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Form Uct-28g - Election Of Public Employer Method Of Payment Under The Florida Unemployment Compensation Law - Florida Department Of Revenue - 2007

UCT-28G

R. 04/07

Page 1

Election of Public Employer Method of Payment

Under the Florida Unemployment Compensation Law

Legal Entity:

Street Address:

–

UT Account Number

City, State ZIP:

As a public employer defined in section 443.036(35), Florida Statutes, we hereby elect the option checked below as our

method of paying for the unemployment benefits paid to our former employees.

–

The method is to be effective

1. Reimbursable Method

(a) As a newly liable employer we elect the reimbursable method of payment for unemployment compensation

benefits.

(b) As an already liable employer we elect to change from the tax rate method to the reimbursable method of

payment for unemployment compensation benefits.

2. Tax Rate Method

(a) As a newly liable employer we elect the tax rate method of payment for unemployment compensation

benefits at the initial tax rate for a public employer.

(b) As an already liable employer we elect to change from the reimbursable method of payment for

unemployment compensation benefits to the tax rate method.

Read the information on page two of this form carefully

before selecting a method of payment.

Form Uct-28g - Election Of Public Employer Method Of Payment Under The Florida Unemployment Compensation Law - Florida Department Of Revenue - 2007