South Dakota From 21C Form PDF Details

Efficient and accurate reporting is paramount for businesses, especially when it comes to matters of unemployment insurance. The South Dakota Form 21C serves as a crucial tool for employers within the state who need to correct previously submitted information regarding unemployment insurance. Revised in April 2012, this form is provided by the South Dakota Department of Labor and Regulation, Unemployment Insurance Division. It facilitates the amendments of key employer details such as account numbers, unemployment insurance rates, and the specifics of wages paid across different quarters. Employers are required to meticulously report the original and the corrected amounts for total wages paid, total wages in excess of the state's taxable wage base, along with the identification of each employee affected by these amendments. The form underlines the necessity of corrections for each quarter and year, reinforcing the state's commitment to maintaining accurate employment records. Besides offering a straightforward method to rectify previously submitted data, the form also plays a significant role in calculating any additional contributions due or refunds to be made, considering the adjustments in taxable wages, interest, and penalties. Its design underscores not just the importance of precision in unemployment insurance documentation but also aids in ensuring fairness and compliance in the employer's financial responsibilities towards it.

QuestionAnswer
Form NameSouth Dakota From 21C Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 21c drug license, form 21 drug license download, drug licence online verification, form 21c for drug licence

Form Preview Example

Form 21C (rev. 4/12)

Statement to Correct Information Previously Submitted

South Dakota Department of Labor and Regulation, Unemployment Insurance Division

 

 

PO Box 4730 • Aberdeen, SD 57402-4730 • Phone 605.626.2312 • Fax 605.626.3347 • www.sdjobs.org

 

Account Number

 

 

 

UI Rate

 

%

 

 

Employer

 

 

 

Year

 

 

IF Rate

%

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A separate report is required for each year.

 

Surcharge Rate

Q1

Q2 Q3

Q4

 

 

 

 

 

 

 

 

____%

_____% ____% ____%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount Reported on Original Report

Correct Amount

 

 

 

 

 

 

 

Qtr/Yr to

Total Wages

Wages Paid in

Total Wages

Wages Paid in

 

Social Security #

 

Employee Name

be Corrected

Paid This Quarter

Excess of $________

Paid This Quarter

Excess of $________

1

 

 

 

 

 

 

/

 

 

 

 

 

2

 

 

 

 

 

 

/

 

 

 

 

 

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Explanation:

 

 

 

 

 

 

 

 

 

Annual taxable wage base:

 

 

 

 

 

 

 

 

 

 

 

 

 

2009 = $9,500

2013 = $13,000

 

 

 

 

 

 

 

 

 

 

 

 

2010 = $10,000

 

 

 

 

 

 

 

 

 

 

 

 

2014 = $14,000

 

 

 

 

 

 

 

 

 

 

 

 

2011 = $11,000

 

 

 

 

 

 

 

 

 

 

 

 

2015 & later = $15,000

 

 

 

 

 

 

 

 

 

 

 

 

2012 = $12,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

office

Quarter

 

 

Quarter

Quarter

Quarter

 

Make a copy of

 

 

 

coding

3/31/____

 

6/30/____

9/30/____

12/31/____

Total

this report for your

Net Change in Total Wages

 

 

 

 

 

 

 

 

 

 

records. Send

 

 

 

 

 

 

 

 

 

 

original to the

Net Change in Excess Wages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unemployment

Net Change in Taxable Wages

 

 

 

 

 

 

 

 

 

 

Insurance Division

Additional Contribution Due

9

 

 

 

 

 

 

 

 

 

of South Dakota.

 

 

 

 

 

 

 

 

 

 

Reduction in Contribution

8

 

 

 

 

 

 

 

 

 

 

Adjustments

 

 

 

 

 

 

 

 

 

 

 

Interest (1.5% per month from due date)

7

 

 

 

 

 

 

 

 

 

 

Penalty

7

 

 

 

 

 

 

 

 

 

 

Total Payment/Refund

 

 

 

 

 

 

 

 

 

 

 

I certify all information on this report is complete and correct.

 

 

 

 

 

 

 

 

 

Signature

 

 

 

Title

 

 

 

Phone

 

Date

 

Form 21Cc (rev. 4/12)

Statement to Correct Information Previously Submitted

South Dakota Department of Labor and Regulation, Unemployment Insurance Division

PO Box 4730 • Aberdeen, SD 57402-4730 • Phone 605.626.2312 • Fax 605.626.3347 • www.sdjobs.org

 

Account Number

 

 

 

Employer

 

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount Reported on Original Return

Correct Amount

 

 

 

Qtr/Yr to

Total Wages

Wages Paid in

Total Wages

Wages Paid in

 

Social Security #

Employee Name

be Corrected

Paid This Quarter

Excess of $_________

Paid This Quarter

Excess of $_________

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