STATE OF DELAWARE UNEMPLOYMENT INSURANCE



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FROM DELAWARE DEPARTMENT OF LABOR DIVISION OF UNEMPLOYMENT INSURANCE P.O. BOX 9953 WILMINGTON, DE 19809-0953 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300 FIRST-CLASS MAIL U.S. POSTAGE PAID DE UNEMPLOYMENT INSURANCE PERMIT NO. 330 FORWARD SERVICE REQUESTED EMPLOYER S QUARTERLY REPORT - FORMS SET UNEMPLOYMENT INSURANCE UC-8 QUARTERLY TAX REPORT UC-8A QUARTERLY PAYROLL REPORT UC-8C CHANGE REPORT DELAWARE DEPARTMENT OF LABOR Doc. No. 60-06/00/03/08 G TO OPEN - REMOVE STUB BY TEARING ALONG PERFORATION

GENERAL INSTRUCTIONS This tax package contains the necessary forms and instructions to file your quarterly Unemployment Insurance Tax Reports. Reports should contain wage data for one quarter only. If you need report forms for other periods or if you need to make corrections to previously submitted reports call the Division of Unemployment Insurance at (302) 761-8482 to obtain the necessary forms. USE OF INFORMATION In accordance with 20 CFR Part 603, wage information and other confidential unemployment insurance information may be requested and utilized for other governmental purposes, including, but not limited to, verification of an individual s eligibility under other government programs. CHANGE REPORT UC-8C This form must be used to ensure that changes in status or corrections to pre-printed information are properly recorded. DO NOT MAKE CHANGES DIRECTLY TO PRE-PRINTED INFORMATION ON TAX REPORTS. Return with tax forms only if changes are required. PAYMENT COUPON To ensure proper credit for payment, write your account number on the check and write the amount enclosed in the space provided. Return with tax forms in the envelope provided. Complete UC-8A before completing UC-8. QUARTERLY TAX REPORT UC-8 Line 1 For each month, report the number of covered workers who worked during or received pay for the payroll period which includes the 12th of the month. Line 2 Enter Gross Covered Wages (Total from UC-8A). If you had no covered wages this quarter enter 0 (zero) on UC- 8, Line 2, sign and return. Line 3 Enter the amount included in Line 2 which represents wages in excess of the taxable wage base ($10,500.00 annually) paid to each employee. Line 4 Enter taxable wages. (Line 2 minus Line 3). Line 5 Multiply taxable wages by your tax rate. Line 6 Enter only credits that have been approved by the Division. Credits taken cannot exceed the tax due. Line 7 Enter net tax due. Line 8 Late payments are subject to interest charges at the rate of 18% per year from the due date. Calculate interest due as follows: NET TAX DUE X.015 X MONTHS PAST DUE. Line 9 Enter penalty for late reporting as provided by law. Line 10 Payment due must equal the Total of Lines 7, 8 and 9. IMPORTANT: THIS REPORT MUST BE SIGNED BY EMPLOYER OR OTHER DULY AUTHORIZED REPRESENTATIVE. QUARTERLY PAYROLL REPORT UC-8A This form is used to report Gross Covered Wages for all employees. "Wages" is defined as all remuneration for personal services including commissions, tips, bonuses (excluding any attendance bonus paid during or incident to any period of unemployment), dismissal payments, holiday pay and the cash value of all remuneration in any medium other than cash. If you are an approved MAGNETIC TAPE filer check the block and return blank form. CORPORATE OFFICERS Effective 96-1, regardless of ownership interest, wages from employment earned by officers are subject to the state unemployment insurance tax. FORM COMPLETION 1. Report wages for this quarter only. DO NOT INCLUDE NEGATIVE WAGES. 2. All columns must be completed or form will not be processed. 3. If there is not enough space to list all employees on this form use additional pages. Continuation forms will be provided upon request or you may supply your own forms. Forms must include Employer Name, Account Number, Yr/Qtr, Employee Name, Social Security Number and Gross Covered Wages. 4. Each page should be totaled and the total of all additional pages should be entered on Line 32 of form UC-8A. 5. Add line 31 and 32 and enter Grand Total on Line 33 and on form UC-8 Line 2.

