Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development

Download a blank fillable Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

__________________________________________________
Multiple Worksite Report - BLS 3020
Indiana Dept of Workforce Development
Form Approved, O.M.B. No. 1220-0134
Research & Analysis - QCEW
Expiration Date: 08/31/2019
10 N Senate Ave Rm 211 SE
In Cooperation w ith the U.S. Department of Labor
Indianapolis IN 46204-2277
Phone: (800) 784-0360
Indiana
This report is authorized by law, 29 U.S.C. 2. Your cooperation is needed to make the results of this survey
complete, accurate, and timely. The totals on this form must match the corresponding totals on your Employer's
Quarterly Contributions Report (Form UC-1).
BUSINESS MAILING ADDRESS
Please print.
QUARTERLY REPORT INFORMATION
Business Name: __________________________________________
U.I. NUMBER: ______________________
QUARTER ENDING: ___ / ___ / ___
Street Address: ___________________________________________
DUE DATE: ___ / ___ / ___
City: ___________________________ ST: ______ ZIP: __________
WORKSITES
BUSINESS NAME
(division, subsidiary, etc.)
NUMBER OF
QUARTERLY WAGES
OFFICE
STREET ADDRESS
(physical location)
EMPLOYEES
OF WORKSITES
USE
(subject to UI Law s) During the Pay Period
(subject to UI law s)
CITY, STATE, AND ZIP CODE
Which Includes the 12th of the Month
Round to the nearest dollar
WORKSITE DESCRIPTION
(plant name, store number, etc.)
Month 1
Month 2
Month 3
.00
.00
.00
.00
.00
.00
Note: The totals MUST agree (except for rounding)
0
0
0
$ 0
Total:
______
______
______ $ ___________.00
with your Form UC-1.
CONTACT PERSON (for questions regarding this report)
NAME: ________________________________________ PHONE: _____________________________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2