Form Uct-28g - Election Of Public Employer Method Of Payment Under The Florida Unemployment Compensation Law Page 2

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A public employer electing the tax rate method will be assigned the initial rate for the first year under this method. After the
first year, you will be rated based on your own experience rate record and the adjustment factors defined in 443.1313(4)(b),
of the Florida Statutes. Tax rate may vary from .0010 to .0540.
A public employer changing from the reimbursable to the tax rate method will be required to pay under both methods until
wages paid under the reimbursable method are out of the base period of claims. Invoices for reimbursement will be due, if
there are charges, as well as tax payments for the quarterly report.
Each of the options is for a mandatory period of two calendar years. Written application to terminate one method and change
to another must be received at least 30 days prior to January 1 of the year for which the election is to be effective.
Under both payment methods, a quarterly report must be filed within 30 days following the end of each calendar quarter. Any
report not filed or filed late will be assessed a $25.00 penalty for each month or portion of a month the report is late.
Payment of tax is required with the quarterly report for the tax rate method of payment. Failure to pay timely results in an
interest charge of 1% for each full month unpaid.
Payment of amount due under the reimbursable method is required within 30 days of the date mailed, shown on the Quarterly
Reimbursement Invoice (Form UCT-29).
_______________________________________________
Signature
M
M
D
D
Y
Y
_______________________________________________
Title
Telephone Number
Have you checked the payment option on the front of this form?
For this form to be valid, the effective date for method of payment
and your signature must be included.
Mail completed form to:
Florida Department of Revenue
PO Box 6510
Tallahassee Fl 32314-6510
800-482-8293

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