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Click ‘Get Form’ to open the Multiple Worksite Report in the editor.
Review the business mailing address and contact information. Make any necessary corrections in Section 2.
In Section 3, examine the list of worksites. For each worksite, verify the name, address, and description. Update any inaccuracies.
Enter the number of employees for each month of the quarter. This includes all full-time and part-time employees who received pay during the pay period that includes the 12th of the month.
Input quarterly wages for each worksite, rounding to the nearest dollar. Ensure these figures comply with State Unemployment Insurance laws.
If there are significant changes in employment or wages, document these next to the respective worksite.
Complete any missing worksites by providing their details as instructed, including unique identifiers and employment data.
Finalize by summing up total employees and wages at all worksites in the Totals section at the end of your report.
Return your completed form using the provided envelope to ensure timely processing.
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What criteria determines a Multiple Worksite Reporter? An employer must have more than one establishment reporting under the same Unemployment Insurance (UI)Read more
29 CFR 825.111 - Determining whether 50 employees are
(a) Generally, a worksite can refer to either a single location or a group of contiguous locations. Structures which form a campus or industrial park,Read more
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