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The Illinois Ui Ha form is an essential document for employers in the state who hire household employees. This form requires specific information to ensure compliance with unemployment insurance regulations. Employers must provide their 7-digit Illinois Unemployment Insurance Account Number and the 9-digit Federal Employer's Identification Number (FEIN). Personal details, including the employer's name and address, are also necessary. Additionally, the form requires a list of household employees, including their names and Social Security numbers. Employers must report total wages paid to each employee for each quarter, with clear instructions on how to calculate taxable wages and contributions based on the unemployment insurance taxable wage base. The form includes provisions for additional employees if necessary and outlines the process for submitting payments. It is crucial to accurately complete each section to avoid penalties and ensure timely processing of contributions. Employers should also note the filing deadlines and contact information for assistance if needed.

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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

Form Specifications

Fact Name Description
Account Number Employers must provide their 7-digit Illinois Unemployment Insurance Account Number.
FEIN Requirement A 9-digit Federal Employer's Identification Number (FEIN) is required for identification.
Employee Information Employers must enter their name and address, as well as the names of household employees.
Wage 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 is set at $13,560 per employee.
Excess Wages Employers must report wages exceeding the taxable wage base amount for each worker.
Contribution Calculation Employers calculate their unemployment insurance contribution based on reported wages.
Filing Deadline Employers may file online or by mail, with specific deadlines set by the Illinois Department of Employment Security.
Governing Law This form is governed by Illinois law, specifically under 820 ILCS 405/100-3200.

Illinois Ui Ha: Usage Guidelines

Filling out the Illinois UI-HA form is an important step for household employers to report wages and contributions for unemployment insurance. Following the steps outlined below will help ensure that the form is completed accurately and submitted on time.

  1. Enter your 7-digit Illinois Unemployment Insurance Account Number.
  2. Input your 9-digit Federal Employer's Identification Number (FEIN) assigned by the IRS.
  3. Provide your first name, middle initial, and last name.
  4. Fill in your street address, including city, state, and zip code.
  5. List the last and first names of your household employees, using one line for each employee.
  6. Copy the social security number of each employee 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, enter "0".
  8. If you had more than eight household employees, use an additional sheet to provide the same information for each additional worker.
  9. Total each Column C through F on the attachment and write the totals on Line 15.
  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 in excess of the unemployment insurance taxable wage base amount ($13,560 for 2012) for each worker.
  13. Subtract Line 17 from Line 16b and enter the result on Line 18 as your taxable wages.
  14. Calculate your unemployment insurance contribution for each quarter. Complete either Line 19 or 20, whichever is applicable.
  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 as 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 in the space provided. 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 address provided.
  20. Write the total number of employees covered by unemployment insurance who performed services during the payroll period.
  21. Document any previous payments made to the Illinois Department of Employment Security for the liability shown on Line 27.
  22. Subtract Line 28 from Line 27 to find the amount of unemployment insurance contribution due.

Your Questions, Answered

What is the Illinois UI-HA form?

The Illinois UI-HA form is used by household employers to report unemployment insurance contributions. This form collects information about wages paid to household employees and calculates the total contributions owed for unemployment insurance based on those wages.

Who needs to fill out the UI-HA form?

Any household employer in Illinois who has employees that meet the criteria for unemployment insurance must complete the UI-HA form. This includes individuals who pay household workers such as nannies, housekeepers, or caregivers.

What information is required to complete the form?

You will need to provide your 7-digit Illinois Unemployment Insurance Account Number, your Federal Employer's Identification Number (FEIN), and personal details such as your name and address. Additionally, you must list your employees' names, Social Security numbers, and total wages paid for each quarter.

How do I report wages for my household employees?

Report the total wages paid to each employee for each quarter. If no wages were paid during a quarter, enter "0". Wages include salaries, bonuses, tips, and any other form of remuneration. Ensure you follow the guidelines on what counts as wages as outlined in the form instructions.

What is the taxable wage base amount for 2012?

For the year 2012, the taxable wage base amount is $13,560 per employee. Employers must pay unemployment insurance contributions only on the first $13,560 of wages for each employee.

What if I had more than eight employees?

If you had more than eight household employees during the reporting year, you should use an additional sheet of paper to include the necessary information for each additional employee. Make sure to follow the same reporting structure as outlined in the form.

How do I calculate my unemployment insurance contribution?

