Homepage Fill a Valid Georgia Dol 3C Template

Common mistakes

  1. Using the wrong ink color: The form specifically instructs users to fill it out in black ink. Using any other color can lead to processing delays.

  2. Stapling the form: It is important not to staple any pages together. Stapling can interfere with electronic processing.

  3. Not providing a complete employer address: Ensure that the employer name, address, and email are fully filled out. Incomplete information can cause confusion and delays.

  4. Omitting the DOL Account Number: This number is crucial for identifying the employer's account. Failing to include it can result in the form being misdirected.

  5. Incorrectly reporting wages: Double-check that the amounts reported in Sections B and C match the original Employer’s Quarterly Tax and Wage Report. Discrepancies can lead to further corrections.

  6. Neglecting to total wages: Always ensure that the total wages and taxable wages are calculated and reported correctly at the end of Section C. Missing totals can complicate the review process.

  7. Failing to provide an explanation: If adjustments are made, include a clear explanation in Section E. Lack of context can lead to questions and delays in processing.

  8. Not signing the form: Ensure that the form is signed in the "Submitted By" section. A missing signature can result in rejection of the submission.

Essential Points on This Form

What is the purpose of the Georgia DOL 3C form?

The Georgia DOL 3C form is designed to either correct previously reported wages or to report individuals who were omitted from the original Employer’s Quarterly Tax and Wage Report, known as Form DOL-4. Employers must complete this form if they need to make adjustments to their wage reports for a specific quarter.

How do I fill out the Georgia DOL 3C form?

To fill out the Georgia DOL 3C form, start by providing your DOL Account Number, Total Tax Rate, quarter, year, and Federal I.D. Number in Section A. Next, in Section B, input the amounts as originally reported on the Employer’s Quarterly Tax and Wage Report. Section C requires you to list the Social Security Numbers and names of employees whose wages need to be corrected or who were omitted. Finally, Sections D and E help you calculate and summarize any corrections to total and taxable wages.

What should I do if I need to report multiple corrections?

If you need to report multiple corrections, you should complete a separate Georgia DOL 3C form for each quarterly report that requires adjustments. Ensure that each form includes the necessary details for that specific quarter. If you are submitting more than one form, remember to total the page amounts and include the final total on the last page.

What happens if I owe additional taxes after making corrections?

If the corrections result in an increase in taxes owed, you will need to calculate the additional tax due based on the corrected taxable wages. This includes multiplying the taxable wages by the appropriate tax rates. Additionally, interest may be applied to the tax due from the due date until it is paid. Make sure to include your Georgia DOL Account Number on any payment you send.

Are there any specific instructions for submitting the form?

Yes, when submitting the Georgia DOL 3C form, do not staple or submit copies of the form. Use black ink for clarity. Mail the completed form to the address provided on the form. Ensure that all required sections are filled out completely to avoid delays in processing.

What if I have questions while filling out the form?

If you have questions while completing the Georgia DOL 3C form, you can contact the Georgia Department of Labor at the phone number listed on the form, which is (404) 232-3245. They can provide assistance and clarify any uncertainties you may have regarding the form or the reporting process.

Georgia Dol 3C Sample

Electronic Form Processing - DO NOT STAPLE OR SUBMIT COPIES - Use Black InkDOL - 3C (R-8/05)

 

 

 

 

 

GEORGIA

 

 

 

 

 

 

 

 

REPORT TO ADD NEW WAGES

 

 

*00301*

 

 

 

 

DEPARTMENT OF LABOR

 

 

AND/OR CORRECT REPORTED WAGES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00301

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail Completed Form To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ForDepartmentUseOnly

 

 

 

409

 

 

 

 

GDOL- EMPLOYERACCOUNTS, Room 768

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

148AndrewYoung International Blvd., N.E.,

 

 

 

 

 

 

 

Date Received

 

 

 

 

 

Supplemental

 

 

 