STATE OF DELAWARE UNEMPLOYMENT INSURANCE Use this form to report changes in status or corrections to pre-printed information DELAWARE DEPARTMENT OF LABOR DIVISION OF UNEMPLOYMENT INSURANCE P.O. BOX 41785 PHILADELPHIA, PA 19101-1785 Covered employment was permanently discontinued on t DETACH AT PERFORATION t Operations were permanently discontinued on Business reorganized effective Business sold on Name change/correction Telephone number ( ) - Mailing Address (OUTSIDE REPRESENTATIVE MUST FILE A POWER OF ATTORNEY) Change in ownership interest Please explain If the Federal ID shown, is incorrect, please print correct number here. X Signature of owner or duly authorized representative Title Form UC-8C Doc. No. 60-06/00/11/01 CHANGE REPORT

REMOVE BEFORE INSERTING INTO ENVELOPE t DETACH AT PERFORATION t Detach at Perforation and Return with Payment MAKE CHECK PAYABLE TO: DELAWARE UNEMPLOYMENT COMPENSATION FUND (DUCF) EMPLOYER NAME ACCOUNT NO. AMOUNT ENCLOSED MAIL PAYMENT TO: DELAWARE DEPARTMENT OF LABOR DIVISION OF UNEMPLOYMENT INSURANCE P.O. BOX 41785 PHILADELPHIA, PA 19101-1785 PAYMENT COUPON

READ INSTRUCTIONS ON INSIDE COVER BEFORE COMPLETING THIS REPORT DO NOT USE THIS REPORT TO MAKE CORRECTIONS STATE OF DELAWARE UNEMPLOYMENT INSURANCE Reporting Period (Yr/Qtr) Due Account No. Federal ID Number REMOVE BEFORE INSERTING INTO ENVELOPE DETACH AT PERFORATION Tax Rate 1. For each month, report the number of covered workers who 1st Month 2nd Month 3rd Month worked during or received pay for the payroll period which includes the 12th of the month. 2. Gross covered wages paid this quarter (Enter total from UC-8A, line 33.) If you had no covered wages this Quarter, enter 0; sign and return. 3. Excess wages (Wages included in line 2 that exceed $10,500 annually per employee) 4. Taxable Wages (Line 2 less line 3) 5. Tax due (Multiply line 4 by ) 6. Approved credit (See instructions.) 7. Net tax due (Line 5 less line 6) 8. Interest (See instructions.) 9. Penalty ($17.25 for late reporting) 10. Payment due (Total of lines 7, 8 and 9) I certify, to the best of my knowledge, this report and the attached payroll reports are true and correct. Make check payable to: Delaware Unemployment X Compensation Fund (DUCF) Signature of owner or duly authorized representative Write account number on check and return with Title Payment Coupon. Form UC-8 Doc. No. 60-06/00/03/08 AGENCY COPY QUARTERLY TAX REPORT

STATE OF DELAWARE UNEMPLOYMENT INSURANCE REMOVE BEFORE INSERTING INTO ENVELOPE t DETACH AT PERFORATION t Reporting Period (Yr/Qtr) Due Account No. Federal ID Number IF YOU ARE AN APPROVED MAGNETIC MEDIA FILER, CHECK BOX AND RETURN THIS FORM. NO FURTHER ENTRIES ARE REQUIRED. Employee Social Security Number Employee Name (First Initial, Middle Initial and Last Name) Gross Covered Wages 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Total this Page 32 Total from additional pages 33 GRAND TOTAL Form UC-8A Doc. No. 60-06/00/08/05 DO NOT USE THIS REPORT QUARTERLY PAYROLL REPORT TO FILE CORRECTIONS. AGENCY COPY