Form UI-3 / 40 Employer's Contribution and Wage Report - Illinois

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Form UI-3 / 40 Employer's Contribution and Wage Report - Illinois

What Is Form UI-3/40?

Form UI-3/40, Employer's Contribution and Wage Report , is an Illinois state one-page form filed quarterly by each employer subject to the Illinois Unemployment Insurance Act. All employers are to file who have one or more employees located in Illinois who worked any day during each of 20 or more weeks within a calendar year. Local government employers and some non-profit organizations are exempt from filing this form.

This form is issued by the Illinois Department of Employment Security and the latest revision took place on January 1, 2012 . A fillable Illinois UI-3/40 Form is available for download below.

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Illinois Form UI-3/40 Instructions

Follow these IL Form UI-3/40 instructions below. No form adjustments for prior quarters on the current quarter's report are permitted. A supplemental report should be filed whenever there are underreported and/or omitted wages for a quarter.

  • At the top of the form, enter the employer's name, address, Illinois account number, and other information as indicated.
  • Check the 'Change in Status' if you no longer have workers in Illinois and want your account terminated. For this change in status or a change of business address, Form UI-50A also needs to be completed.
  • On Line 1, enter the total number of covered workers (full and part-time) for the payroll period including the 12th of each month of the quarter.
  • On Line 2, enter all wages paid in the quarter for covered employment including wages paid to workers who already received wages in excess of $12,960 during the calendar year.
  • On Line 3, enter wages included in Line 2 in excess of the $12,960 taxable for each worker. Do not include excess wages from prior quarters.
  • On Line 4, deduct Line 3 from Line 2 and enter the net amount on this line.
  • Enter an amount for either Line 5A or Line 5B, not both, by following the applicable instructions listed on the form by lines 5A and 5B.
  • For Line 6A, for any contributions not paid by the interest due date, enter the amount of interest at the rate of 2% per month computed at 12/365 or 2% per day.
  • For Line 6B, for any reports filed after the penalty date, enter the amount of the penalty.
  • For Line 6C, if payment for any previous underpayment is included with the remittance for this report, enter the amount of this underpayment including interest.
  • Enter on Line 6D, enter any previous overpayment amount as credit that may be deducted from the contribution due this quarter.
  • Enter on Line 7 the sum of Line 5A or 5B plus Lines 6A, 6B, and 6C less any amount on line 6D. This is the total payment due.
  • The owner, partner, officer, or authorized agent of the employer is to sign and other information completed as indicated.
  • On the second side of the form, under Column 8, enter the complete social security number of each worker.
  • Under Column 9, enter the workers' names.
  • Under Column 10, enter total wages paid to each worker during the quarter. Total wages include both taxable and non-taxable wages paid in excess of $12,960.
  • On Line 11, enter the total wages reported in Column 10.

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