Report To Determine Liability (T-Fc-27)
Download a blank fillable Report To Determine Liability (T-Fc-27) in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Report To Determine Liability (T-Fc-27) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2COMMONWEALTH of VIRGINIA
Virginia Employment Commission
Tired of paperwork? We can help!
Make Changes to your
Unemployment Insurance tax account online.
Report to Determine Liability (T-FC-27)
It's fast, easy, accurate, and secure!
Account
Federal ID
Number:
Number:
Submit to:
Type of Organization:
VEC
Sole
Individual
Corporation
LLC
LLP
Attn: Employer Accounts
Proprietor
P.O. Box 1358,
General
Limited
Government
Other________________________
Richmond, VA 23218-1174
Parternship
Partnership
Are you a Professional Employer
If yes, attach a list of all clients containing client
State of Incorporation or Formation:
Yes
No
Organization(PEO)?
name, address, Fed ID#, and contract begin date.
Employer Name:
Doing Business As:
Attention:
Business Mailing Address:
Address 1:
Address 2:
City:
Zip
State:
Code:
County:
Phone
Fax Number:
Number:
Business Location Address:(If more than one VA location, attach list of other addresses)
Select one of the following:
Physical Location
Employee Residence
Job/Worksite
Address 1:
Address 2:
Zip
State:
Code:
Name the Virginia CITY or Virginia COUNTY in which the business is located (Specify location where work is actually performed)
City
County
Locality Name:
Is this business’ base of operation in a state
Do you have any workers who performservices
other than Virginia; and is this business
for your business whom you consider to be self-
Yes
No
Yes
No
involved in building or road construction?:
employed or independent contractors?
Describe in detail main
business activity in Virginia:
When did you first have
Number of employees
working in Virginia:
employees working in Virginia:
Has this business previously been liable under
Yes
No
If Yes, enter date
the Federal Unemployment Tax Act (FUTA)?
Page 1 of 2
Equal Opportunity Employer/Program Auxiliary Aids and Services Are Available Upon Request to Individuals with Disabilities
Most services available at (804) 786-7159 | Fax: (804) 786-5890
VUIS-10-27-2015
T-FC-27-2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business