Nucs 4075 Form PDF Details

In an evolving business landscape, understanding and utilizing the NUCS 4075 form, issued by the State of Nevada Department of Employment, Training and Rehabilitation, Employment Security Division, becomes vital for employers aiming for compliance with state regulations. Located at 500 E. Third Street in Carson City, and reachable both by phone and fax, this form serves as a tool for employers to make necessary corrections to previously submitted quarterly wage reports. Specifically designed to amend individual wage items or overall wage totals reported earlier, it aids in ensuring accuracy in reported wages, contributions, and any subsequent adjustments that may affect unemployment insurance rates or contributions. Employers can correct individual employee wages or amend total wages previously reported, with the possibility of affecting taxable and nontaxable amounts. The form also provides space for detailed explanations of corrections and requires employer verification through signature and contact information, ensuring an accountable and transparent correction process. Such corrections can lead to adjustments in contributions, interest for late payments, and penalties for reports not filed timely, underlining the importance of accuracy and timeliness in wage reporting.

QuestionAnswer
Form NameNucs 4075 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnevada nucs 4075, nucs 4075 form, nv nucs 4075, employment security department nucs 4075

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STATE OF NEVADA

DEPARTMENT OF EMPLOYMENT, TRAINING AND REHABILITATION

EMPLOYMENT SECURITY DIVISION

500 E. Third Street - Carson City, Nevada 89713

Telephone (775) 684-6322

Fax (775) 684-6367

https://uitax.nvdetr.org

STATEMENT TO CORRECT

Corrections for the Calendar Quarter Ending___________________________

(Please use a separate form for each quarter being corrected.)

Employer Account Number ...................................................................................

FOR DIVISION USE ONLY

Transaction

Quarter

Delinquent

Date .........

Reviewed by .....................................

Date .................................................

Name (DBA)................................................................................................................................................................................

1.Complete the following section to amend individual wage items previously reported on Employer's Quarterly Contribution and Wage Report (form NUCS-4072). ( If a reimbursable employer, use this form to amend Form NUCS-4062.)

Employee Social Security No.

000 00 0000

Name of Employee

Wages Previously Reported Correct Amount Wages

(Print or Type)

Dollars

Cents

Dollars

Cents

If more spaces are needed, request Form NUCS-4500.

TOTALS

2.Complete the following section to amend wages previously reported in Items 3, 4, or 5 of Employer's Quarterly Contribution and Wage Report (form NUCS-4072). (If a reimbursable employer, use this section to amend TOTAL wages paid.)

Amounts Previously Reported

Amended

on Quarterly Report

 

TOTAL (Item 3)

 

 

$

$

 

NONTAXABLE (Item 4)

$

$

TAXABLE (Item 5)

$

$

Difference ONLY

Additional Amount

Reduced Amount

$

$

$

$

$

$

CONTRIBUTIONS

 

 

 

Adjustment at UI Rate ( _________ %) in effect for quarter indicated above

$

.................................... $

....................................

Adjustment at CEP Rate of .05 percent (.0005)

$

.................................... $

....................................

INTEREST

 

 

 

For each month or part of month the payment is late, interest at 1 percent (.01)

 

 

 

of the amount of UI contributions past due, will also be payable …………………………

$

....................................

 

PENALTY INTEREST

 

 

 

Only if original report was not filed timely, at 1/10 percent (.001) X additional

 

 

 

taxable wage amount (see above) for each month from delinquent date to

 

 

 

date original report was filed

$

....................................

 

NET ADJUSTMENT

 

 

 

UNDERPAYMENT

$

......................................................................

 

OVERPAYMENT

 

$

........................................................................

3.Please explain the corrections reported above. ............................................................................................................................................

.....................................................................................................................................................................................................................................

.....................................................................................................................................................................................................................................

_______________________________________________

__________________________________

(

)

________________

_____________________

Signature

Title

 

Telephone

Date

NUCS-4075 (Rev10/12)

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1. It is crucial to complete the employment security department nucs 4075 correctly, thus be careful when filling out the sections comprising these particular fields:

nucs 4075 form completion process shown (portion 1)

2. After this section is completed, go to type in the suitable information in all these - on Quarterly Report, Additional Amount, Reduced Amount, TOTAL Item, NONTAXABLE Item, TAXABLE Item, Adjustment at UI Rate in effect, Adjustment at CEP Rate of percent, CONTRIBUTIONS, For each month or part of month, INTEREST, Only if original report was not, PENALTY INTEREST, NET ADJUSTMENT, and UNDERPAYMENT.

Adjustment at CEP Rate of percent, on Quarterly Report, and TAXABLE Item inside nucs 4075 form

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Signature, Title, and Telephone in nucs 4075 form

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