Wis. Admin. Code Department of Workforce Development § DWD 150.05 - Forms

Copies of forms are provided by the department.

TABLE DWD 150

Form Number	Title or Similar Description
(1) Coverage.
(a) UCT-1-E	- Wisconsin Employer Report
(b) RC-1	- Election to Cover Multi-state Workers
(c) UCT-115-E	- Report of Business Transfer
(d) UCT-117-E	- Computation of Partial Transfer Percentage
(e) UCT-119-E	- Benefit Payment Allocation Report
(f) UCT-43-E	- Preliminary Report
(g) UCT-673-E	- Nonprofit Organization Employer's Report
(h) UCT-5332-E	- Domestic Employer's Report
(i) UCT-5334-E	- Agricultural Employer's Report
(j) UCT-6491-E	- Account Change Information
(2) Contributions.
(a) UCT-101-E	- Quarterly Contribution Report to be Filed with Quarterly Wage Report
(c) UCT-100B-E	- Annual Tax Rate Notice and Schedule-with Voluntary
(d) UCT-100B1-E	- Annual Tax Rate Notice and Schedule-Without Voluntary
(e) UCT-100B2-E	- UI Tax Rate Adjustment/Rate Schedule
(f) UC-7823-E	- Quarterly Wage Report
(g) UCT-7842-E	- Contribution Adjustment Report
(h) UCT-7878-E	- Wage Adjustment Report
(i) UCT-7937	- Election to Exclude Principal Officers
(j) UCT-8055	- Worksheet-Corporate Officer Exclusion
(k) UCT-17927-E	- Reelection of Coverage of Principal Officers
(3) Benefit notices and reports, required of employers.
(a) UCB-201-P	- Wisconsin Unemployment Insurance Handbook for Employers
(b) UCB-7-P	- Notice to Employees About Applying for Wisconsin Unemployment Benefits
(e) UCB-16	- Separation Notice
(f) UCB-23	- Wage Verification Eligibility Report
(h) UCB-9381-P	- Seasonal Employment Notice
(i) UCB-719	- Urgent Request for Wages
(4) Benefit claims and payments.
(a) UCB-10-P	- Unemployment Insurance Handbook for Claimants
(5) Settlement of contested benefit claims.
(b) UCB-474	- Physician's Report, for Determining Eligibility

Notes

Wis. Admin. Code Department of Workforce Development § DWD 150.05

1-2-56, am. intro. par., Register, March, 1967, No. 135, eff. 4-1-67; r. and recr. Register, September, 1968, No. 153, eff. 10-1-68; am. (2) (d) and (e), (3) (j) and (4) (g), cr. (2) (f), Register, January, 1975, No. 229, eff. 2-1-75; correction in (intro.) made under s. 13.93(2m) (b) 7, Stats., Register, October, 1994, No. 466; r. and recr. (intro.), Register, November, 1999, No. 527, eff. 12-1-99. Amended by, CR 18-033: am. Table DWD 150 Register May 2019 No. 761, eff. 6/1/2019 Amended by, correction in (Note) made under s. 13.92(4) (b) 6., Stats., Register March 2020 No. 771, eff. 4/1/2020

Copies of forms are available online at: https://dwd.wisconsin.gov/dwd/forms-publications-search.htm.