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UIA 1020-R

REIMBURSING EMPLOYER’S QUARTERLY PAYROLL REPORT LINE-BY-LINE INSTRUCTIONS

(Rev. 5-11)

Reverse Side

Reimbursing Employer’s Quarterly Payroll Report.

REVIEW ALL PRE-PRINTED DATA FOR ACCURACY. If

not adjust wages on a current report to compensate for

correction is necessary, or you are reporting a change of

a prior error.

address, enter corrections on Form UIA 1025, Employer

Request for Address Change.

Form UIA 1020-R replaces LARA Form 3104. However,

for employers with multiple worksites, please continue to

file Form BLS 3020, Multiple Work Site Form. Contact the

DETAILED INSTRUCTIONS FOR COMPLETING UIA 1020-R

Bureau of Labor Market and Statistical Initiatives, Quarterly

Line 1: Use this form only when you have been assigned

Census of Employment and Wages Section, at 313-456-

a Reimbursing UIA Account Number. Your UIA account

3071, regarding Form BLS 3020

number starts with 08 and is the first seven digits of the

account number.

PENALTY CHARGES: Penalties are $10.00 for each report

received after the due date as provided in Section 54(c)

Line 2: If your Federal Employer Identification Number

of the MES Act. In cases of negligence, willful neglect, or

(FEIN) is not pre-printed here, enter it here.

fraud, the Act provides for more severe penalties.

Line 3: Correct quarter ending dates are 03/31, 06/30,

YOU MUST FILE THIS REPORT EVEN IF YOU HAVE NO

09/30 and 12/31, plus the appropriate year. Month must

PAYROLL FOR THIS QUARTER. KEEP A COPY FOR

YOUR RECORDS.

be two digits, as shown.

MAILING INSTRUCTIONS

Line 4: Enter total wages paid in the quarter (dollars and

cents), including cash value of all compensation paid in

Mail completed Form UIA 1020-R to:

any medium other than cash, such as meals, lodging and

Unemployment Insurance Agency

rent. Only cash wages should be reported for agricultural

PO Box 33598

and domestic services. Do not include elected officials

Detroit, Michigan 48232-5598

or voluntary fire fighters. If you have further questions,

FURTHER INFORMATION

please call the Reimbursing Unit. The figure you enter

should match what you report on Form UIA 1017, Wage

UIA forms mentioned here are on our website

Detail Report.

Line 5: Include in the count all workers (full-time or part-

time) who worked during, or received pay (subject to un-

SPECIAL INSTRUCTIONS

employment insurance wages) for the payroll period that

FOR NEW REIMBURSING EMPLOYERS

includes the 12th of the month. Do this for each month of

You must register with the MI Dept. of Treasury and the

the quarter for which your are filing. Include those work-

Unemployment Insurance Agency (UIA) using Form 518,

ers who are on leave with or without pay. List one digit

Registration for Michigan Taxes. Form 518 is available at

www.

per box. For example 239 employees for the first month

michigan.gov/treasury

or . You may also

would be reported as

Month

uia. If you are requesting reimbursing payment status at the

time of registration, you must also provide a copy of your IRS

AUTHORITY: Effective with the 2nd quarter of 2005, every

501(c)(3) exemption letter and be sure to provide an estimated

reimbursing employer is required to submit a quarterly

total calendar year gross payroll when you register. Failure to

provide a copy of the IRS 501(c)(3) exemption letter and

payroll report on or before the 25th day of the month

the annual gross payroll amount on your registration, will

following the end of the calendar quarter as provided by

delay your registration with the UIA. You may fax your IRS

Section 13 of the Michigan Employment Security (MES)

501(c)(3) exemption letter to the Reimbursing Unit at 313-456-

Act (MCL 421.13). By statute, timeliness is determined by

2132. Call the Reimbursing Unit at 313-456-2081 for questions

the Unemployment Insurance Agency’s (UIA) receipt date,

regarding registration.

not the date of mailing. Reports must be filed promptly,

even if an appeal involving liability issues is pending.

If you have not received a UIA account number prior to

submitting Form UIA 1020-R, YOU MUST EITHER CONTACT

REPORTING REQUIREMENTS – SUBMISSION OF THIS

THE REIMBURSING UNIT OR SUBMIT A COMPLETED COPY

OF FORM 518 AND YOUR IRS 501(c)(3) EXEMPTION LETTER

FORM IS MANDATORY

You must file a report for each

ALONG WITH FORM UIA 1020-R.

Because you have no

calendar quarter even if you have no covered workers

UIA account number, mail the required forms directly to the

or no wages to report. Failure to file a report for each

Reimbursing Unit at:

quarter will result in a penalty charge being assessed.

Unemployment Insurance Agency

Each quarterly report filed should include only the wages

Tax Office, Suite 11-500

paid in the quarterly period reported. A separate report

3024 W. Grand Blvd.

must be filed for each employer or legal entity in order to

Detroit, MI 48202

obtain the needed information. Correction of a previously

filed report must be made on Form UIA 1021-R, Amended

LARA is an Equal Opportunity Employer/Program.

Form Uia 1020-R - Reimbursing Employer'S Quarterly Payroll Report Line-By-Line Instructions - State Of Michigan

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