Worksheet For Scheduling An Electronic Payment Only
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1
2Worksheet
for scheduling
an Electronic
Payment
only
EMPLOYER
ACCOUNT
NUMBER
This is your Nevada Unemployment Insurance Account Number. Maximum of nine digits; no
decimals or hyphens with extra digits allowed for transactions
(Box la of NUCS-4072)
4 DIGIT
PIN
If this is your first transaction, you will need to change
your temporary PIN to a new 4 digit PIN you select
TOTAL
PAYMENT
AMOUNT
Enter the total amount to be transferred from your bank account. Use dollars and cents;
no decimals or commas are allowed for Electronic Payment transactions.
(Box 12 ofNUCS-4072)
Month
Day
4 Digit Year
~
you would
like your
Unemployment
Insurance
Account
credited
Transactions completed on State holidays, weekends, or after
5:00 p.m. Pacific Time will not be processed until the next regular business day.
Confirmation
# given
for transaction
processed
IMPORTANT:
You
will
need this number
to inquire
about,
change,
or cancel
this transaction
NUCS -4053EPS
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Parent category: Legal