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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 to Pay (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 the amount to pay towards the correlating account in the first field. Only include an amount in this field if intending to submit a payment from a single bank account via ACH Debit through the Service Provider website. If you are going to submit a payment through ACH Credit outside of our website or the employer pays the tax themselves, enter zeros in this field. Service providers remitting payment on behalf of employers are required to remit the payment electronically. If an amount is specified in this field for any accepted record within the file, an ACH Debit payment must be submitted through our website for entire amount indicated for all accepted records before any of the records are posted. |
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. |
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Content Contact: Tax & Accounting Staff