplements your Quarterly Contributions Report. Data from the MWR enable our agency to monitor and analyze conditions of business activities by geographic area and industry in this State. The information collected on this form by the Bureau of Labor Statistics and the State agencies cooperating in its statistical programs will be used for statistical and Unemployment Insurance program purposes, and other purposes in accordance with law.

PAPERWORK REDUCTION ACT STATEMENT

We estimate that this form will take from 10 minutes to 60 minutes to complete per response, with an average of 22 minutes. This includes time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this information. If you have any comments regarding these estimates or any aspect of this form, send them to the Bureau of Labor Statistics, Division of Administrative Statistics and Labor Turnover, Room 4840, 2 Massachusetts Avenue N.E., Washington, D.C. 20212. The OMB control number for this survey is 1220-0134 and it expires on 05/31/2016. Without a currently valid OMB number, BLS would not be able to conduct this survey .