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Fill a Valid Georgia Department Of Labor Template

The Georgia Department of Labor form is a critical document that employers must complete to report their business status and employment details. This form, known as the Employer Status Report, requires accurate information about the business, including its name, address, and type of organization. Timely submission is essential, as it must be returned within ten days of completion to ensure compliance with state regulations.

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Fill a Valid Georgia Department Of Labor Template

Article Structure

Common mistakes

Incorrect Business Name or Address: Many people fail to enter the correct business name or address. This can lead to issues with correspondence and may delay processing.
Missing Georgia DOL Account Number: If you have an existing Georgia Department of Labor account number, it’s crucial to include it. Omitting this number can complicate your submission.
Not Indicating Type of Organization: Forgetting to check the appropriate box for your type of organization can lead to confusion. Ensure you select whether you are a corporation, partnership, or another type.
Failure to Provide Accurate Dates: Entering incorrect dates for when you first began employment or payroll can cause problems. Make sure these dates are accurate to avoid complications.
Neglecting to Answer Liability Questions: Some individuals skip questions about liability for federal unemployment tax. Answering these questions is essential for proper classification.
Inadequate Information on Acquisitions: If you have acquired another business, failing to provide detailed information about the previous owner can lead to issues. Complete all sections related to acquisitions thoroughly.
Omitting Employee Count: When asked about the number of employees, some people forget to include all workers or anticipate future hires. This information is vital for accurate reporting.
Ignoring Additional Sheets: If you need more space to provide information, some fail to attach additional signed sheets. Always include these to ensure clarity.
Not Retaining a Copy: After submission, many people do not keep a copy of the completed form. Retaining a copy is important for your records and future reference.

Essential Points on This Form

What is the purpose of the Georgia Department of Labor Employer Status Report?

The Georgia Department of Labor Employer Status Report is a form that all employers in Georgia must complete and submit. This report provides essential information about a business's employment status, including the number of employees, the type of organization, and any changes in ownership. It is required to be filed when a business first employs individuals in Georgia or when there are significant changes, such as mergers or acquisitions. The information collected helps the Georgia Department of Labor ensure compliance with state employment laws and regulations.

Who is required to file the Employer Status Report?

All employers who have individuals performing services in Georgia must file the Employer Status Report. This requirement applies regardless of the number of employees or the duration of their employment. If a business has acquired another legal entity or undergone changes in ownership, a new report may also be necessary. It is crucial for businesses to file this report accurately and timely to avoid penalties.

What information must be provided on the form?

The form requires various details, including the business name, address, type of organization, and contact information. Employers must indicate the date they began employing workers in Georgia and whether they are liable for federal unemployment tax. Additionally, the form asks about any changes in ownership or business structure, the nature of the business, and the number of employees. Completing the form accurately is essential, as false statements can lead to legal penalties.

What happens if the form is not submitted on time?

Failure to submit the Employer Status Report within the required timeframe can result in penalties. Each day of non-compliance may be considered a separate offense, which could lead to additional fines. It is important for employers to adhere to the ten-day submission deadline to avoid complications with the Georgia Department of Labor. Employers should retain a copy of the submitted form for their records as well.

Check out Common Templates

Living Will Form Georgia - This form can help reduce the burden on family members during challenging health care decisions.

Online Application for Employment - Social security numbers are not requested on the application form directly.

In addition to formalizing the transfer of ownership, the Georgia Bill of Sale form can also be easily obtained online, providing convenience for both parties involved in the transaction. For a reliable source, you can visit OnlineLawDocs.com, which offers comprehensive information and resources related to this important document.

Georgia State Income Tax Forms - Attach a detailed written statement if you answer "yes" to any background disclosure questions.

Georgia Department Of Labor Sample

GEORGIA DEPARTM ENT OF LABOR

SUITE 850 - 148 ANDREW YOUNG INTERNATIONAL BLVD NE - ATLANTA, GA 30303- 1751

EM PLOYER STATUS REPORT

READ INSTRUCTIONS ON REVERSE SIDE

BEFORE COM PLETION OF FORM

1 . ENTER OR CORRECT BUSINESS NA M E A ND A DDRESS

RETURN ORIGINAL W ITHIN 1 0 DAYS

GEORGIA DOL

A CCOUNT NUM BER

3 . T RA DE NA M E

(I f

al ready

assi gned)

2. TYPE OF ORGA NI ZA TI ON

I ndi vi dual

Part nershi p

Corporat i on

Nonprof i t org.

