Form 07-1496-01 - Employer Option Form - Alaska Department Of Labor (Page 3 of 4) in pdf

Form 07-1496-01 - Employer Option Form - Alaska Department Of Labor Page 3

Option Form for Seventh Bi-Weekly Payroll Payments

For Rating Purposes Only

Choose either the deletion method or the apportion method, then provide the requested information in the appropriate

columns.

Deletion Method

Apportion Method

Seventh bi-weekly payroll payment of wages paid during

The seventh bi-weekly payroll will

Payment a quarter to be deleted entirely from the quarter

be apportioned equally calendar

for rating purposes.

quarters within the year in which

it was paid.

(1) Enter the quarter

(2) List the total wages as reported on

(3) For both methods, list the total

(4) Adjusted total quarterly wages after

ending dates for the

your quarterly contribution report for

reportable wages for the seventh bi-weekly

apportionment or deletion.

quarters that you had

the quarter(s) listed in Column 1.

payroll for each quarter.

seventh bi-weekly

payroll payments.

SHADED AREA FOR

DEPARTMENTAL USE ONLY

Quarter Ending Date(s)

Account No: _____________________________ Account Name: __________________________________________________________________________________________

Date: ____________________ Contact Person: _______________________________________________________ Telephone Number: ___________________________

Form 07-1496-01 (Rev 12/98)

Form 07-1496-01 - Employer Option Form - Alaska Department Of Labor Page 3