Nhes 0037 Form PDF Details

The NHES-0037 form is a critical document for employers within New Hampshire, serving as an Employer Status Report under the New Hampshire Unemployment Compensation Law. It's designed to establish an employing unit's status, requiring detailed information such as the federal identification number, business or trade name, principal activity, and the address of the main business place. Employers must specify the type of business - whether a sole proprietorship, partnership, corporation, or LLC, along with registration details if applicable. This form also inquires whether the business is a nonprofit organization, the dates employment started and ceased in New Hampshire, and if the enterprise will be subject to the Federal Unemployment Tax Act. Additionally, it addresses potential acquisitions, asking for details regarding any organization, trade, business, workforce, or New Hampshire assets acquired from another entity. Employers must report their gross payroll for the current and two previous years and provide estimates on the number of workers employed weekly in New Hampshire, alongside information about any engagement with self-employed individuals, sub-contractors, or consultants. Moreover, it includes a section for domestic-household employment, specifying the payroll threshold for domestic service. The form culminates in a certification section, where it must be signed under the penalty of perjury by the owner, partners, or authorized officers, affirming the accuracy and completeness of the information provided.

QuestionAnswer
Form NameNhes 0037 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesempstatus nhes employer status report form

Form Preview Example

32 South Main Street

Concord, New Hampshire 03301-4857

Phone (603) 228-4142 Fax (603) 225-4323

www.nhes.nh.gov

(Do not write in this space)

Account #

Subject

Retroactive

Successor

Acquisition

Not Subject

AUX

NAICS

EMPLOYER STATUS REPORT

PLEASE READ INSTRUCTIONS THEN COMPLETE ALL ITEMS (TYPE OR PRINT LEGIBLY)

To establish its status under the provisions of the New Hampshire Unemployment Compensation Law, each employing unit is required by the law to ile with this department an Employer Status Report (RSA 282-A).

1.

 

2. Federal Identiication Number

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS NAME OR TRADE NAME

3. Describe in detail your principal activity.

Address of principal place of business in NH, if none, indicate other state. (Do NOT use PO box)

If more than one location, attach a separate sheet and list all.

 

CITY

STATE

ZIP CODE

 

 

 

 

 

3a. Describe in detail your principal products,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

processes, or services.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE NUMBER

FAX NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-MAIL

 

 

 

 

 

 

 

 

 

 

 

 

4. Check (x) type of business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sole Proprietorship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS IF DIFFERENT FROM ABOVE

 

 

 

 

 

 

 

 

 

 

Partnership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS OR POST OFFICE BOX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LLC (Single member)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LLC (Partnership)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

 

FAX NUMBER

 

 

 

 

 

 

 

 

 

 

LLC (Corporation)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other_________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. If a corporation or LLC, enter the following: Date of Registration

/

/

 

State of Registration

 

Full corporate or LLC name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.Is your business a nonproit organization described in Section 501(c)(3) and exempt under 501(a) of the Internal Revenue Code?

 

 

 

Yes

 

No

If Yes, attach a copy of your letter of exemption.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Enter date on which employment was irst furnished in New Hampshire

/

/

 

 

 

 

 

 

 

 

 

Enter date wages were irst paid in New Hampshire

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Ceased to furnish employment in NH on

/

 

/

 

 

 

Reason:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Are or will you be subject to the Federal Unemployment Tax Act in the current year?

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.Has employment been furnished in NH in preceding years during which you were subject to the Federal Unemployment Tax Law?

No

 

Yes, list years:

11.Did you acquire the organization, trade, business, workforce, or any of the New Hampshire assets of any other employing unit or employer?

Yes If Yes, date of acquisition:

 

/

/

, % of assets acquired

, then complete questions 11a thru 11d.

 

 

 

 

 

 

 

 

 

 

11a. Please provide the name and address of prior owner.

NHES-0037 (web)R-4/13

11b. Check (x) the type of change: Reorganization

Purchase assets of business

Transfer of trade or business

Merger

Change of entity (e.g. proprietorship to corporation)

Lease of business

Transfer of workforce (employees) If checked, must complete Trade, Business, and Workforce Transfer Report.

11c.

Were there any business assets not acquired?

 

Yes

 

No

 

If yes, list business assets not acquired:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11d.

Will the prior owner remain in business in NH?

