Form Ui-3/40 - Employer'S Contribution And Wage Report - 2012 Page 2
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2computed at 12/365 of 2% per day. Payments received more than 30 days after the due date
GENERAL INSTRUCTIONS
are deemed to have been received on the last day of the month preceding the month in which
Filing Reports
the payment was received (Exception: For the first thirty days past the due date, interest is
Quarterly contribution and wage reports, Form Ul-3/40, must be filed by each employer subject to
computed on a daily basis.)
the Illinois Unemployment Insurance Act. The original report must be filed, and the contribution
payment made, no later than the last day of the month following the end of the quarter, April 30, July
Line 6B. Penalty
31, October 31 and January 31. Reports and remittances personally delivered or postmarked after
On reports filed after the penalty date, the penalty is the lesser of $5 for each $10,000 or
that date will be subject to penalty and/or interest. An employer who paid no wages during a quarter,
fraction thereof of the total wages or a maximum of $2,500 for the first month the report is late. The
but has not permanently ceased being an employer, must file a signed report showing “No Wages
second month the report is late the penalty is the lesser of $10 for each $10,000 or fraction thereof
Paid This Quarter”.
of total wages or a maximum of $5,000. The minimum penalty is $50.00.
Non-profit organizations and local governmental entities which elected to make payments in lieu of
Line 6C. Previous Underpayment
contribution must file the contribution and wage report (Ul-3/40) quarterly even though contributions
If payment for any previous underpayment is included with the remittance for this report,
are not required.
enter the amount of the underpayment including interest.
Adjustments
Line 6D. Previous Overpayment
Make no adjustments for prior quarters on the current quarter’s report. Request the proper form from
Credit shown on this line may be deducted from the contribution due this quarter.
the Employer Hot Line Section, Revenue Division, 33 South State Street, Chicago, Illinois 60603-
2802, or visit the IDES website for forms, at Phone numbers are
listed at the Contact IDES page, Reporting
Line 7. Total Payment Due
errors should be corrected even if the contribution for the quarter remains unchanged.
Enter the sum of Line 5A or 5B plus Lines 6A, 6B and 6C less amount on Line 6D.
Supplemental Report
Signature
Should be filed whenever there are underreported and/or omitted wages for a quarter. Please note
on the report whether it is a Supplemental or Amended Report.
This report must be signed by owner, partner, officer or authorized agent within the employing
enterprise. If signed by any other person, a Power of Attorney must be on file.
LINE ITEM INSTRUCTIONS FOR PREPARATION OF Ul-3/40 REPORT
Column 8. Worker’s SSA Number
Show complete Social Security Number of each worker.
Line 1. Number of Covered Workers
Enter the total number of covered workers (full and part time) who performed services during or
Column 9. Name of Workers
received pay for the payroll period including the 12th of each month of the quarter. Include workers
Type or print the workers’ names.
who have earned more than the taxable wage base amount* in the calendar year and those on
vacation or paid sick leave. Exclude workers on strike.
Column 10. Total Wages Paid
Line 2. Total Wages Paid
Enter total wages paid to each worker during the quarter regardless of when services were
performed. Total wages include both taxable and non-taxable wages paid in excess of the taxable
Enter all wages paid in the quarter for covered employment including wages paid to workers who
wage base amount*.
have already received wages in excess of the taxable wage base amount* during the calendar year.
Wages include (a) salaries, commissions and bonuses; tips reported to the employer; separation
If you use Continuation Sheets, you may begin listing your workers on the continuation
pay, vacation pay, prizes, sick pay, payments on account of retirement; (b) the reasonable cash
sheets; enter the total number of pages and complete Line 11.
value of remuneration paid other than in cash, such as goods, meals and lodging, and (c) any
remuneration for services performed within the State which is considered wages under the Federal
Page No. 1 of Pages
Unemployment Tax Act.
Enter the total number of pages contained in the report. Continuation sheets should be
Line 3. Less Wages in Excess of the taxable wage base amount*
numbered consecutively beginning with page number 2.
Enter wages included on Line 2 in excess of the taxable wage base amount* for each worker. Do
Mail This Report Along With Your Check To:
not include excess wages of prior quarters.
Illinois Department of Employment Security
Line 4. Taxable Wages
P.O. Box 19300
- Deduct Line 3 from Line 2 and enter the net amount on this line.
Springfield, Illinois 62794-9300
Lines 5A and 5B.
* Taxable Wage Base Amount
Calendar Year
Complete only one, whichever is applicable.
5A - Use this line if total wages are less than $50,000. Calculate your contribution due by multiplying
$11,000
2006
the taxable wages on Line 4 by your contribution rate. (NOTE: If your contribution rate is 5.5% or
$11,500
2007
higher, calculate your contribution due by multiplying the taxable wages on Line 4 by 5.4%.)
$12,000
2008
5B - Use this line if total wages are $50,000 or more. Calculate your contribution due by multiplying
S12,300
2009
the taxable wages on line 4 by your contribution rate.
$12,520
2010
$12,740
2011
Line 6A. Interest
$13,560
2012
On contributions not paid by the interest due date, add interest at the rate of 2% per month
$12,900
2013
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