4 . PRI NCI PA L BUSI NESS,

St reet

A ddress

Li mi t ed Li abi l i t y CO. (LLC)

FA RM O R

HO USEHO LD

Ot her (speci f y)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

LO CA T I O N I N

GEO RGI A

Ci t y

Zi p Code

Count y

Tel ephone Number

(Do not use a

P. O. Box number)

(

)

5 . DA T E FI RST BEGA N

DA T E O F

6 . A RE Y O U LI A BLE

FEDERA L

EM PLO Y I NG W O RKERS

FI RST GA .

FO R FEDERA L Y ES

I . D.

W I T HI N ST A T E O F GA .

PA Y RO LL

UNEM PLO Y M ENT T A X ?

NUM BER

7. HA VE YOU

DA T E A CQ UI RED

DI D Y O U A CQ UI RE

A cqui red anot her busi ness?

Yes

O R CHA NGED

A l l of Georgi a operat i ons?

PREDECESSO R' S

M erged wi t h anot her busi ness? Yes

GEO RGI A DO L

Subst ant i al l y

al l of Georgi a operat i ons

A CCO UNT NUM BER

(90% or more)

Formed a corporat i on or

DOES THE FORM ER

OWNER CONTI NUE TO

Yes

Part of Georgi a operat i ons (l ess t han 90%)

part nershi p?

Yes

HA VE EM PLOYEES?

M ade any ot her change i n t he

ownershi p of your busi ness?

Yes

I f yes, ex pl ai n

FROM WHOM ? (Organi zat i on name, i ncl udi ng t rade name)

A DDRESS

8. I F YOU HA D PRI VA TE BUSI NESS EM PLOYM ENT:

9. I F YOU HA D DOM ESTI C EM PLOYM ENT:

Di d you, or do you ex pect t o empl oy at

l east one worker Yes*

Di d you, or do you ex pect t o pay cash wages

Yes*

$ 1,000 or more

i n any cal endar quart er?

i n 20

di f f erent cal endar weeks duri ng a cal endar year?

* I f

yes, show

dat e

t he 20t h week f i rst

occurred:

I f

yes, show dat e t hi s f i rst

occurred:

Yes*

10. I F YOU HA D A GRI CULTURA L EM PLOYM ENT:

Yes*

Di d you, or do you ex pect t o have a

Di d you, or do you ex pect t o empl oy 10 or more agri cul t ural

quart erl y payrol l

of $ 1,500 or more?

workers i n 20 di f f erent cal endar weeks duri ng a cal endar year?

* I f

yes, show

dat e

t hi s f i rst occurred:

I f

yes, show dat e t he 20t h week f i rst occurred:

11. I F YOU A RE A NONPROFI T ORGA NI ZA TI ON EX EM PT

Di d you, or do you ex pect t o have a gross cash agri cul t ural Yes*

FROM I NCOM E TA X

UNDER I RS CODE 501(c)(3):

Yes*

payrol l of $ 20,000 or more i n any cal endar quart er?

Di d you, or do you ex pect t o empl oy f our or more

I f

yes, show dat e t hi s f i rst

occurred:

workers i n 20 di f f erent cal endar weeks duri ng a

cal endar year?

( ATTACH COP Y OF 5 0 1 ( C) ( 3 )

EXEMP TI ON LETTER)

12. HOW M A NY EM PLOYEES do you have, (or ant i ci pat e

* I f

yes, show

dat e

t he 20t h week f i rst

occurred:

when i n f ul l

operat i on)?

