Form DE 1HW Employers of Household Workers Registration and Update Form - California

Form DE1HW or the "Employers Of Household Workers Registration And Update Form" is a form issued by the California Employment Development Department.

The form was last revised in October 13, 2016 and is available for digital filing. Download an up-to-date Form DE1HW in PDF-format down below or look it up on the California Employment Development Department Forms website.

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01HW11151
EMPLOYERS OF HOUSEHOLD WORKERS REGISTRATION AND UPDATE FORM
Did you know you can register online anytime? The Employment Development Department (EDD) e-Services for Business online
application is secure, saves paper, postage, and time. You can access the online application at
www.edd.ca.gov/e-Services_for_Business
and follow the easy step-by-step process to complete your registration.
Review the instructions prior to completing this form. Do not submit this form until you have paid wages in excess of $750 to one or more
domestic household employees in any calendar quarter. Additional information about registering with the EDD is available online at
www.edd.ca.gov/Payroll_Taxes/Am_I_Required_to_Register_as_an_Employer.htm.
Important: This form may not be processed if the required information is missing.
A. I WANT TO
Register for a New Employer Account Number (Go to Item B.)
(Select only
Existing Employer
(Enter Employer Account Number when reporting an Update,
one box then
Account Number:
Purchase, Sale, Reopen, Close, or Change in Status.)
complete the
Update Employer Account Information
items specified
Address (F, L)
Personal Name Change (E)
Add/Change/Delete Officer/Partner/Member (E)
for that selection.)
(Provide the Employer Account Number at the top of Item A, then complete the Items identified above and Item O.)
Effective Date of Update(s): ____/____/______
Reopen a Previously Closed Account (Provide the previous Employer Account Number at the top of Item A then go to Item B.)
Close Employer Account
Reason for Closing Account
Date of Last Payroll
(Provide the Employer Account
No longer have employees
Number at the top of Item A.)
Out of Business
____/____/______
Report a Change in Status: Business Ownership, Entity Type, or Name
Reason for Change:
Change: From
To
(Provide the Employer Account Number at the top of Item A, and complete the rest of the form.)
Effective Date of Change: ____/____/______
B. TAXPAYER TYPE
Individual Owner
Co-Ownership
Corporation
Other (Specify):
(Select type then
proceed to Item C.)
C. FIRST PAYROLL
First payroll date when cash wages paid exceeded $750 but not more than $999: ____/____/______ (Wages are all
DATE
compensation for an employee’s services. Refer to Information Sheet: Wages,
DE
231A, and Information Sheet: Types
of Payments,
DE
231TP, at www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.) First payroll date when
(MM/DD/YYYY)
cash wages paid exceeded $1,000 or more: ____/____/______
D. WOULD YOU LIKE INFORMATION ON HOW TO ELECT TO PAY CALIFORNIA EMPLOYMENT TAXES ON
Yes
No
AN ANNUAL BASIS? See instructions for more information.
CA Driver
E. EMPLOYER
NAME
TITLE
SSN
License
Add Chg. Del.
NAME(S)
Number
F.
EMPLOYEE WORK SITE ADDRESS
G. COUNTY
H. FEDERAL TAX ID NUMBER (FEIN)
I.
DATE WORKER BEGAN WORKING (MM/DD/YYYY)
J.
STATE OR PROVINCE OF INCORPORATION
K. CALIFORNIA SECRETARY OF STATE ENTITY NUMBER
L.
MAILING ADDRESS
Street Number
Street Name
Unit Number (If applicable)
(PO Box or Private Mail
Box is acceptable.)
City
State/Province
ZIP Code
Country
Same as Item F
Phone Number
M. EMAIL
Valid Email Address
Check to allow
email contact.
DE 1HW Rev. 13 (10-16) (INTERNET)
Page 1 of 4
CU
01HW11151
EMPLOYERS OF HOUSEHOLD WORKERS REGISTRATION AND UPDATE FORM