To calculate your contribution, first subtract the amount of wages that exceed the taxable wage base from your total wages. Then, apply your contribution rate to the taxable wages. The form provides specific lines to help you complete these calculations for each quarter.

What should I do if I stopped employing workers?

If you have stopped employing workers, you must write the date of the last day you employed them on the form. This information is essential for accurate reporting and contributions.

Where do I send the completed UI-HA form?

Once you have completed the form, mail it along with your check to the Illinois Department of Employment Security at the address provided on the form: PO Box 3637, Springfield, IL 62708-3637.

What happens if I do not file the form on time?

If you fail to file a processable return or pay the tax by the due date, you will incur penalties and interest. It is crucial to submit your form and payment on time to avoid additional charges.

Common mistakes

  1. Missing or Incorrect Account Numbers: One common mistake is failing to enter the correct 7-digit Illinois Unemployment Insurance Account Number or the 9-digit Federal Employer's Identification Number (FEIN). Double-check these numbers to ensure accuracy.

  2. Inaccurate Employee Information: It's important to provide the correct names and Social Security numbers of household employees. Errors in these details can lead to delays or complications in processing your form.

  3. Incorrect Wage Reporting: When reporting wages, some people forget to enter “0” for quarters where no wages were paid. Every quarter should be filled out accurately, even if the total is zero.

  4. Neglecting to Calculate Totals: Failing to total Columns C through F correctly can result in incorrect contributions being reported. Make sure to add these columns and write the totals on Line 15 as instructed.

  5. Missing Signatures and Dates: The form must be signed by the person named in Step 1. If someone else signs, a Power of Attorney is required. Also, don’t forget to include the date when you stopped employing workers, if applicable.

Documents used along the form

The Illinois UI-HA form is essential for reporting unemployment insurance contributions for household employees. Along with this form, several other documents may be necessary to ensure compliance with state regulations. Here’s a list of related forms and documents that you might encounter in this process.

  • Illinois Unemployment Insurance Contribution Report (UI-3/40): This form is used to report the total wages paid and calculate the unemployment insurance contributions for all employees, not just household employees.
  • Federal Employer Identification Number (FEIN): This is a unique nine-digit number assigned by the IRS for tax identification purposes. Employers need this number for various tax-related filings.
  • Wage Reports (UI-1): Employers must file this report to provide details on employee wages and the number of employees covered by unemployment insurance.
  • Power of Attorney (Form IL-2848): If someone other than the employer is signing the UI-HA form, this document authorizes that person to act on behalf of the employer in matters related to unemployment insurance.
  • Quarterly Wage Reports (Form UI-5): This form details wages paid to employees for each quarter and is used to ensure accurate reporting of contributions owed.
  • Illinois Department of Employment Security (IDES) Guidelines: This document provides instructions and guidelines for employers regarding their responsibilities and the filing process for unemployment insurance.
  • Notice of Contribution Rate (Form UI-3): This notice informs employers of their contribution rate for unemployment insurance, which is necessary for calculating contributions.
  • Employee's Social Security Card: Employers need to collect and verify the Social Security numbers of their employees for accurate reporting and tax compliance.
  • Tax Payment Voucher (Form IL-1040-V): This voucher is used when making payments for state taxes, including unemployment insurance contributions.
  • Record of Employment (Form UI-6): This form records the employment history of each household employee, which may be necessary for audits or inquiries by the state.

Understanding these forms and documents is crucial for ensuring that you meet your obligations as an employer. Staying organized and informed can help you navigate the unemployment insurance process more smoothly.