I NF ORMATI ON

Name

I NFO RM A T I O N

Name

A BO UT

ABOUT

PERSO N

OWNER,

Soci al Securi t y

O R FI RM

A ddress

ALL

Number

W HO

P ARTNERS ,

M A I NT A I NS

OR P RI NCI P AL

FI NA NCI A L

Resi dence A ddress

Ci t y

RECO RDS

OF F I CER

O F BUSI NESS

( ATTACH

ADDI TI ONAL

Ci t y

St at e

Zi p Code

Tel ephone

S HEET, OR

S HEETS ,

I F

(

)

NECES S ARY)

St at e

Zi p Code

CERTI FI CA TI ON: I

hereby cert i f y under penal t i es of perj ury, t hat t he f oregoi ng st at ement and t hose cont ai ned

i n any at t ached sheet s si gned by me are t rue and correct , and t hat I am aut hori zed t o ex ecut e t hi s report on

behal f of t he empl oyi ng uni t . Thi s report must be si gned by owner, part ner or pri nci pal of f i cer.

Tel ephone

Si gnat ure

Ti t l e

Dat e

(

)

PLEASE COM PLETE INDUSTRY INFORM ATION ON REVERSE SIDE.

DO L- 1 A (R- 5 / 0 1 )

T A 4 8 9 A

(CONTINUED)

NATURE OF BUSINESS: Inf ormation

required on all items. Attach additional sheets,

necessary.

A . How many Georgia locations do

you operate?

C. Enter in order of importance and indicate

Provide

the

f ollow ing

inf ormation

f or

each location,

attaching

additional

approximate % of total annual income derived

sheets

necessary.

f rom each:

B. Check the box that best

describes

the industry

that

relates

your

Principal

Service(s)

Principal Product(s)

business

activities:

Rendered*

Mf g.

Grow n

Sold

Manuf acturing

Agriculture

Forestry

Transportation

Communication

Fishing

Public

Utilities

Mining

I f

Transport at i on- Trucki ng,

i ndi cat e

i f i nt erst at e carri er

W holesale Trade

Construction (specif y):

D. If

this report includes

establishment(s)

that

only

Retail

Trade

General

Contractors

Industrial_

perf orm

services

f or other units of

the

company,

Finance

indicate

the primary type of

service or support

Residential_

_ % Commercial_

Insurance

Speculative

Building

provided.

Check

as many as apply:

Real Estate

Special

Trade

Contractor

(specif y plumbing,

1 .

Central

Administration

3 .

Storage (w arehouse)

Services

etc.,)_

_ _

_ _ _ _

_ _ _

_ _

2 .

Research,development,

4 .

Other: (specif y),

Public

Administration

Heavy Construction (specif y cable,

highw ay,

Private

Household

and

testing

etc.,)_

_ _

_ _ _ _

_ _ _ _ _

_ _

Employer

FOR ASSISTANCE,

call

the Industry Classif ication

Unit,

(4 0 4 ) 6 5 6 - 3 1 7 7

IMPORTANT - This report must be f iled! The law provides that all employing units shall f ile a report of its employment during a calendar year. For the purpose of aiding you in complying w ith OCGA Section 3 4 - 8 - 1 2 1 of the Employment Security Law , this f orm has been prepared to assist you in f urnishing the required inf ormation. Answ er all questions f ully and if additional space is necessary under any item, attach signed and dated sheets w hich bear the w ords "Supplement to Form DOL- 1 ."

Each f alse statement or w illf ul f ailure to f urnish this report is punishable as a crime. Each day of such f ailure or ef usal constitutes a separate of f ense.

The Georgia Employer Status Report is required of all employers having individuals perf orming services in Georgia regardless of number or duration of time.

The f iling of this f orm is required at the time your business f irst had individuals perf orming service in Georgia, or w hen you acquired another legal entity, and may also be required again upon request.

NOTE: Disclosure of your social security number is mandatory. It will be used f or the purpose of identif ication and it is required under the authority of 42 U.S.C. Section405(2)(c)andOCGASection 34- 8- 121(a).

IN S TRUCTIO N S

(NUMBERS CORRESPOND TO ITEMS ON FORM)

1 . Enter or correct name and address of individual ow ner, partners, corporation or organization. This is the address to w hich you authorize us to mail all reports, correspondence, etc. If you have already been assigned a Georgia Department of Labor Account Number (Ga. DOL Acct. No) by this Department, please insert the number.

2 . Indicate by check mark type of organization. If a nonprof it organization, attach copy of I.R.S. letter ex empting the organization f rom Federal Income Tax under Section 5 0 1 (c)(3 ) of Internal Revenue Code.