Atlanta, GA30303-1751

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

M

/

D

D

/

Y

Y

Y

Y

 

 

 

 

 

 

Phone: (404) 232-3245

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Name, Address and E-mailAddress

 

 

 

 

 

DOLAccount Number

 

 

 

 

 

 

 

 

 

Total Tax Rate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qtr / Yr

 

 

End Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Q /

Y

Y

Y

Y

 

 

 

 

M

M

/

D

D

/

 

Y

 

Y

 

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal I.D. Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASEINCLUDEYOURDOL

 

 

 

 

DOL-4, Item 2

 

 

 

 

 

 

DOL-4, Item 3

 

 

 

 

 

 

 

DOL-4, Item 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCOUNTNUMBERONALLCHECKS

 

 

 

 

 

Total wages

 

 

 

 

 

Non-Taxable Wages

 

 

 

 

 

 

 

Taxable Wages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANDCORRESPONDENCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Individual Quarterly Wages ReportedAnd Corrected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security No.

 

 

 

 

Employee Name

Pages

 

 

 

 

 

 

Total Wages

 

 

 

 

Taxable Wages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reported

 

Corrected

 

 

 

Reported

Corrected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Totals

0

0

0

0

 

 

 

 

 

 

 

 

SECTION D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Increase

 

 

 

 

 

 

 

 

 

Decrease

 

 

 

 

1.

Total GROSS WAGE Corrections

 

 

 

,

 

 

 

,

 

 

 

.

 

 

 

 

 

 

,

 

 

 

,

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Non-Taxable Wage Corrections

 

 

 

,

 

 

 

,

 

 

 

.

 

 

 

 

 

 

,

 

 

 

,

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Taxable Wage Corrections

 

 

 

,

 

 

 

,

 

 

 

.

 

 

 

 

 

 

,

 

 

 

,

 

 

 

.

 

 

 

4.Contribution Tax on Corrections

5.Admin Assessment on Corrections

6.Interest on Lines 4 & 5

7.Additional Tax or Credit Due

 

 

SECTION E

 

Corrected Summary of Total Wages

Corrected Summary of Taxable Wages

 

 

 

 

 

 

 

Explanation

 

Submitted By_______________________________

Title________________________

Date____________

(

)

Phone_______________________

Page of

INSTRUCTIONS FOR COMPLETING FORM DOL-3C

“REPORT TO ADD NEW WAGES AND/OR CORRECT REPORTED WAGES”

The form is designed to: (1) correct previously reported wages and/or (2) report individuals that were omitted from the original Employer’s Quarterly Tax and Wage Report, Form DOL-4. Complete one or more of these forms separately for

each quarterly report that is to be corrected.

SECTION A

Enter the DOL Account Number. Enter the Total Tax Rate, (Contribution plus Administrative Assessment). Enter the quarter and 4 digit year. Enter the quarter ending date. Enter the Federal I.D. Number. Enter Employer Name, Address and E-mail.

SECTION B

Enter the amounts as originally reported on lines 2, 3 & 4 of the Employer’s Quarterly Tax and Wage Report, Form DOL-4 being corrected. Taxable wages in Georgia for 2012 and prior years is the first $8,500 paid per employee per year. Taxable wages beginning 2013 is $9,500.

SECTION C

Enter the Social Security Numbers and Names of the employees omitted or incorrectly reported on the original report. Enter the page number on which the employees were originally reported. In the spaces provided, enter the amount of total wages reported for the employee; the corrected amount of total wages; the taxable wages reported (amount included in Line 4 of the Quarterly Tax and Wage Report), and the corrected amount of taxable wages.

Total and taxable wages as reported and as corrected should be totaled, as the last item in Section C. Page totals should be entered on each page if more than one form is submitted for a quarter. The final total should be entered on the last page.

SECTION D

Line 1: Enter the difference between the Total Wages Reported and the Total Corrected Wages from Section C as either an increase or decrease, if applicable.

