Form UI-5AG "Governmental & Reimbursable Account Employee Wage Listing" - Montana

What Is Form UI-5AG?

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 March 1, 2018;
  • 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 printable version of Form UI-5AG 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 UI-5AG "Governmental & Reimbursable Account Employee Wage Listing" - Montana

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MONTANA UNEMPLOYMENT INSURANCE
GOVERNMENTAL & REIMBURSABLE ACCOUNT
EMPLOYEE WAGE LISTING - Form UI-5AG
Use this form (or a facsimile) as a continuation sheet for the UI employee wage listing on the Montana Employer's Unemployment Insurance
Quarterly Wage Report for Governmental and Reimbursable Accounts - Form UI-5G (Step 2).
Employer's Name and Address:
UI Account No:
FEIN:
Quarter End:
Employee’s Social
Name of Employee
Total Wages Paid
this Quarter
Security Number
Last Name
First Name
Totals
Page No._______ of _________
For additional Employee Wage Listings, Forms UI-5AG, please photocopy a blank form or call 406-444-3834. Attach the completed
UI-5AG to the UI Quarterly Wage Report, form UI-5G, and mail to the Unemployment Insurance Contributions Bureau, PO Box 6339,
Helena, MT 59604-6339.
FORM UI5AG
Rev. 03/18
MONTANA UNEMPLOYMENT INSURANCE
GOVERNMENTAL & REIMBURSABLE ACCOUNT
EMPLOYEE WAGE LISTING - Form UI-5AG
Use this form (or a facsimile) as a continuation sheet for the UI employee wage listing on the Montana Employer's Unemployment Insurance
Quarterly Wage Report for Governmental and Reimbursable Accounts - Form UI-5G (Step 2).
Employer's Name and Address:
UI Account No:
FEIN:
Quarter End:
Employee’s Social
Name of Employee
Total Wages Paid
this Quarter
Security Number
Last Name
First Name
Totals
Page No._______ of _________
For additional Employee Wage Listings, Forms UI-5AG, please photocopy a blank form or call 406-444-3834. Attach the completed
UI-5AG to the UI Quarterly Wage Report, form UI-5G, and mail to the Unemployment Insurance Contributions Bureau, PO Box 6339,
Helena, MT 59604-6339.
FORM UI5AG
Rev. 03/18