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Click ‘Get Form’ to open it in the editor.
Begin by entering your name or your organization's name, followed by the address and telephone number. Ensure all details are accurate for effective communication.
Indicate the contact person for additional information, including their name and telephone number if different from above.
Answer whether you paid cash wages of $1,000 or more for domestic service in any quarter during the current or preceding four calendar years. If yes, specify the earliest quarter and year.
Enter the Date of Hire and First Pay Date for the first domestic worker hired during the indicated year.
Provide your Federal Employer Identification Number (FEIN). If you do not have one, follow the instructions to obtain it from the IRS.
Decide if you elect to file your State of Illinois Unemployment Insurance Contributions and Wage Report annually by selecting 'Yes' or 'No.'
Finally, certify that all information is true and correct by signing and dating the form. Remember to keep a copy for your records.
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