Line 2: Enter the difference in the Corrected Non-Taxable Wages and the previous reported Non-Taxable Wages from Section B either an increase or decrease.

Line 3: Enter the difference between the Total Taxable Wages Reported and the Total Corrected Taxable Wages amount from Section C as either an increase or decrease.

Line 4: Multiply the Taxable Wages, Line 3 by the contributory tax rate for that quarter.

Line 5: Multiply the Taxable Wages, Line 3 by the administrative assessment tax rate for that quarter.

Line 6: Interest is computed on the tax due (Line 4 + Line 5) from the due date until paid at the rate of one and one-half percent (1-1/2%) per month or fraction of a month. Interest is not applicable on a tax decrease.

Line 7: Enter total of Line 4 through 6. If the total reflects an increase in tax due, make check payable to Georgia Department of Labor. Please include your Georgia DOL Account Number on your check. A decrease may result in a credit to your account.

SECTION E

To adjust total wages, the amount of increase should be added to the amount entered in Item 2 in Section B or the amount of decrease should be subtracted from Item 2 in Section B. The result of the addition or subtraction should be entered as Corrected Summary of Total Wages.

To adjust taxable wages, the amount of increase should be added to the amount entered in Item 4 in Section B or the amount of decrease should be subtracted from Item 4 in Section B. The result of the addition or subtraction should be entered as Corrected Summary of Taxable Wages.

Enter your explanation of the adjustment in the space provided.

Enter your name on the “Submitted By” line, Title, Date, and Telephone Number and return as indicated on the front of the form.

DOL-3C Instr (R-12/12)

Key takeaways

Filling out the Georgia DOL-3C form is a crucial step for employers needing to correct or report wages accurately. Here are key takeaways to guide you through the process:

  • Use Black Ink: Ensure that you fill out the form using black ink only. This helps maintain clarity and readability.
  • Do Not Staple: Keep the form flat and do not staple any pages together. This facilitates easier processing by the Department of Labor.
  • Complete Sections Carefully: Each section of the form has specific requirements. Take your time to enter all requested information accurately.
  • Include Your DOL Account Number: Always include your DOL account number on all checks and correspondence to avoid processing delays.
  • Report Corrections Separately: If you need to correct wages for multiple quarters, complete a separate DOL-3C form for each quarter.
  • Calculate Increases and Decreases: Be diligent in calculating any increases or decreases in wages. This will affect your tax obligations and credits.
  • Interest on Tax Increases: If applicable, remember that interest may accrue on any tax due from the due date until it is paid.
  • Provide Explanations: Include a clear explanation of any adjustments you are making. This helps clarify your changes to the Department of Labor.
  • Mail to the Correct Address: Ensure that you send the completed form to the correct address as specified on the form to avoid delays in processing.

By following these guidelines, you can ensure that your corrections are processed smoothly and efficiently. Taking the time to complete the Georgia DOL-3C form accurately will save you potential headaches down the line.

Document Characteristics

Fact Name Description
Form Purpose The Georgia DOL-3C form is used to report new wages or correct previously reported wages.
Governing Law This form is governed by the Georgia Employment Security Law.
Submission Instructions Do not staple or submit copies. Use black ink when completing the form.
Mailing Address Completed forms should be mailed to the Georgia Department of Labor, 148 Andrew Young International Blvd., N.E., Room 768, Atlanta, GA 30303-1751.
Employer Information Section A requires the employer's name, address, email, DOL account number, and federal ID number.
Wage Reporting Report total wages, non-taxable wages, and taxable wages in Section B.
Employee Details Section C requires Social Security numbers and names of employees for whom corrections are made.
Correction Details Section D outlines how to report increases or decreases in wages and associated taxes.
Interest Calculation Interest on taxes due is calculated at 1.5% per month until paid, applicable only on increases.
Final Summary Section E summarizes the total corrected wages and taxable wages, requiring an explanation for adjustments.