Form Sr2 - Report To Determine Liability - 2000
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1
2STATE OF ALABAMA
DEPARTMENT OF INDUSTRIAL RELATIONS
FORM SR2
UNEMPLOYMENT COMPENSATION AGENCY
(Rev. 4/15/2000)
MONTGOMERY, ALABAMA 36131
REPORT TO DETERMINE LIABILITY
RETURN ONE COPY
KEEP ONE COPY FOR YOUR RECORDS
(EMPLOYER NAME AND ADDRESS)
LAW
___________________
EMP-ACCT-NO (1 )
___________________
NEW-ACCT-CD (2)
___________________
TRADE-NAME-CD (4 )___________________
ADDRESS-CD (12)
___________________
HOW-LIABLE-CD (18)___________________
CONTRIB-CD(19)
___________________
AC-STATUS-DTE (20)___________________
AC-STATUS-CD (21)
___________________
ER-LIAB-DTE (22)
___________________
EE-LIAB-DTE (23)
___________________
ACQ-CD (24)
___________________
COMBINED-AC-CD (25) ___________________
ACQ-DTE (26)
___________________
SUBSID-AC-NO (27)
NA
MASTER-AC-NO (28) ___________________
WAGE-RPT-CD (29)
___________________
TYPE-BUS-CD (30)
___________________
(
17) EMPLOYER TELEPHONE NO._____________________________________________
R&S CODES
If preprinted name or address is incorrect, line out incorrect item in the
EMPLOYER-SSN (31)
(SEE BACK)
name and address block and insert correct information. If the name and
AUX-CD
___________________
address block is blank, please complete. (Please type or print.)
FOREIGN-CTR-CD (32) ___________________
SIC-OWN-CD
___________________
(3) FEDERAL IDENTIFICATION NO......
CR4s needed (33)
___________________
MULTI-PLANT CD
___________________
(This Number is assigned by the Internal Revenue Service)
Quarters
___________________
FIPS CODES
A separate Form SR2, Report to Determine Liability, must be filed for each
SUCC-ACCT-NO (34)
NA
STATE
___________________
type of employment. This Form SR2 contains NON-FARM
AGRICULTURAL
PRED-ACCT-NO (35)
___________________
CITY
___________________
DOMESTIC
GOVERNMENTAL (STATE
LOCAL
) employment only.
CODED BY
___________________
COUNTY (AREA)
___________________
Do you have more than one type of employment? YES
NO
ABOVE FOR AGENCY USE ONLY
Do you have an Alabama Unemployment Compensation Account? YES
NO
If YES, give account number___________________________________________________
1. Do you have employees located in another state? YES
NO
If “Yes” in what state(s)? _____________________________________________________________________
2. Is your firm subject to the provisions of the FEDERAL UNEMPLOYMENT TAX ACT? YES
NO
What year did you first incur liability? ______________________________________Have you remained liable since that date? YES
NO
3. Date ALABAMA employment began______________________________________. Started New Business
Or Acquired Going Business
Domestic
4. If you acquired ALL or A PART of a going business, give us the NAME and TRADE TITLE of your predecessor employer___________________________________________________
___________________________________________________________________________________________________________________________________________________
5. If your predecessor was liable for Unemployment Tax, give the Alabama Account Number under which reports were made
____________________________________________________________________________Date acquired from predecessor _____________________________________________
6. Did your predecessor discontinue business? YES
NO
Date______________________________________________
7. List below TOTAL ALABAMA WAGES paid to all employees during each calendar quarter of each year following date in item no. 3. (For the type of employment covered on this form).
Include remuneration paid to officers of corporations. Domestic employment information is necessary in item 7 but not in item 8.
JAN.-FEB.-MAR.
APR.-MAY-JUNE
JULY-AUG.-SEPT
OCT.-NOV.-DEC.
.
YEAR – _________
YEAR – _________
8. List below, by type of employment, the number of individuals in your employ within each week. A month having five Saturdays is considered as having five weeks of employment.
Include all part-time employees and officers being remunerated by corporations. DO NOT INCLUDE DOMESTIC EMPLOYEES. DO NOT COMBINE NON-FARM AND
AGRICULTURAL EMPLOYEES. A separate Form SR2 must be filed for each type of employment.
JAN.
FEB.
MAR.
APR.
MAY
JUN.
JUL.
AUG.
SEP.
OCT.
NOV.
DEC.
Week
ST
CURRENT YEAR ______________
1
ND
2
RD
3
INSERT YEAR FOR WHICH
TH
4
TH
YOU ARE REPORTING
.
5
JAN.
FEB.
MAR.
APR.
MAY
JUN.
JUL.
AUG.
SEP.
OCT.
NOV.
DEC.
Week
ST
PRECEDING YEAR ______________
1
ND
(IF IN BUSINESS)
2
RD
3
TH
INSERT YEAR FOR WHICH
4
YOU ARE REPORTING
TH
.
5
IMPORTANT! PLEASE COMPLETE PAGES 1 AND 2
Page 1
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