Get Illinois Ui Ha Form

Get Illinois Ui Ha Form

The Illinois UI Ha form is a document used by household employers to report unemployment insurance contributions for their employees. It requires specific information, such as the employer's account number, employee details, and total wages paid for each quarter. Completing this form accurately is essential for compliance with state regulations.

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The Illinois UI Ha form is an essential document for household employers who are required to report unemployment insurance contributions. This form collects critical information, including the Illinois Unemployment Insurance Account Number and the Federal Employer's Identification Number (FEIN). Employers must provide their personal details, including their name and address, as well as the names and Social Security numbers of their household employees. The form requires a detailed accounting of wages paid to each employee for every quarter of the year, including salaries, bonuses, and other forms of compensation. Employers must also indicate if any wages exceeded the taxable wage base amount, which for 2012 was set at $13,560 per worker. If there are more than eight household employees, additional sheets may be necessary to capture all required information. The form includes calculations for taxable wages and the total unemployment insurance contributions due, which must be submitted along with payment to the Illinois Department of Employment Security. Accurate completion of this form is vital, as failure to file correctly or on time may result in penalties and interest. Additionally, the form must be signed by the employer or an authorized representative, ensuring accountability in the reporting process.

Document Breakdown

Fact Name Details
Illinois Unemployment Insurance Account Number Employers must enter their 7-digit Illinois Unemployment Insurance Account Number on the form.
Federal Employer's Identification Number (FEIN) A 9-digit FEIN assigned by the IRS is required to be included in the report.
Wages Reporting Employers report total wages paid to each employee for each quarter, including various forms of compensation.
Taxable Wage Base For 2012, the taxable wage base amount is $13,560 per employee, and contributions are only required on wages up to this limit.

Common PDF Forms

Misconceptions

  • Misconception 1: The Illinois UI Ha form is only for full-time employees.
  • This form applies to both full-time and part-time household employees. All employees who performed services and received pay during the relevant payroll periods must be reported.

  • Misconception 2: I don't need to report wages if I didn't pay any during a quarter.
  • If no wages were paid during a quarter, you must still enter "0" for that quarter. This ensures accurate reporting and compliance with state requirements.

  • Misconception 3: The taxable wage base is the same every year.
  • The taxable wage base can change annually. For 2012, it was set at $13,560. Always check for updates for the current year.

  • Misconception 4: I can submit the form without a signature.
  • The report must be signed by the person named in the form. If someone else signs it, a Power of Attorney must be attached to validate the submission.

  • Misconception 5: I can ignore penalties and interest if I miss the filing deadline.
  • Misconception 6: The form only requires employee names and not their Social Security numbers.
  • Each household employee’s Social Security number must be included on the form. This information is necessary for accurate reporting and compliance.

  • Misconception 7: I can combine multiple employees' wages into one entry.
  • Each employee's wages must be reported separately. This includes entering their total wages for each quarter individually.

  • Misconception 8: I can submit the form electronically without prior registration.
  • Filing online requires prior registration with the Illinois Department of Employment Security. Ensure you complete this step before attempting to file electronically.

  • Misconception 9: It's acceptable to report estimated wages.
  • Actual wages must be reported. Estimates can lead to discrepancies and potential penalties, so accurate records are essential.

  • Misconception 10: I can disregard previous payments when calculating my current contribution.
  • Previous payments must be accounted for when determining your current contribution due. This ensures accurate reporting and compliance with state regulations.

Example - Illinois Ui Ha Form

UI-HA Report for Household Employers Instructions

You may file on-line at https://taxnet.ides.state.il.us

Step 1

Line 1a Enter your 7-digit Illinois Unemployment Insurance Account Number.

Line 1b Enter the nine digit Federal Employer's Identification number (FEIN) assigned to you by the Internal Revenue Service.

Line 2 Enter your first name, middle initial and last name.

Line 3 Enter the street address including the city, state and zip code where you want to receive this form.

Step 2

Lines 6 through 14 - use one line for each employee

Column A

Print the last and first name(s) of your household employee(s).

Column B

Complete this item by copying your employee’s social security number from his or her Social Security card.

Columns C through F (quarters)

Enter the total wages paid to each employee for each quarter of the year. If no wages were paid for that quarter, please enter "0".

Wages include (a) salaries, commissions and bonuses, tips reported to the employer, separation pay, vacation pay, prizes, sick pay, payments on account of retirement; (b) the reasonable cash value of remuneration paid other than cash, such as goods, meals and lodging; and (c) any remuneration for services performed within the State which is considered wages under the Federal Unemployment Tax Act.

Line 15 If you had more than eight household employees during 2012, use an additional sheet of paper and include the information in Step 2 for each additional worker. Total each Column C through F on the attachment, and write the totals on Line 15 in the appropriate column.

Line 16a Add Lines 6 through 15 within each column. This is the total wages paid for each quarter.

Step 3

Line 16b Copy totals from line 16a above.

Line 17 Write in the total wages paid in excess of the unemployment insurance taxable wage base amount for each worker. For 2012, the taxable wage base amount is $13,560 for each worker.

