Form Uct-28 - Election Of Nonprofit Organization Method Of Payment Under The Florida Unemployment Compensation Law

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UCT-28
Election of Nonprofit Organization Method of Payment
R. 10/03
Under the Florida Unemployment Compensation Law
______________________________________________
Legal Entity
UT Account Number
______________________________________________
Street Address
______________________________________________
City, State ZIP
As a nonprofit employing unit as defined in section 443.1312(1), Florida Statutes, we hereby elect the option checked
below as our method of paying for the unemployment benefits paid to our former employees.
0
0
1
1
The method is to be effective
M
M
D
D
Y
Y
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 at the initial employer tax rate.
(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.
The information on the back of this form should be read carefully
before a method of payment is selected.
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