Did you know you can register online anytime? The Employment Development Department (EDD) e-Services for Business online
application is secure, saves paper, postage, and time. You can access the online application at
www.edd.ca.gov/e-Services_for_Business
and follow the easy step-by-step process to complete your registration.
Review the instructions prior to completing this form. Do not submit this form until you have paid wages in excess of $750 to one or more
domestic household employees in any calendar quarter. Additional information about registering with the EDD is available online at
www.edd.ca.gov/Payroll_Taxes/Am_I_Required_to_Register_as_an_Employer.htm.
Important: This form may not be processed if the required information is missing.
A. I WANT TO
Register for a New Employer Account Number (Go to Item B.)
(Select only
Existing Employer
(Enter Employer Account Number when reporting an Update,
one box then
Account Number:
Purchase, Sale, Reopen, Close, or Change in Status.)
complete the
Update Employer Account Information
items specified
Address (F, L)
Personal Name Change (E)
Add/Change/Delete Officer/Partner/Member (E)
for that selection.)
(Provide the Employer Account Number at the top of Item A, then complete the Items identified above and Item O.)
Effective Date of Update(s): ____/____/______
Reopen a Previously Closed Account (Provide the previous Employer Account Number at the top of Item A then go to Item B.)
Close Employer Account
Reason for Closing Account
Date of Last Payroll
(Provide the Employer Account
No longer have employees
Number at the top of Item A.)
Out of Business
____/____/______
Report a Change in Status: Business Ownership, Entity Type, or Name
Reason for Change:
Change: From
To
(Provide the Employer Account Number at the top of Item A, and complete the rest of the form.)
Effective Date of Change: ____/____/______
B. TAXPAYER TYPE
Individual Owner
Co-Ownership
Corporation
Other (Specify):
(Select type then
proceed to Item C.)
C. FIRST PAYROLL
First payroll date when cash wages paid exceeded $750 but not more than $999: ____/____/______ (Wages are all
DATE
compensation for an employee’s services. Refer to Information Sheet: Wages,
DE
231A, and Information Sheet: Types
of Payments,
DE
231TP, at www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.) First payroll date when
(MM/DD/YYYY)
cash wages paid exceeded $1,000 or more: ____/____/______
D. WOULD YOU LIKE INFORMATION ON HOW TO ELECT TO PAY CALIFORNIA EMPLOYMENT TAXES ON
Yes
No
AN ANNUAL BASIS? See instructions for more information.
CA Driver
E. EMPLOYER
NAME
TITLE
SSN
License
Add Chg. Del.
NAME(S)
Number
F.
EMPLOYEE WORK SITE ADDRESS
G. COUNTY
H. FEDERAL TAX ID NUMBER (FEIN)
I.
DATE WORKER BEGAN WORKING (MM/DD/YYYY)
J.
STATE OR PROVINCE OF INCORPORATION
K. CALIFORNIA SECRETARY OF STATE ENTITY NUMBER
L.
MAILING ADDRESS
Street Number
Street Name
Unit Number (If applicable)
(PO Box or Private Mail
Box is acceptable.)
City
State/Province
ZIP Code
Country
Same as Item F
Phone Number
M. EMAIL
Valid Email Address
Check to allow
email contact.
DE 1HW Rev. 13 (10-16) (INTERNET)
Page 1 of 4
CU
EMPLOYERS OF HOUSEHOLD WORKERS
REGISTRATION AND UPDATE FORM
01HW11152
N. CONTACT PERSON
Name
Contact Phone Number
Email Address
(Complete a Power
of Attorney [POA]
Relation
Address
Declaration,
DE
48, if
applicable.)
O. DECLARATION
I certify under penalty of perjury that the above information is true, correct, and complete, and that
these actions are not being taken to receive a more favorable Unemployment Insurance rate. I further
certify that I have the authority to sign on behalf of the above business.
Signature
Date
Name
Title
Phone Number
PRINT
DE 1HW Rev. 13 (10-16) (INTERNET)
Page 2 of 4
CU

Download Form DE 1HW Employers of Household Workers Registration and Update Form - California

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