An employer must pay unemployment insurance contributions on only the first $13,560 in wages for each employee.

Example: You have one household employee that you pay $5,000 each quarter. During the first and second quarter, the wages paid to the employee total $10,000, so you would enter “0” in each column for the first and second quarters. During the third quarter, the total amount paid to the employee reaches $15,000 which exceeds the $13,560 unemployment insurance taxable wage base by $1,440. So the amount to be entered on Line 17 for the third quarter, is $1,440 ($15,000-$13,560). The fourth quarter wages of $5,000 must be entered on Line 17 for the fourth quarter since the wage base was met during the third quarter.

 

1st quarter

2nd quarter

3rd quarter

4th quarter

 

 

 

 

 

Ex Line 17

$ 0

$ 0

$1,440

$5,000

 

 

 

 

 

UI-HA instructions (12/12)

Step 3 continued

Line 18 Subtract Line 17 from Line 16b and enter the result on Line 18. These are your taxable wages.

Lines 19 and 20

For each quarter, calculate your unemployment insurance contribution. Within each column, complete either Line 19 or 20, whichever is applicable.

Line 21 Quarter totals: Enter the amount from Line 19 or 20 in each column. This is your contribution due for each quarter.

Line 22. Grand total. Add the quarterly totals from Line 21 (Columns C, D, E and F) and enter the result on Line 22. This is your 2012 total

unemployment insurance contributions due.

Step 4

Line 23-26 Enter the total number of employees (full or part time) who are covered by unemployment insurance and who performed services during or received pay for the payroll period including the 12th of

each month of the quarter. Include workers who have earned more than $13,560 in the calendar year and those on vacation or paid

sick leave. Exclude workers on strike.

Step 5

Line 27 Write the amount shown on line 22. This is your total 2012 unemployment insurance contribution.

Line 28 Write the amount of any previous payment made to the Illinois Department of Employment Security for the liability shown on Line 27.

Line 29 Subtract Line 28 from Line 27.

This is the amount of unemployment insurance contribution due.

Make your check payable to the Illinois Department of

Employment Security.

Step 6

Line 30 If you have stopped employing workers, write the date of the last day you employed workers.

Step 7

Line 31 This report must be signed by the person named in Step 1, Line 2. If signed by any other person, a Power of Attorney must be attached.

MAIL YOUR COMPLETED REPORT ALONG WITH YOUR CHECK TO:

ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY PO BOX 3637

SPRINGFIELD IL 62708-3637

General Instructions

What if I do not file or pay by the due date?

If you do not file a processable return or pay the tax you owe by the due date, you will owe penalty and interest.

What if I need to correct information I reported? Where may I obtain help or more information?

For other related forms or help with questions regarding unemployment insurance, please call the Unemployment Insurance Hotline toll-free at 1 800 247-4984 (option 2).

The TTY number for the hearing impaired is (866) 212-8831.

UI-HA instructions (12/12)

State of Illinois

Form UI-HA Report for Household Employers

Step 1: Tell us about yourself

Illinois Department of Employment Security

File on-line at https://taxnet.ides.state.il.us

1a ________________________________ b ___ ___–___ ___ ___ ___ ___ ___ ___

Illinois account number (Unemployment Insurance)

Federal employer’s identification number

 

2___________________________________________________________________

Your name (first, middle initial, last)

3___________________________________________________________________

Street Address

___________________________________________________________________

City

State

Zip

Step 2: Report your household employee information

5For unemployment insurance reporting, complete Columns A-F

6

A

 

B

 

C

 

D

 

E

 

F

 

Name

Social

1/2012

 

2/2012

 

3/2012

 

4/2012

 

 

(last, first)

Security No.

 

QTR. ending Mar. 31

 

QTR. ending June 30

 

QTR. ending Sept. 30

 

QTR. ending Dec. 31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

_____________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

Other (attach) ________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16a Column totals: Add Lines 7 through 15 in each column

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 3: Figure your unemployment insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

contribution due for each quarter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st quarter

 

 

2nd quarter

 

 

3rd quarter

 

 

4th quarter

 

16b Column totals: Copy totals from line 16a above.

 

 

______________________

______________________

______________________

_____________________

17Write the total wages paid in excess of the taxable

 

wage base amount ($13,560 per employee for 2012).

______________________

______________________

______________________

_____________________

18

Subtract Line 17 from Line 16b.

______________________

______________________

______________________

_____________________

19

If Line 16a is less than $50,000, multiply Line 18 by

______________________

______________________

______________________

_____________________

 

your 2012 contribution rate or 5.400%, whichever is less.

 

 

 

 

 

 

20

If Line 16a is $50,000 or more, multiply Line 18 by

______________________

______________________

______________________

_____________________

 

your 2012 contribution rate.

 

 

 

 

 

 

21

Quarter totals: Enter the amount from Line 19 and/or 20.

______________________

______________________

______________________

_____________________

22

Grand total: Add the quarter totals from Line 21 (Columns C, D, E and F) and write the result on Line 22.

