Form UI1 "Montana Unemployment Insurance Employer Registration" - Montana

What Is Form UI1?

This is a legal form that was released by the Montana Department of Labor and Industry - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 31, 2020;
  • The latest edition provided by the Montana Department of Labor and Industry;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form UI1 by clicking the link below or browse more documents and templates provided by the Montana Department of Labor and Industry.

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Download Form UI1 "Montana Unemployment Insurance Employer Registration" - Montana

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o
Montana Department
of
• LABOR & INDUSTRY
I
I
I
Mail completed form to:
AGENCY USE ONLY
Employer Number
NAICS
UI Contributions Bureau
PO Box 6339
NCE
MONTANA UNEMPLOYMENT INSURA
Subject Date
County Code
Helena, MT 59604-6339
EMPLOYER REGISTRATION
Or fax to: (406) 444-0629
Fill in all spaces that apply to your business.
To register online, go to uieservices.mt.gov
Remarks
See page 4 for instructions.
Please call us at (406) 444-3834, option 1, if
you have any questions about this form.
2. Purpose of Registration
1. Federal Employer ID (FEIN)
New Employer
Changed Business Organization
Purchased a Business
Update Existing Account Information
3. Corporation or Legal Name
4. Business or Trade Name
5. Phone Number
Fax Number
Email Address of Contact Person
6. Mailing Address for Business (Number & Street or P.O. Box)
City
State
ZIP Code
7. Montana Business Physical Location (Street Address)
City
State
ZIP Code
8. Phone Number
Cell Phone Number
County
9. Mailing Address for Benefit Charge Statements (if different from mailing address above):
Address
City
State
ZIP Code
10. Mailing Address for UI Claims Separation Questionnaires & Investigations (if different from Tax Form address):
Address
City
State
ZIP Code
11. Type of Organization (Check only one)
Individual/Sole Proprietorship (Schedule C)
Sub-chapter S Corporation (1120-S)
Partnership (Indicate type: general, limited, LLP, etc.): _________________________
C Corporation (1120)
Limited Liability Company (LLC) - files as a SOLE PROPRIETORSHIP (Schedule C)
Non-profit Corporation
Limited Liability Company (LLC) - files as a PARTNERSHIP (1065)
Government
Limited Liability Company (LLC) –files as an S-CORPORATION (1120-S)
Indian Tribe or Wholly Owned by a Tribe:
Limited Liability Company (LLC) - files as a C-CORPORATION (1120)
Name of Tribe: ____________________________
In what state was your business originally incorporated or registered?
Date Incorporated:
C heck all that apply:
C
Domestic /Household
Agriculture
Non-Profit 501 (c)(3)
Fiduciary/Trust
PEO (Must be licensed by Montana Employment Relations Division (406) 444-0776)
12. List the owner, partners, members, or corporate officers. Attach separate sheet if necessary
Social Security
Telephone &
%
Name
Home Mailing Address
Title
Number
Cell Number
Ownership
UI1 (Rev. 12/31/2020
1
o
Montana Department
of
• LABOR & INDUSTRY
I
I
I
Mail completed form to:
AGENCY USE ONLY
Employer Number
NAICS
UI Contributions Bureau
PO Box 6339
NCE
MONTANA UNEMPLOYMENT INSURA
Subject Date
County Code
Helena, MT 59604-6339
EMPLOYER REGISTRATION
Or fax to: (406) 444-0629
Fill in all spaces that apply to your business.
To register online, go to uieservices.mt.gov
Remarks
See page 4 for instructions.
Please call us at (406) 444-3834, option 1, if
you have any questions about this form.
2. Purpose of Registration
1. Federal Employer ID (FEIN)
New Employer
Changed Business Organization
Purchased a Business
Update Existing Account Information
3. Corporation or Legal Name
4. Business or Trade Name
5. Phone Number
Fax Number
Email Address of Contact Person
6. Mailing Address for Business (Number & Street or P.O. Box)
City
State
ZIP Code
7. Montana Business Physical Location (Street Address)
City
State
ZIP Code
8. Phone Number
Cell Phone Number
County
9. Mailing Address for Benefit Charge Statements (if different from mailing address above):
Address
City
State
ZIP Code
10. Mailing Address for UI Claims Separation Questionnaires & Investigations (if different from Tax Form address):
Address
City
State
ZIP Code
11. Type of Organization (Check only one)
Individual/Sole Proprietorship (Schedule C)
Sub-chapter S Corporation (1120-S)
Partnership (Indicate type: general, limited, LLP, etc.): _________________________
C Corporation (1120)
Limited Liability Company (LLC) - files as a SOLE PROPRIETORSHIP (Schedule C)
Non-profit Corporation
Limited Liability Company (LLC) - files as a PARTNERSHIP (1065)
Government
Limited Liability Company (LLC) –files as an S-CORPORATION (1120-S)
Indian Tribe or Wholly Owned by a Tribe:
Limited Liability Company (LLC) - files as a C-CORPORATION (1120)
Name of Tribe: ____________________________
In what state was your business originally incorporated or registered?