3 . Trade name by w hich business is know n if dif f erent than 1 .

4 . Physical location of business, f arm or household in Georgia if dif f erent than 1 . Please include telephone number w ith area code.

5 . Enter the f irst date of employment in Georgia and the f irst date of Georgia payroll.

6 . If you are subj ect to the Federal Unemployment Tax Act, and are required to f ile Federal Form 9 4 0 , answ er this question "yes". Be sure to enter your Federal Employer Identif ication Number w hether answ ered "yes" or "no".

7 . Answ er this question if you acquired this business f rom another employer or if af ter you began employing w orkers you have acquired other businesses; merged w ith other businesses; f ormed or dissolved partnerships, corporations, prof essional associations; or if any other change in the ow nership of the business has occurred. Indicate the date of acquisition or change and provide all inf ormation concerning the previous ow ner's name, trade name, address and DOL Account Number. Indicate by checking the appropriate block the portion of the previous ow ner's business involved in the acquisition or change. No transf er of ex perience rating history can be made unless inf ormation concerning the previous ow ner is provided.

8 . Private Business Employment - Most employment is considered private business employment. This includes all types of w ork ex cept domestic service such as maids, gardeners, cooks, etc., agricultural service and service perf ormed f or governmental or nonprof it organizations.

9 . Domestic employment includes all service f or a person in the operation and maintenance of a private household, local college club or local chapter of a college f raternity or sorority such as chauf f eurs, cooks, babysitters, gardeners, maids, butlers, private and/ or social secretaries, etc. If you had such employment, consider only cash payments made to all individuals perf orming domestic services to determine if $1 ,0 0 0 or more cash w ages w ere paid in any calendar quarter during 1 9 7 7 and subsequent quarters.

1 0	. Consider only cash payments made to all individuals perf orming agricultural services to determine if $2 0 ,0 0 0 or more cash w ages w ere paid in
	any calendar quarter during 1 9 7 7 and subsequent quarters.
1 1	. Answ er this question only if this business is a nonprof it organization ex empt f rom Federal Income Tax under Section 5 0 1 (c)(3 ) of the Internal
	Revenue Code. Attach a copy of the I.R.S. letter granting this ex emption. Nonprof it organizations w ith tax ex emptions other than under Section
	5 0 1 (c)(3 ) should answ er question 8 , Private Business Employment.
1 2	. Self - ex planatory.

		FOR ASSISTANCE, call the Adj udication Section, (4 0 4 ) 6 5 6 - 3 0 6 9
Please RETAIN a copy f or your		f iles.	RETURN ORIGINAL WITHIN TEN (10) DAYS TO:	Georgia Department of Labor
				P O Box 7 4 0 2 3 4
The	enclosed envelope requires	postage.		Atlanta, GA 3 0 3 7 4 - 0 2 3 4
The	enclosed envelope requires	postage.

Key takeaways

Key Takeaways for Filling Out the Georgia Department of Labor Form

Accurate Information: Ensure that the business name and address are correct. This information is crucial as it will be used for all correspondence from the Georgia Department of Labor.
Timely Submission: The completed form must be returned within ten days of its receipt. Failure to submit the form on time may lead to penalties.
Understand Employment Types: Clearly differentiate between private business, domestic, and agricultural employment when answering questions. This distinction affects tax obligations and reporting requirements.
Documentation for Nonprofits: If the business is a nonprofit organization, include a copy of the IRS exemption letter. This is necessary to confirm the organization's tax-exempt status under Section 501(c)(3).

Document Characteristics

Fact Name	Details
Form Purpose	The Georgia Employer Status Report is required for all employers with individuals performing services in Georgia.
Submission Deadline	Employers must return the original form within 10 days of completion.
Governing Law	This form is governed by OCGA Section 34-8-121 of the Employment Security law.
Employer Identification	Employers must provide their Georgia DOL account number if already assigned.
Liability Status	Employers must indicate if they are liable for federal unemployment tax.
Nonprofit Exemption	Nonprofits must attach a copy of their IRS exemption letter under Section 501(c)(3).
False Statements	Providing false information on the form is punishable as a crime.
Contact Information	For assistance, employers can call the Industry Classification Unit at (800) 338-2082.