 

 

22

_________________

UI-HA front 1 of 2 (12/12)

PLEASE RETURN THIS PAGE AND PAGE 2 OF THIS FORM

 

Step 4: Number of employees who are covered for unemployment insurance

Write the total number of covered workers (full and part time) who performed services during or received pay for the payroll period including the 12th of each month of each quarter. If none, write “0”

23

1st quarter

A

January 12

__________

B

February 12

__________

C

March 12

___________

24

2nd quarter

A

April 12

__________

B

May 12

__________

C

June 12

___________

25

3rd quarter

A

July 12

__________

B

August 12

__________

C

September 12

___________

26

4th quarter

A

October 12

__________

B

November 12

__________

C

December 12

___________

Step 5: Figure your total unemployment insurance contribution due

27

Write the amount from Line 22.

27

____________I ____

28

Write the amount of any previous payment to the Illinois Department of Employment Security for the liability shown on Line 27.

28

____________I ____

29

Subtract Line 28 from Line 27. Make your check payable to the Illinois Department of Employment Security.

29

____________I ____

 

 

 

 

Step 6: Complete if you are no longer employing workers

 

 

 

30

Write the date you stopped employing workers.

30

____/_____/____

 

 

 

 

month day year

 

 

 

 

 

Step 7: Sign below

Under penalties of perjury, I state that I have examined this report and, to the best of my knowledge, it is true, correct, and complete.

31 ____________________________________________________________

____/____/__________

(_____) ______________

Household employer’s signature (full name)

month day

year

Daytime telephone number

Filing deadline: April 15, 2013

You may file and pay on-line at https://taxnet.ides.state.il.us

Mail your completed report along with your check to:

ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY

PO BOX 3637

SPRINGFIELD IL 62708-3637

UI-HA back 2 of 2 (12/12)

This state agency is requesting information that is necessary to accomplish the statutory purpose as outlined under 820 ILCS405/100-3200. Disclosure of this information is REQUIRED. Failure to disclose this information may result in statutorily prescribed liability and sanction, including penalties and or interest. This form has been approved by the Forms Management Center.

PLEASE RETURN THIS PAGE AND PAGE 1 OF THIS FORM

Dos and Don'ts

When filling out the Illinois UI-HA form, there are some important dos and don'ts to keep in mind. Following these guidelines will help ensure that your submission is accurate and complete.

  • Do enter your 7-digit Illinois Unemployment Insurance Account Number accurately.
  • Do provide the correct Federal Employer's Identification Number (FEIN) assigned by the IRS.
  • Do list the total wages paid to each employee for each quarter, including any wages that may be zero.
  • Do sign the report yourself; if someone else signs it, attach a Power of Attorney.
  • Do double-check all calculations to avoid penalties and interest.
  • Don't forget to include your employees' Social Security numbers; this is a crucial part of the form.
  • Don't leave any columns blank; if there were no wages, write “0” instead.
  • Don't submit the form without checking the filing deadline; late submissions may incur penalties.
  • Don't ignore the instructions regarding additional sheets if you have more than eight employees.
  • Don't mail the report without including your payment; ensure your check is made out to the Illinois Department of Employment Security.

Illinois Ui Ha: Usage Instruction

Completing the Illinois UI-HA form is essential for reporting unemployment insurance contributions for household employees. Follow these steps to ensure you fill out the form correctly.

  1. Enter your 7-digit Illinois Unemployment Insurance Account Number.
  2. Provide your 9-digit Federal Employer's Identification Number (FEIN) assigned by the IRS.
  3. Input your first name, middle initial, and last name.
  4. Fill in your street address, including the city, state, and zip code where you want to receive this form.
  5. List the last and first names of your household employees, using one line for each employee.
  6. Copy your employee’s Social Security number from their Social Security card.
  7. Enter the total wages paid to each employee for each quarter of the year. If no wages were paid, write "0".
  8. If you had more than eight household employees, use an additional sheet to include their information.
  9. Total Columns C through F on the attachment, and write the totals on Line 15 in the appropriate column.
  10. Add Lines 6 through 15 within each column to find the total wages paid for each quarter.
  11. Copy totals from Line 16a above.
  12. Write the total wages paid that exceed the unemployment insurance taxable wage base amount of $13,560 for each worker.
  13. Subtract Line 17 from Line 16b and enter the result on Line 18. This is your taxable wages.
  14. Calculate your unemployment insurance contribution for each quarter by completing either Line 19 or 20, whichever applies.
  15. Enter the amount from Line 19 or 20 in each column as your contribution due for each quarter.
  16. Add the quarterly totals from Line 21 (Columns C, D, E, and F) and enter the result on Line 22. This is your total unemployment insurance contributions due for 2012.
  17. If you have stopped employing workers, write the date of the last day you employed them.
  18. Sign the report. If someone else signs, attach a Power of Attorney.
  19. Mail your completed report along with your check to the Illinois Department of Employment Security at the provided address.

After completing the form, ensure that all information is accurate before mailing it. This will help avoid any penalties or interest due to errors or late submissions.