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A carriage return line feed must be after each 125 byte record |
| Position |
Field |
Length |
Description and Remarks |
| 01 - 10 |
Employer UI Account Number |
10 |
Enter 10-digit UI Account Number. (Example: If account number is
123456-000-7, positions 1 - 10 should contain 1234560007.) |
| 11 - 13 |
Reporting Period Quarter/Year (QYY) |
3 |
Enter Quarter and Year to which this report applies. |
| 14 - 19 |
Month 1 Employment |
6 |
Right Justify. Must be reported
"unsigned". Do not use commas. Monthly employment includes
all full time and part time workers in covered employment that
worked during or received pay for the payroll period which includes
the 12th of the month. If none, then zero fill. |
| 20 - 25 |
Month 2 Employment |
6 |
Right Justify. Must be reported
"unsigned". Do not use commas. Monthly employment includes
all full time and part time workers in covered employment that
worked during or received pay for the payroll period which includes
the 12th of the month. If none, then zero fill. |
| 26 - 31 |
Month 3 Employment |
6 |
Right Justify. Must be reported
"unsigned". Do not use commas. Monthly employment includes
all full time and part time workers in covered employment that
worked during or received pay for the payroll period which includes
the 12th of the month. If none, then zero fill. |
| 32 - 42 |
Total Covered Wage |
11 |
Right justify. Enter dollars and cents. Must be reported
"unsigned". Do not use commas, decimal points or dollar signs. |
| 43 - 53 |
Exclusions |
11 |
Right justify. Enter dollars and cents. Must be reported
"unsigned". Do not use commas, decimal points or dollar
signs. |
| 54 - 64 |
Taxable Payroll |
11 |
Right justify. Enter dollars and cents. Must be reported
"unsigned". Do not use commas, decimal points or dollar
signs. |
| 65 - 74 |
Amount Paid (See Description & Remarks Column) |
10 |
Right justify. Enter dollars and cents. Must be reported "unsigned".
Do not use commas, decimal points or dollar signs. Enter amount paid
in this field only if the service provider is remitting payment for
the employers out of the service providers own bank account via ACH
debit using our online tax file upload payment system. If taxes are
paid via ACH Credit by the service provider or the employer pays the
tax themselves no matter how they make payment enter no amount paid
or zero dollars in this field. Service providers remitting payment
on behalf of employers are required to remit the payment
electronically. |
| 75 |
Insurance Indicator |
1 |
This field can now be left blank. You no longer are required to
report if employees for the employer being reported have access to a
health insurance plan sponsored by the employer, a union, or a
trade/professional organization. |
| 76 - 115 |
Employer Legal Name |
40 |
First 40 Characters of Employers Legal Name. |
| 116-124 |
Federal Id Number |
9 |
Employers Federal Identification Number |
| 125 |
Elect Deferral of 1st Quarter UI Tax |
1 |
Y or Blank. A letter Y indicates that the employer is electing to
participate in deferral of 1st quarter UI Tax. This field only
should be filled in if the report being filed is for 1st quarter and
the report is being filled by the tax due date. |