Date Incorporated:
C heck all that apply:
C
Domestic /Household
Agriculture
Non-Profit 501 (c)(3)
Fiduciary/Trust
PEO (Must be licensed by Montana Employment Relations Division (406) 444-0776)
12. List the owner, partners, members, or corporate officers. Attach separate sheet if necessary
Social Security
Telephone &
%
Name
Home Mailing Address
Title
Number
Cell Number
Ownership
UI1 (Rev. 12/31/2020
1
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Important If this preparer is an accountant or third-party preparer please sign and attach the Third Party Authorization form.
13. Name of Person Who Prepares Records and Reports:
Title
Address
City
State
ZIP Code
Telephone #
Cell #
Fax #
Email
14. Name of Accountant:
Address
City
State
ZIP Code
Telephone #
Cell #
Fax #
Email __________________________________
15. DESCRIPTION OF BUSINESS TYPE AND ACTIVITY IN MONTANA: This section MUST BE COMPLETED in detail to accurately determine your
business activity for proper assignment of contribution rates. Be specific and CHECK ALL THAT APPLY. Vague descriptions or generalities could result in
assignment of a higher contribution rate.
Agriculture, Forestry, Fishing
Mining
Construction
Wholesale Trade
Retail Trade
Services
Transportation, Communication & Public Utilities
Finance, Insurance, Real Estate
Manufacturing
# MT
Primary Activity
Specific Product or Service
% of Gross Income
Employees
1 6. Does this establishment have employment at more than one physical location in Montana?
Yes
No
1 T
1 T
(Exclude construction and contract work sites if less than six (6) months in duration).
If yes, provide the address, city and ZIP Codes of all other Montana locations
Name of contact person:
Phone number:
17. Will you have any out-of-state employees?
No
Yes. If yes, in what other states do they work?
1 8. Date wages first paid in Montana:
Will your total payroll for the current year equal or exceed $1,000?
Yes
No
1 T
1 T
1 T
1 T
The date and year payroll first equaled or exceeded $1,000:
1 T
19. Supply the following information concerning wages paid by the current owner in Montana during the current and/or preceding year(s) – if information is
unavailable, leave blank:
YEARS:
To Date in 2021
2020
2019
2018
2017
2016
Wages Paid Each Year:
2 0. Are you required to pay Federal Unemployment Tax (FUTA)?
Yes
No
1 T
1 T
21. Complete this section o
n ly if you are a
g overnmental entity
,
I ndian tribe
o r wholly-owned entity of an Indian tribe
, or a
5 01(c)(3) tax-exempt organization
.
O
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U
U
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Select one of the following payment options:
Reimbursement of benefit payments attributable to employment with your organization. (
P lease attach copy of 501(c)(3) if choosing this option
) .
U
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Experience Rated (payment of contributions) on your quarterly taxable payroll at the rate applicable for new employers. (No 501(c)(3) is required).
** If this section is not completed or you have not provided an IRS exemption letter, you will be classified as an experience-rated employer.
UI1 (Rev. 12/31/2020)
2
FORMER OWNER INFORMATION
– If there is no prior owner or acquisition, skip to Signature Section and sign below.
IF YOU HAVE CHANGED YOUR BUSINESS ORGINIZATION (SUCH AS PROPRIETORSHIP TO CORPORATION), OR HAVE ACQUIRED A MONTANA BUSINESS OPERATION,
YOU MUST COMPLETE THE SECTIONS BELOW.
Former Owner’s Name
Former Owner’s UI Number or FEIN, if known
Former Corporate Name or DBA
Telephone Number
Current Street Address (not a P.O. Box)
City
State
ZIP Code
ACQUISITION INFORMATION
1. How did you acquire this business?
Organization Change (if this is an organizational change, STOP here and sign below).
Purchased All
Purchased a Portion - What did you purchase?
Other
Percent Acquired
Date Acquired
2. Did you acquire all, part, or none of the former owner’s assets?
All
Part
None
3. What assets did you purchase?
Percent Acquired
Date Acquired
4. Did you acquire all, part or none of the former owner’s workforce?
All
Part
None
5. How many employees did you acquire?
Please provide a list of names and social security numbers of employees acquired.
