Form Uitl-5 - Request For Seasonal Status
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2Colorado Department of Labor and Employment, Unemployment Insurance Employer Services
P.O. Box 8789, Denver, CO 80201-8789
Phone 303-318-9100 (Denver-metro area) or 1-800-480-8299 (outside Denver-metro area); Fax 303-318-9206
REQUEST FOR SEASONAL STATUS
Fill out this form to request to be a seasonal employer for unemployment purposes. Send it to the address or fax number at the top of
the form. Seasonal means that your whole business or occupations within your business work less than 26 weeks in a calendar year.
The time includes Saturdays and Sundays. We use the law to make our decision on whether you can be a seasonal employer. We must
decide if you can be a seasonal employer for all of your business or for occupations within your business. See the Colorado
Employment Security Act 8-73-106 and the Regulations Concerning Employment Security Part X. We must tell you that you are a
seasonal employer before your season begins. If we have not told you before the season begins, you must wait until the start of your
next season to be a seasonal employer.
Your Company’s Legal Name (Your legal company name as listed with the Secretary of State)
Your Employer Account Number
Your Trade Name (DBA)
Telephone Number
Company’s Street Address
City
State
ZIP Code
Fill out this section if your mailing address is different from what you wrote above.
In Care of Name
Mailing Address
City
State
ZIP Code
REQUIREMENTS
To be a seasonal employer, you must meet these requirements:
•
All your workers in your entire business or in each seasonal occupation must work less than 26 weeks in a calendar year.
•
You must have at least 45 days in a row in a calendar year during which the workers do not work in the seasonal occupation.
•
Not more than 25 percent of all the workers in your entire business or in each seasonal occupation can work outside the
season.
INSTRUCTIONS
If you want your entire business operation to be seasonal, fill out only Items 1 and 2. Turn the form over and sign it.
If you want some occupations within your business to be seasonal, fill out the whole form. Remember to sign the back.
Please type all dates as mm/dd/yyyy.
1. In what calendar year do you want to be a seasonal employer?
___________________________
2. Does your entire business work for less than 26 weeks during the calendar year?
Yes.
List your business’s first and last dates for your seasonal periods. If you have more than one seasonal
period,
list the first and last days for each season.
First date for the first season
________________________________________
Last date for the first season
________________________________________
First date for the second season (if you have one)
________________________________________
Last date for the second season (if you have one)
________________________________________
No. Fill out Items 3 and 4.
IMPORTANT! This document(s) contains important information about your unemployment compensation rights, responsibilities and/or benefits. It is critical that you
understand the information in this document. If needed, call 303-318-9100 for assistance in the translation and understanding of the information in the document(s) you
have received.
¡IMPORTANTE! Este documento(s) contiene información importante sobre sus derechos, obligaciones y/o beneficios de compensación por desempleo. Es muy
importante que usted entienda la información contenida en este documento. Si necesita asistencia para traducir y entender la información contenida en el documento(s)
que recibió, llame al 303-318-9100.
UITL-5 (R 02/2012)
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