The Kentucky UI-1 form is a document used to assess an employer's liability for Unemployment Insurance in Kentucky. This form collects essential information about the business, including its type of employment and major activities. Completing the UI-1 accurately is crucial, as failure to do so may result in no action being taken on the application.
In the realm of business operations in Kentucky, understanding the Kentucky UI-1 form is crucial for employers navigating the complexities of unemployment insurance. This essential document serves as a means to assess an employer's liability for unemployment insurance, ensuring compliance with state regulations. Completing the form accurately is imperative; otherwise, it may be returned without any action taken, causing delays in your business processes. The UI-1 form encompasses several key sections, including identification details, type of employment, and general information about the business. Employers must provide their business name, address, and contact information, along with specifics about the nature of their operations in Kentucky. Additionally, the form requires employers to indicate whether they are starting a new business, acquiring an existing one, or engaging in domestic or agricultural employment. Each section of the form is designed to gather critical information that will determine eligibility and compliance with unemployment insurance laws. As you delve into the intricacies of the Kentucky UI-1 form, it becomes clear that timely and accurate submission is not just a bureaucratic necessity, but a vital step in safeguarding your business's future.
COMMONWEALTH OF KENTUCKY
This form is to determine if an employer is liable for Unemployment Insurance in
Division of Unemployment Insurance
Kentucky.
P. O. Box 948
NO ACTION WILL BE TAKEN AND
Frankfort, Kentucky 40602-0948
THE FORM RETURNED IF NOT
(502) 564-2272 FAX (502) 564-9332
PROPERLY COMPLETED AND
APPLICATION FOR UNEMPLOYMENT INSURANCE
SIGNED.
PART I - IDENTIFICATION AND TYPE OF EMPLOYMENT
EMPLOYER RESERVE ACCOUNT
1. Business Name & Mailing Address:
UI-1 (R. 06/91) (V-3)
Legal Entity Name
Business Name
(To be completed by all employers)
Address
5.
Check type of employment and complete remainder
Of form as indicated.
Acquired all or part of an existing business - Parts II and VI
New Business Employer - Parts II and III
Domestic Employer - Parts II and IV
City
State
Zip Code
Agricultural Employer – Parts II and V
New 501(c)(3) Non-Profit Employer – Part I Only*
2.
Telephone #
(
)
Governmental Entity - Part I Only*
Fax #
Resumed Employment - Part II
E-Mail
Enter Date Employment Resumed:
3.
Federal Employer ID
* Form UI-1S will be sent to you upon return of this form.
4.If you have previously been assigned an Unemployment Insurance Number, enter it here:
PART II - GENERAL INFORMATION
6.Describe MAJOR Business Activity IN KENTUCKY (BE SPECIFIC)
(g)
Agricultural (Type)
(a)
Retail Trade (Product)
(h)
Wholesale Trade (Product)
(b)
Service (Type)
(i)
Manufacturing (Product)
(c)
Construction (Type)
(j)
Mining (Product)
Residential
Non-residential
(k)
Other (Explain)
(d) Information/Publishing/Broadcasting/Internet
(e)
Finance/Insurance/Real Estate (Product)
(f)
Transportation/Communication/Utilities (Type)
7.
Is this establishment primarily engaged in performing services for other units or locations for this company?
YES
NO
If, “YES”, indicate the nature of activity of this establishment:
Central Administrative Office
Storage (warehouse)
Research, development or testing
(d)
Other (specify)
8.Identification of Owner, Partners (General or Limited), Corporate Officers, Members, etc. (Attach additional sheet if necessary)
SOCIAL SECURITY NUMBER
FIRST NAME
M.I.
LAST NAME
TITLE
TELEPHONE NO.
RESIDENCE ADDRESS
9.Name, Mailing Address and Telephone Number of person with payroll records (if different from above):
10.
Type of Organization:
Sole Proprietorship
Partnership
Corporation
11.Provide the following information for each establishment or location in Kentucky: Physical Location of Business in Kentucky (Street, City, Zip Code)
(If no physical location, please provide home address of employee or work site in Kentucky.)
LLP
LLC
County
Other
No. of Workers
Check here if you wish to file a separate wage and tax report for each location.
12.Prior to beginning employment in Kentucky, were you subject in the current or preceding year under the unemployment compensation
law of any other state?
NO If “YES”, what State:
PART III - NEW BUSINESS EMPLOYMENT (Do not include agricultural or domestic employment!) (INCLUDE CORPORATE OFFICERS!)
13.Date on which you first employed a worker in Kentucky (month, day, year):
14.Date you first paid wages in Kentucky (month, day, year):
15.
Have you or do you expect to have a quarterly payroll of at least $1,500.00?
If “YES” in what month and year did (or will) this first occur?
Month
Year
16.
Have you or do you expect to employ at least one worker in 20 different calendar weeks during a calendar year?
If “YES” in what month and year did (or will) the 20th week occur?
Signature:
I hereby affirm that I am authorized to sign this report on behalf of the indicated employer, and further affirm that the information provided herein is
complete and accurate to the best of my knowledge. I understand that I may be subject to the full penalty of the law for knowingly making a false
statement (KRS 341.990).
SIGNATURE
DATE
UI-1, Page 2 (V-3)
PART IV - DOMESTIC (HOUSEHOLD) EMPLOYMENT
17.Date on which you first employed a worker in domestic employment in Kentucky (month, day, year):
18.Have you or do you expect to have a quarterly domestic (household) payroll of at least $1,000.00?
If yes, in what month and year did (or Will) this first occur?
YES Year
PART V - AGRICULTURAL EMPLOYMENT (INCLUDE CORPORATE OFFICERS!)
19.Date on which you first employed a worker in agricultural employment in Kentucky (month, day, year):
20.Have you or do you expect to have a quarterly agricultural payroll of at least $20,000.00; or, have you or do you
expect to employ at least 10 agricultural workers in 20 different weeks during a calendar year?
If yes, in what month and year did (or will) this first occur?
PART VI - ACQUISITION OF EXISTING BUSINESS - To be completed by both the transferring and acquiring parties.
21.ENTER DATE OF TRANSFER AND STATUS OF OWNERSHIP PRIOR TO TRANSFER
DATE OF TRANSFER
EMPLOYER NO.
FEDERAL NO.
Names of Owner/s or Officer/s Phone
TYPE OF OWNERSHIP
REASON FOR CHANGE
Proprietorship
Sold
Leased
Lease Reverted
TYPE OF CHANGE
Trade or Business Name & Address
Transferred in Entirety (ALL KY OPERATIONS)...
(Complete #22 - Both Parties Must Sign)
Transferred in Part
(Complete #22, 23, 24, 25 & 26 - Both Parties Must Sign
22.
ENTER DATA FOR NEW OWNERSHIP
Name, Address & S.S. # of Owner/s or Officer/s
TRADE OR BUSINESS NAME, ADDRESS & ZIP CODE
Location of Business in Kentucky (Street, City, Zip Code)
Phone (
Principal Activity
Principal Product
23.
ENTER DATA FOR RETAINED PORTION
24.
Portion of prior owner/operator’s reserve account to be transferred:
%
25.Percentage of reserve transferred must be based on payroll or number of employees transferred. Please indicate which basis has been used.
26.Predecessor’s date of first employment for transferred portion.
Signature & Title of Transferor or
Signature & Title of Transferee or
Date
Disposing Employer Shown in Part 1
Acquiring Employer Shown in Part 2
(Owner or Officer)
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