Percent Acquired
Date Acquired
6. Did you acquire all, part or none of the former owner’s Montana trade (customers/accounts)?
All
Part
None
Percent Acquired
Date Acquired
7. Did you acquire all, part or none of the former owner’s Montana business (products/services)?
All
Part
None
8. Was the business operating at the time of the acquisition?
Yes
No
If no, enter the date it was closed by the former owner. (mm/dd/year)
9. Are you continuing the Montana business you acquired?
Yes
No
10. Will your Montana business have substantially the same management as the former owner?
Yes
No
1 1. Will the previous business/account continue in business in Montana?
Yes
No
Don’t Know
1 T
1 T
12. If eligible, do you wish to apply for the experience rate established by the acquired/previous business?
Yes
No
If you acquire your predecessor’s tax rate and experience rating record, your account may be chargeable for any benefits paid to your predecessor’s employees.
The predecessor employer must also agree to the experience rating transfer. If you do not acquire the experience of the predecessor and this is not a mandatory
transfer, you will receive the rate assigned to new employers. It will not include the predecessor’s history.
PRINT NAME & TITLE (Owner, all Partners, or one Corporate Officer)
PRINT NAME & TITLE (Additional Partner or Corporate Officer)
Signature
Date
Signature
Date
PRINT NAME & TITLE (Additional Partner or Corporate Officer)
PRINT NAME & TITLE (Additional Partner or Corporate Officer)
Signature
Date
Signature
Date
PRINT NAME & TITLE (Additional Partner or Corporate Officer)
PRINT NAME & TITLE (Additional Partner or Corporate Officer)
Signature
Date
Signature
Date
U
UI1 (Rev. 12/31/2020)
3
Employer Registration Instructions
You must register with the Unemployment Insurance Division when you begin employing and paying wages. Complete this form and
return it to the UI Division at PO Box 6339, Helena, MT 59604 or fax to 406-444-0629.
We will determine if you are subject under
UI law and whether you need to report wages each quarter.
This form is intended to be self-explanatory; however, the following
provides additional information on some items. If an item does not apply to you, enter N/A (not applicable). Please call us at (406)
444-3834, option 1 if you have any questions.
Pages 1-2, Item Numbers:
1 - Federal Identification Number
2 - Check the box indicating the reason you are registering your business.
3 through 10 -
Complete for your business. Item 7 is your primary physical location in Montana. If there is more than one location,
Item 10 refers to the address where separation notices, fact finding correspondence and requests
note the others in Item 16.
N ote:
U
U
for information regarding benefit claims will be mailed.
11 – Check the box next to the description of your business
entity. If you are an LLC, check the box next to how your LLC will file its
federal income tax. If filing as a corporation or subchapter S corporation, officers’ wages must be reported on quarterly UI tax
reports. Sole proprietors and partners are not covered and wages should not reported for them.
12 - List all owners, partners, corporate officers, or LLC members and managers. If necessary, attach an additional sheet.
Remember to include home addresses, phone numbers and social security numbers of all
persons listed as well as the percentage
of ownership in the business.
13 & 14 – Enter the preparer’s contact information for your business records and reports in Item
13. Please complete Item 14 if you
have a business accountant. Complete the Third Party Authorization form for outside accountants or payroll services. It is available
on our website at
http://uid.dli.mt.gov/Portals/55/Documents/Contributions-Bureau/dli-uid-ui006.pdf
.
15 - Check the box next to the industry that best describes your business. Describe your primary business activity in Montana, your
specific product or service, and the percent of your gross income this activity is responsible for. Also, tell us how many employees
you employ IN Montana for each activity.
P lease be specific. New employer rates are assigned using the industry's average
U
contribution rate
. Vague descriptions or generalities can result in assignment of a higher rate.
U
16 – Check "Yes" if you operate this business in more than one physical location (e.g., plants, stores, offices, warehouses, etc.)
i n
U
Montana
and provide address and contact information for each location.
U
17 & 18 - Complete as instructed.
19– List
wages paid by the current
owner in Montana, during the current and/or preceding year(s) of business operation.
U
20– Complete as instructed.
21 – Complete this section
o nly
if you are a governmental entity, Indian Tribe or wholly-owned entity of an Indian Tribe, or a
U
U
501(c)(3) tax exempt organization. If neither box is checked, your account will be established as an Experience Rated account by
default. If you wish to be set up as a reimbursable employer, but do not provide an IRS exemption letter your account will be set up
as an Experience rated account by default.
Page 3 – Former Owner Information & Acquisition Information:
1 through 12 - Complete this section only if you:
Changed the business organization; i.e. from proprietorship to partnership or corporation, or from a corporation to a
partnership or proprietorship; or
Acquired or purchased a business or portion of a business from someone else.
Signatures:
All owners' or all partners' signatures are
r equired
. Only one corporate officer signature is required. Additional sheets
U
U
for signatures may be attached.
UI1 (Rev. 12/31/2020)
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