 

Yes

 

No

 

If yes, please explain:

 

 

 

 

 

 

12.Enter the gross payroll of your business for the current and two prior calendar years. (New Hampshire Payroll Only)

Calendar Year

 

1st Quarter

 

2nd Quarter

3rd Quarter

4th Quarter

 

$

 

$

 

$

$

 

 

 

 

 

 

 

 

$

 

$

 

$

$

 

 

 

 

 

 

 

 

$

 

$

 

$

$

 

 

 

 

 

 

 

13.Do you expect to have a gross payroll of at least $1,500 in a calendar quarter?

Yes

Enter the earliest quarter and year this occurred (or will occur)

 

No

If No, have you or do you expect to employ at least one worker in 20 different weeks in a calendar year?

If so, when did this occur (or will occur)?

14.Enter by week the number of workers to whom you furnished employment in New Hampshire. Show current calendar year employment irst, followed by employment in all preceding calendar years. Note: A week is seven consecutive calendar days beginning at 12:01 am Sunday and ending at 12:00 midnight on the next succeeding Saturday. (Emp 101.01)

CALENDAR YEAR: ___________

1st 2nd 3rd 4th 5th

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEP

OCT

NOV

DEC

CALENDAR YEAR: ___________

1st 2nd 3rd 4th 5th

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEP

OCT

NOV

DEC

CALENDAR YEAR: ___________

1st 2nd 3rd 4th 5th

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEP

OCT

NOV

DEC

15.In addition to the employment shown under item 14, did you engage any “self employed individuals”, “sub-contractors”, consultants”, etc?

 

 

No

 

Yes, furnish name, trade, and address below (use block 19 or a separate sheet if necessary)

 

 

 

 

 

 

 

 

 

Domestic-Household Employment Section

16.

Have you had or do you expect to have a $1,000 quarterly payroll for domestic service?

 

Yes

 

No

 

If Yes, give the earliest quarter and year this occurred (or will occur). Quarter ________ Year _________

 

17.If this report is prepared by other than a sole proprietor, this item must be completed.

I (we) declare under the pains and penalties of perjury that I (we) prepared this report for the employing unit named herein and that this report, including any accompanying schedules and statements, is to the best of my (our) knowledge and belief, a true, correct, and complete report based on all the information relating to the matters required to be reported in this report of which I (we) have any knowledge.

NAME

FIRM NAME

DATE

 

 

 

SIGNATURE

ADDRESS

PHONE

18.This report must be signed by owner, all partners, authorized corporation oficers.

It is hereby certiied that the information in this report, including any attached sheets, is true and correct to the best of my (our) knowledge and belief and is signed under the pains and penalties of perjury.

Name (Type or Print)

Social Security #

Resident Address

Title

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.Remarks

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Stage # 1 of filling in Nhes 0037 Form

2. The third part is usually to fill out these particular fields: EMAIL, Check x type of business, MAILING ADDRESS IF DIFFERENT FROM, STREET ADDRESS OR POST OFFICE BOX, CITY, STATE, ZIP CODE, PHONE NUMBER, FAX NUMBER, Sole Proprietorship, Partnership, Corporation, LLC Single member, LLC Partnership, and LLC Corporation.

Guidelines on how to prepare Nhes 0037 Form step 2

3. The following section is about Has employment been furnished in, Yes list years, Did you acquire the organization, or employer, Yes If Yes date of acquisition, a Please provide the name and, and NHES webR - fill in these blanks.

NHES webR, a Please provide the name and, and or employer of Nhes 0037 Form

4. This next section requires some additional information. Ensure you complete all the necessary fields - Check x the type of change, Reorganization, Transfer of trade or business, Purchase assets of business, Merger, Change of entity eg proprietorship, Lease of business, Transfer of workforce employees If, Were there any business assets not, Yes, Yes, Enter the gross payroll of your, Calendar Year, st Quarter, and nd Quarter - to proceed further in your process!

A way to fill out Nhes 0037 Form stage 4

It's very easy to get it wrong while filling in your Purchase assets of business, so make sure to go through it again prior to deciding to send it in.

5. The pdf must be completed by filling out this area. Below there's a detailed set of form fields that must be filled out with appropriate details in order for your document usage to be complete: FEB, MAR, APR, MAY, JUN, JUL, AUG, SEP, OCT, NOV, DEC, FEB, MAR, APR, and MAY.

The best ways to complete Nhes 0037 Form stage 5

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