Form UI3/40 "Employer's Contribution and Wage Report" - Illinois

What Is Form UI3/40?

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

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Illinois Department of Employment Security;
  • 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 UI3/40 by clicking the link below or browse more documents and templates provided by the Illinois Department of Employment Security.

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Download Form UI3/40 "Employer's Contribution and Wage Report" - Illinois

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UI 3/40 Employer’s Contribution and Wage Reporting
To submit quarterly Contribution and Wage Reports:
• Log on to the MyTax Illinois website at
http://mytax.illinois.gov
to establish your UI account, file your reports, and
make payments, all electronically. This is preferred!
Other features available on MyTax Illinois:
 Request refunds online
 View your new annual tax rates
 View your tax letters and correspondence
 Request interest and penalty waivers
 Request interest and penalty waivers
 Maintain Power of Attorney relationships
and much more…
• Or, complete and sign the interactive PDF form, and then PRINT and MAIL.
Don’t forget to fill in your 7-digit UI Account number and your 9-digit FEIN number.
Visit our IDES Employer Update website, at
www.ides.illinois.gov/MyTaxUI
for additional information. Contact the
IDES Employer hotline at 1-800-247-4984 if you have any questions about MyTax Illinois or the UI 3/40 form.
The UI 3/40 Form starts on the next page.
Revised: January 2018
Page 1 of 3
UI 3/40 Employer’s Contribution and Wage Reporting
To submit quarterly Contribution and Wage Reports:
• Log on to the MyTax Illinois website at
http://mytax.illinois.gov
to establish your UI account, file your reports, and
make payments, all electronically. This is preferred!
Other features available on MyTax Illinois:
 Request refunds online
 View your new annual tax rates
 View your tax letters and correspondence
 Request interest and penalty waivers
 Request interest and penalty waivers
 Maintain Power of Attorney relationships
and much more…
• Or, complete and sign the interactive PDF form, and then PRINT and MAIL.
Don’t forget to fill in your 7-digit UI Account number and your 9-digit FEIN number.
Visit our IDES Employer Update website, at
www.ides.illinois.gov/MyTaxUI
for additional information. Contact the
IDES Employer hotline at 1-800-247-4984 if you have any questions about MyTax Illinois or the UI 3/40 form.
The UI 3/40 Form starts on the next page.
Revised: January 2018
Page 1 of 3
EMPLOYER’S CONTRIBUTION AND WAGE REPORT
Do NOT staple reports or payment.
This report & payment can be mailed to: IDES, PO Box 19300, Springfield, IL 62794-9300
Employers that have less than 25 employees have the option of using
Page No. 1 of_____Pages
this form. If the employer has 25 or more employees, the employer
Do NOT include wage corrections
must file electronically.
STATE OF ILLINOIS
Department of Employment Security
for a prior quarter in this report.
FORM UI-3/40 Rev. 10/2017
UCONTRIBUTION RATE
9.
NAME OF WORKER
10.
TOTAL Wages Paid
8.
Worker’s Social Security Number
FOR
(First, initial, then last)
(Type or Print)
(Include Wages in
(Enter all nine numbers, without hyphens)
Excess of $12,960)
:
:
000
00
0000
Enter Dollars & Cents:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Save
00/0
:
:
9999999
20062 L10ZZ-2006
PENALTY ($50.00 MIN.)
INTEREST DUE
:
:
:
ILLINOIS
ACCOUNT NUMBER
YR/QTR
PERIOD ENDING
DUE AFTER ABOVE DATE
AFTER ABOVE DATE
Print
00-0000000
:
:
Your Federal Employer Identification Number
L09ZZZZZZZ
(If not shown or if incorrect enter correct number)
:
:
:
Clear
CHANGE IN STATUS
If a change has occurred in the status of your business, complete form UI-50A.
I I
Check this box to indicate that you no longer have workers in Illinois and want your account terminated.
:
:
Also, complete form UI-50A.
:
:
:
1.
ENTER THE TOTAL NUMBER OF COVERED WORKERS
(full and part time) who performed services
during or received pay for the payroll period including the 12th of each month of the quarter.
:
:
If none, enter “0”.
1ST MONTH________________2ND MONTH_________________3RD MONTH______________
:
:
:
. .
2. TOTAL WAGES PAID for covered employment
.
:
:
(If no wages were paid, see instructions.)
. .
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:
IMPORTANT — SEE INSTRUCTIONS
. .
