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Click ‘Get Form’ to open the UIA 1028 in the editor.
In Section 1, indicate your Employer Type by checking either 'Contributing' or 'Reimbursing'. If this is an amended report, check the appropriate box and provide an explanation.
Enter your UIA Employer Account Number and FEIN. Then, provide the number of full-time and part-time employees for each month of the quarter ending on the 12th.
Proceed to Section 2. List all employees who had wages during this quarter. Fill in their Social Security Number, last name, first name, and gross wages paid this quarter.
Continue to Section 3 if you are a Contributing Employer. Calculate total gross wages, excess wages, taxable wages, and tax due based on your provided information.
Finally, complete Section 4 by certifying that the report is correct. Sign and date it before submitting.
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