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Click ‘Get Form’ to open the dol 4a in the editor.
Begin with Part I by entering your DOL account number, report year, employer name, mailing address, and email address. If you are a new employer without a DOL account number, write 'Applied For' and attach a DOL-1A form.
Input the Social Security Number, last name, first name, and total covered wages for each quarter separately. Ensure all wages paid are reported in the quarter they were actually made.
In Part II, start with Line 1 by entering the total reportable gross wages for all employees per quarter. Then subtract any non-taxable wages on Line 2.
Calculate taxable wages on Line 3 by finding the difference between Lines 1 and 2. Enter your Contribution tax rate on Line 4 and calculate taxes due based on this rate.
Complete Lines 6 through 12 by following instructions for previously paid taxes, interest due for late reports, penalties if applicable, and summing up amounts as required.
Finally, review Sections A-D at the bottom of Part II for any changes in business information before signing and submitting your report by January 31.
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