Clear The Form
UC-018 (4-10)
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
PO BOX 52027
ARIZONA ACCOUNT NUMBER
PHOENIX, AZ 85072-2027
CALENDAR QUARTER ENDING
Telephone (602) 771-6601
TO AVOID PENALTY MAIL BY
FEDERAL ID NO.
MAKE SURE FEDERAL ID NO. IS CORRECT!
For Online Filing:
TYPE OR USE BLACK INK ONLY
UNEMPLOYMENT TAX AND WAGE REPORT
C. WAGE SUMMARY
– See instructions
A. NUMBER OF EMPLOYEES –
.
1. TOTAL WAGES PAID IN QUARTER
Report for each month, the number of full and part-time
From Section B. Wage Listing
covered workers who worked during or received pay
.
2. SUBTRACT EXCESS WAGES
subject to UI Taxes for the payroll period which
Cannot exceed Line 1 – See Instructions
includes the 12th of the month.
.
3. TAXABLE WAGES PAID
Up to $7,000 per Employee – Line 1 minus Line 2
.
4. TAX DUE
Line 3 X Tax Rate of
The decimal equivalent =
.
5. ADD INTEREST DUE
1% of Tax Due for each month payment is late
.
6. ADD PENALTY FOR LATE REPORT
0.10% of Line 1 ($35 min / $200 max)
.
7. ADD JOB TRAINING TAX DUE
0.10% of Line 3
B. WAGES – List all employees in Social Security
.
8. TOTAL PAYMENT DUE
number order, or alphabetically by last name. For
If the sum of lines 4 and 7 is equal to or less than $9.99,
additional employees use white paper in the same
payment of the taxes due is not required.
format, or form UC-020. Filing via the internet at
.
9. SUBTRACT ANY CREDIT BALANCE
is preferred for reporting up to 999
If balance is listed, subtract from Line 8.
employees. Magnetic Media filing via compact disk is
.
preferred for reporting 1,000 or more employees, see
10. AMOUNT PAID
the Arizona Magnetic Media Reporting (PAU-430)
Make check payable to DES Unemployment Tax
publication at the above website for specifications and
application instructions.
LIEN MAY BE FILED WITHOUT FURTHER NOTICE ON DELINQUENT TAXES.
1. Employee’s Social Security Number
2. Employee’s Name (Last, First)
3. Total Wages Paid in Quarter
TOTAL WAGES THIS PAGE
TOTAL WAGES ALL PAGES
Signature:
Title:
Prepared by:
Date:
Telephone No.:
(
)
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