Similar forms

  • W-2 Form: Similar to the Illinois UI Ha form, the W-2 form reports wages paid to employees and the taxes withheld. Both documents require detailed employee information, including names and Social Security numbers, and they help ensure compliance with tax obligations.
  • 1099-MISC Form: This form is used to report payments made to independent contractors. Like the UI Ha form, it requires the payer's information and the recipient's Social Security number, detailing the amounts paid over the year.
  • Payroll Tax Returns (Form 941): Employers use this form to report income taxes, Social Security tax, and Medicare tax withheld from employee wages. It shares similarities with the UI Ha form in that both require reporting of employee wages and tax liabilities.
  • State Unemployment Tax Act (SUTA) Report: This report is required by states to track unemployment insurance contributions. Both forms require wage reporting for employees and ensure compliance with state unemployment tax laws.
  • IRS Form 940: This annual form is used to report federal unemployment tax (FUTA) liability. Similar to the UI Ha form, it requires detailed reporting of wages and the number of employees, focusing on unemployment tax obligations.
  • Form 1095-C: Employers use this form to report health insurance coverage offered to employees. Both forms require accurate employee information and contribute to compliance with federal regulations.
  • Employer's Quarterly Federal Tax Return (Form 941): This form is used to report federal income tax withheld and FICA taxes. Like the UI Ha form, it requires detailed information about wages paid and the number of employees.
  • Illinois Withholding Tax Form (IL-941): This form is used to report state income tax withheld from employees. Similar to the UI Ha form, it requires the reporting of wages and employee information to ensure tax compliance.
  • Form 1040 (Schedule C): Self-employed individuals use this form to report income or loss from their business. Like the UI Ha form, it involves reporting income and expenses related to employee payments.
  • Form 8850: This is the Pre-Screening Notice and Certification Request for the Work Opportunity Credit. It shares similarities with the UI Ha form by requiring information about employees and their wages to determine eligibility for tax credits.

Dos and Don'ts

When filling out the Illinois UI Ha form, it is important to follow specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do during this process.

  • Do enter your 7-digit Illinois Unemployment Insurance Account Number correctly.
  • Do provide the nine-digit Federal Employer's Identification Number (FEIN) assigned by the IRS.
  • Do include your full name, including first name, middle initial, and last name.
  • Do accurately report the street address, city, state, and zip code where you want to receive the form.
  • Do print the names of all household employees clearly, using one line for each employee.
  • Do copy the social security number from your employee’s Social Security card without errors.
  • Do enter the total wages paid to each employee for each quarter, using "0" if no wages were paid.
  • Don't forget to include all forms of remuneration when calculating wages, such as bonuses and vacation pay.
  • Don't submit the form without signing it; the report must be signed by the person named in Step 1.
  • Don't ignore the deadline for filing; late submissions may incur penalties and interest.

Following these guidelines will help ensure that the form is filled out correctly and submitted on time. Proper attention to detail is crucial in avoiding potential issues with the Illinois Department of Employment Security.

Misconceptions

Understanding the Illinois UI-HA form can be tricky, and there are several misconceptions that people often have. Let’s clear up some of these misunderstandings.

  • Misconception 1: You only need to report wages if they exceed $13,560.
  • Many believe that they only need to report wages that exceed the taxable wage base. However, all wages paid to employees must be reported, regardless of whether they surpass this threshold.

  • Misconception 2: The UI-HA form is only for full-time employees.
  • This is not true. The form is applicable to both full-time and part-time employees. Any worker who performed services or received pay during the reporting period should be included.

  • Misconception 3: You can ignore employees who were on vacation or sick leave.
  • In fact, you should include all employees who were on vacation or paid sick leave. Their wages contribute to the total for the quarter and must be reported.

  • Misconception 4: The UI-HA form can be filed anytime without penalties.
  • Timeliness is crucial. If you do not file the form or pay the taxes owed by the due date, you may incur penalties and interest. It’s important to stay on top of deadlines.

By dispelling these misconceptions, you can navigate the UI-HA form with greater confidence and ensure compliance with Illinois unemployment insurance regulations.

Key takeaways

Filling out the Illinois UI-HA form is a crucial process for employers of household workers. Here are key takeaways to keep in mind:

  • Account Numbers: Ensure you enter your 7-digit Illinois Unemployment Insurance Account Number and the 9-digit Federal Employer's Identification Number (FEIN) correctly.
  • Employee Information: List each household employee's name and Social Security number as it appears on their Social Security card.
  • Wage Reporting: Report total wages paid to each employee for every quarter. If no wages were paid, enter "0".
  • Taxable Wage Base: Be aware that for 2012, the taxable wage base is $13,560. Contributions are only required on wages up to this amount.
  • Quarterly Calculations: Add wages for each quarter and calculate any excess over the taxable wage base to determine contributions due.
  • Multiple Employees: If you had more than eight employees, use additional sheets to provide their information as required in Step 2.
  • Submission Requirements: Sign the report and ensure it is submitted by the deadline. If someone else signs, include a Power of Attorney.
  • Payment Instructions: Make checks payable to the Illinois Department of Employment Security and mail them to the specified address.

Following these guidelines will help ensure compliance and avoid potential penalties. For assistance, consider reaching out to the Unemployment Insurance Hotline.