3. LESS: Wages in excess of
$12,960
per covered worker per calendar year.
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:
. .
. .
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4. TAXABLE WAGES (line 2 minus line 3)
. .
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:
5A. If the quarter’s TOTAL WAGES (Line 2) are less than $50,000,
. .
calculate at the lessor of your rate as shown on your "Annual Contribution
Rate Determination" or 5.4%.
:
:
:
. .
or more this quarter.
Use this space if TOTAL WAGES (Line 2) are
$50,000
. .
:
:
5B. CONTRIBUTION DUE - Multiply line 4 by your rate.
. .
:
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:
. .
6A. Add: Interest at 2% (.02) per month for late payment
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:
. .
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. .
6B. Add: Penalty for late filing ($50.00 minimum)
. .
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:
. .
6C. Add: Previous Underpayment PLUS interest
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:
. .
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:
. .
6D. Deduct: Previous Overpayment
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:
. .
7. TOTAL PAYMENT DUE
MAKE CHECK PAYABLE TO:
. .
:
:
“ILLINOIS DIRECTOR OF EMPLOYMENT SECURITY”
.
(If less than $2.00 - Send report only)
:
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I hereby certify that the information contained in
this report and in all accompanying schedules is
:
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true and correct to the best of my knowledge and
This agency is requesting both disclosure of
belief; and that no part of the contribution reported
information and payment of contributions that
:
:
was or is to be deducted from workers’ wages.
are necessary to accomplish the statutory
purpose as outlined under 820 ILCS 405/100-
:
:
:
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3200. Disclosure of information and payment
:
:
Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
of contributions are REQUIRED.
Failure to
(
)
AREA
provide information or pay contributions may
:
:
:
CODE
Telephone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
result in this form not being processed and
may result in statutorily prescribed sanctions,
:
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
including penalties and/or interest.
0.00
This report MUST be signed by owner, partner,
:
11. Total Wages
$. . . . . . . . . . . . . . . . . . . . . . . . . .
officer or authorized agent within the employing
enterprise. If signed by any other person, a Power
of Attorney must be on file.
(See Instructions)
MyTax Illinois - You may file your quarterly report and make your payment through the
Line 3. Less Wages in Excess of $12,960 - Enter wages included in line 2 in excess of the
internet using the MyTax Illinois application, which will calculate your taxable wages and
$12,960 taxable for each worker. Do not include
contribution due.
If you are a tax preparer, this form does not contain a PIN for your
excess wages of prior quarters.
client.
Instructions for using Illinois MyTax Illinois to assist your clients are provided
on the IDES website.
Line 4. Taxable Wages - Deduct Line 3 from Line 2 and enter the net amount on this line.
GENERAL INSTRUCTIONS
Line 5A and 5B -
Complete only one, whichever is applicable.
5A - If the quarter’s total wages are less than $50,000, calculate at the
Filing Reports - The Employer’s Contribution and Wage Report, IDES Form UI-3/40, must be filed
lessor of your rate as shown on your "Annual Contribution Rate
quarterly by each employer subject to the Illinois Unemployment Insurance Act.
Determination" or 5.4%.
The original report must be filed, and the contribution payment made,
no later than the last day of the month following the end of the quarter;
5B - If the quarter’s total wages are $50,000 or more, calculate at the
April 30, July 31, October 31 and January 31. Reports and remittances
rate shown on your "Annual Contribution Rate Determination".
personally delivered or postmarked after that date will be subject to
penalty and/or interest.
Line 6A. Interest - On contributions not paid by the interest due date, add interest at the
rate of 2% per month computed at 12/365 of 2% per day. Payments
An employer who paid no wages during a quarter, but has not
received more than 30 days after the due date are deemed to have
