Form UCE-154 Election to Become an '"employer'" or Contributor - South Carolina

Form UCE-154 is a South Carolina Department of Employment & Workforce form also known as the "Election To Become An '"employer'" Or Contributor". The latest edition of the form was released in February 1, 2001 and is available for digital filing.

Download an up-to-date Form UCE-154 in PDF-format down below or look it up on the South Carolina Department of Employment & Workforce Forms website.

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South Carolina Department of Employment and Workforce
1550 Gadsden Street
Columbia, South Carolina 29202
ELECTION TO BECOME AN “EMPLOYER” OR CONTRIBUTOR
The employing group named below does, hereby elect, under the provisions of Section
41-37-20 of South Carolina Law, to become an “employer” subject to the provisions of
the said Law for a period of not less than two calendar years. This election to be effective
as of:
, 20
.
Dated:
, 20
.
Name of Employing Unit:
Address:
Telephone Number:
By:
Title:
(Owner, Partner, or Officer)
SWORN to before me this the
day of
, 20
.
Notary Public
APPROVAL
THE SOUTH CAROLINA DEPARTMENT OF EMPLOYMENT AND WORKFORCE hereby
approves the above election and hereby declares the employing unit named above subject
to the provisions of South Carolina Law as of the effective date stated in the election.
SOUTH CAROLINA DEPARTMENT OF EMPLOYMENT AND WORKFORCE
Date:
By:
ATTENTION:
The effective date of this election must either be January 1 of a year, or the first date
during a year on which employment was rendered in South Carolina. ALSO, this election
must be signed by the Owner, if an individual proprietorship; Partner, if a partnership;
Principal Officer, if a corporation; or the Chief Administrative Official, if an instrumen-
tality of the State of South Carolina.
UCE-154…Revised 2/01
Catalog#: 09240
South Carolina Department of Employment and Workforce
1550 Gadsden Street
Columbia, South Carolina 29202
ELECTION TO BECOME AN “EMPLOYER” OR CONTRIBUTOR
The employing group named below does, hereby elect, under the provisions of Section
41-37-20 of South Carolina Law, to become an “employer” subject to the provisions of
the said Law for a period of not less than two calendar years. This election to be effective
as of:
, 20
.
Dated:
, 20
.
Name of Employing Unit:
Address:
Telephone Number:
By:
Title:
(Owner, Partner, or Officer)
SWORN to before me this the
day of
, 20
.
Notary Public
APPROVAL
THE SOUTH CAROLINA DEPARTMENT OF EMPLOYMENT AND WORKFORCE hereby
approves the above election and hereby declares the employing unit named above subject
to the provisions of South Carolina Law as of the effective date stated in the election.
SOUTH CAROLINA DEPARTMENT OF EMPLOYMENT AND WORKFORCE
Date:
By:
ATTENTION:
The effective date of this election must either be January 1 of a year, or the first date
during a year on which employment was rendered in South Carolina. ALSO, this election
must be signed by the Owner, if an individual proprietorship; Partner, if a partnership;
Principal Officer, if a corporation; or the Chief Administrative Official, if an instrumen-
tality of the State of South Carolina.
UCE-154…Revised 2/01
Catalog#: 09240

Download Form UCE-154 Election to Become an '"employer'" or Contributor - South Carolina

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