Form Uc-8 - Request For Termination Of Coverage - Tax Operations Section August 2003

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FORM UC-8
(REV 8/03)
DEPARTMENT OF INDUSTRIAL RELATIONS
UNEMPLOYMENT COMPENSATION DIVISION
INDUSTRIAL RELATIONS BUILDING
MONTGOMERY AL 36130
(334) 242-8830
ATTN:
Tax Operations Section
RE:
Request for Termination of Coverage
ACCOUNT NO.
___________________________
Employer:
Except as otherwise provided in Section 25-4-131, an employer (except governmental entities) shall cease to be a employer subject to this
chapter: As of January 1 of any calendar year if he file with the Director, prior to April 1 of such year, a written application for termination
of coverage and he has not, during the preceding calendar year, met any of the conditions for remaining subject to this chapter.
In accordance with Sections 25-4-130 and 25-4-131, 1975 Code of Alabama, as amended, this is to request that the undersigned be released
from a liable status under the Alabama Unemployment Compensation Law with respect to filing reports and paying contributions related
thereto after January 1, 20
. My (our) record of employment for the calendar year 20____ is as follows:
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My (our) record of total gross quarterly wages paid for the year 20____ is as follows:
Quarter Ending March 31
$________
Quarter Ending September 30
$________
Quarter Ending June 30
$________
Quarter Ending December 31
$________
The above record reflects the number of persons employed by the undersigned (in the United States as a whole) on
the heaviest day of employment in each calendar week and the gross quarterly wages paid for covered employment
during the calendar year 20____.
It is understood that in the event this request meets the requirements for termination, that I (we) will be help exempt
from the filing of further reports and the paying of contribution related thereto, either or both for periods of
operations subsequent to January 1, 20
, and until such time as I (we) may again become subject for the filings
of such reports and paying of such contributions related thereto as required by law and will be considered a new
employer under any provision of Section 25-4-8.
FIRM: ___________________________________
BY:
___________________________________
TITLE: ___________________________________
DATE: ______________________________
17

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