permanently ceased being an employer, must file a report showing
been received on the last day of the month preceding the month in
“No Wages Paid This Quarter”.
An
employer
contesting
liability
for
which the payment was received. (Exception: For the first thirty days
the payment of contributions should write “Liability Protested” and give
past the due date, interest is computed on a daily basis.)
the reason on the report after completing all items and signing the report.
Line 6B. Penalty - On reports filed after the penalty date, the penalty is $5 for each $10,000
Nonprofit organizations and local government entities which elected to make payments in lieu
or fraction thereof of total wages or $2,500 per month, whichever is
of contributions must file the contribution and wage report (UI-3/40) quarterly even though
less. The maximum penalty is $10 for each $10,000 or fraction thereof
contributions are not required.
of total wages or $5,000, whichever is less. THE PENALTY FOR LATE
FILING CAN IN NO INSTANCE BE LESS THAN $50.
Make no adjustments for prior quarters on the current quarter’s report.
Adjustments -
Request the proper form from the Employer Hot Line Section, Revenue
Line 6C. Previous Underpayment - If payment for any previous underpayment is included
Division, 33 South State Street, Chicago, Illinois 60603. For more information,
with the remittance for this report, enter the amount of
please visit the "Contact IDES" page on the IDES website. Reporting errors
the underpayment including interest.
should be corrected even if the contribution for the quarter remains unchanged.
Supplemental Report - Should be filed whenever there are underreported and/or omitted
Line 6D. Previous Overpayment -
Credit shown on this line may be deducted from the
wages for a quarter. Please note on the report whether it is a
contribution due this quarter.
Supplemental or Amended Report.
Line 7. Total Payment Due - Enter the sum of line 5A or 5B plus Lines 6A, 6B, and 6C less
LINE ITEM INSTRUCTIONS FOR PREPARATION OF UI-3/40 REPORT
any amount on line 6D.
Change in Status - Check this box to indicate that you no longer have workers in Illinois
and want your account terminated. For a change in status, a change
Signature - This report must be signed by owner, partner, officer or authorized agent within
in business address or if you no longer have workers in Illinois, please
the employing enterprise. If signed by any other person, a Power of Attorney
complete form UI-50A. If you want some of your correspondence to be
must be on file.
mailed to a special address, please complete the “Special Mailing” form
UI-1M.
These forms can be obtained at our website which is
www.ides.illinois.gov and should be attached to your report.
Column 8. Worker’s SS Number - Show complete Social Security Number of each worker.
Line 1. No. of Covered Workers -
Enter the total number of covered workers (full and part
time) who performed services during or received pay for
Column 9. Name of Workers - Type or print the workers’ names.
the payroll period including the 12th of each month of
the quarter. Include workers who have earned more than
$12,960 in the calendar year and those on vacation or
Column 10. Total Wages Paid - Enter total wages paid to each worker during the quarter
paid sick leave. Exclude workers on strike.
regardless of when services were performed. Total wages
include both taxable and non-taxable wages paid in excess
Line 2. Total Wages Paid - Enter all wages paid in the quarter for covered employment
of $12,960.
including wages paid to workers who have already received
wages in excess of $12,960 during the calendar year. Wages
include (a) salaries, commissions and bonuses; tips reported
Total Wages for this Quarter
– Enter the total wages reported in Column 10.
Line 11.
to the employer; separation pay, vacation pay, prizes, sick pay,
payments on account of retirement; (b) the reasonable cash
value of remuneration paid other than cash, such as goods,
For historical Illinois UI Tax Rates
– To obtain a Historical Table, use the
meals and lodging, and (c) any remuneration for services
performed within the State which is considered wages under
the Federal Unemployment Tax Act.
following link: http://www.ides.illinois.gov/UITaxRates
NOTE: An employer who paid no wages during a quarter, but has not
permanently ceased being an employer, must file a report showing
“No Wages Paid This Quarter”.
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