Homepage Blank Illinois Ui Ha Form
Outline

The Illinois Ui Ha form plays a crucial role in the administration of unemployment insurance for household employers. This form is designed to collect essential information regarding the employment and wages of household workers. It requires employers to provide their Illinois Unemployment Insurance Account Number and Federal Employer Identification Number (FEIN), ensuring proper identification and accountability. Personal details such as the employer's name and address must also be included. For each household employee, the form asks for names, Social Security numbers, and the total wages paid each quarter. Employers must accurately report wages, which encompass salaries, bonuses, and other forms of compensation, while adhering to the taxable wage base limit of $13,560 for the year 2012. The form also guides employers through calculations of their unemployment insurance contributions, ensuring they understand their financial obligations. By completing this form, household employers not only fulfill their legal responsibilities but also contribute to the social safety net that supports workers in times of need.

Sample - 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

Form Information

Fact Name Details
Account Number Enter your 7-digit Illinois Unemployment Insurance Account Number.
FEIN Requirement Provide the nine-digit Federal Employer's Identification Number assigned by the IRS.
Employee Information List each household employee’s name and Social Security number.
Wages Definition Wages include salaries, commissions, bonuses, and various forms of remuneration.
Taxable Wage Base For 2012, the taxable wage base is $13,560 per worker.
Quarterly Reporting Report total wages paid for each quarter; enter "0" if no wages were paid.
Filing Deadline File and pay online at https://taxnet.ides.state.il.us by the due date.
Governing Law This form is governed by the Illinois Unemployment Insurance Act (820 ILCS 405).

Detailed Guide for Filling Out Illinois Ui Ha

Completing the Illinois UI-HA form is an essential step for household employers to report wages paid and calculate unemployment insurance contributions. Following these steps will help ensure that the form is filled out accurately and submitted on time.

  1. Enter your 7-digit Illinois Unemployment Insurance Account Number.
  2. Provide the 9-digit Federal Employer's Identification Number (FEIN) assigned by the IRS.
  3. Fill in your first name, middle initial, and last name.
  4. Input your street address, including city, state, and zip code.
  5. List the last and first names of your household employee(s) on separate lines.
  6. Copy each 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, enter "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.
  10. Add Lines 6 through 15 within each column to calculate total wages paid for each quarter.
  11. Copy totals from Line 16a above.
  12. Write the total wages paid in excess of the 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, which represents your taxable wages.
  14. Calculate your unemployment insurance contribution for each quarter by completing either Line 19 or 20, as applicable.
  15. Enter the amount from Line 19 or 20 in each column, which reflects 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 for your total unemployment insurance contributions due.
  17. If you have stopped employing workers, write the date of the last day you employed them.
  18. Sign the report, ensuring it is signed by the person named in Step 1, Line 2. If signed by another person, attach a Power of Attorney.
  19. Mail the completed report along with your check to the Illinois Department of Employment Security at the provided address.

Obtain Answers on Illinois Ui Ha

  1. What is the Illinois UI Ha form?

    The Illinois UI Ha form is a report that household employers must file to report wages paid to their employees and calculate unemployment insurance contributions. This form is essential for compliance with state unemployment insurance laws. It helps the state track employment and ensures that contributions are made to support unemployment benefits.

  2. What information do I need to provide on the form?

    To complete the Illinois UI Ha form, you will need the following information:

    • Your 7-digit Illinois Unemployment Insurance Account Number.
    • Your 9-digit Federal Employer's Identification Number (FEIN).
    • Your full name, including first name, middle initial, and last name.
    • Your street address, including city, state, and zip code.
    • The names and Social Security numbers of your household employees.
    • The total wages paid to each employee for each quarter of the year.

    It is important to accurately report this information to avoid penalties or issues with the state.

  3. How do I calculate the unemployment insurance contributions?

    To calculate your unemployment insurance contributions, follow these steps:

    1. Determine the total wages paid to each employee for each quarter.
    2. Identify the taxable wage base, which for 2012 is $13,560 per employee.
    3. Subtract the taxable wage base from the total wages paid if the wages exceed this amount. Enter the result on Line 17.
    4. Calculate your contribution based on the taxable wages. If your total wages are less than $50,000, use a rate of 5.4%. If they are $50,000 or more, use your specific contribution rate.
    5. Sum the quarterly totals to find your grand total contribution due.

    Be sure to review your calculations carefully to ensure accuracy.

  4. What happens if I do not file the form or pay my contributions on time?

    If you fail to file a processable return or do not pay the tax by the due date, you may incur penalties and interest. It is crucial to meet deadlines to avoid these additional costs. If you have questions or need assistance, you can contact the Unemployment Insurance Hotline for help.

Common mistakes

Filling out the Illinois UI Ha form can be straightforward, but many people make common mistakes that can lead to delays or issues. One frequent error is failing to provide the correct Illinois Unemployment Insurance Account Number. This seven-digit number is essential for processing the form. Double-check that it is accurate and matches the information on file.

Another mistake involves the Federal Employer's Identification Number (FEIN). This nine-digit number must be entered correctly. It is crucial to ensure that the FEIN is not confused with other identification numbers, such as the Social Security number.

Many people neglect to include the full names of their household employees. It is important to print the last and first names clearly for each employee on a separate line. Omitting names or providing incomplete names can cause processing issues.

Inaccuracies in reporting wages paid to employees are also common. Each quarter's total wages should be reported accurately. If no wages were paid, entering "0" is necessary. Failing to report wages correctly can lead to penalties.

Some individuals forget to include the taxable wage base amount for each employee. For 2012, this amount is $13,560. If wages exceed this amount, the excess must be calculated and reported. Miscalculating this figure can result in incorrect contributions.

Another issue arises when employers do not total the columns correctly. It is essential to add Lines 6 through 15 and enter these totals on Line 15. Missing this step can create discrepancies in the final calculations.

Many people also overlook signing the report. The form must be signed by the person named in Step 1, Line 2. If someone else signs, a Power of Attorney must be attached. Failing to sign can result in the form being rejected.

Lastly, individuals often forget to mail the completed report along with their payment. Ensure that the form is sent to the correct address: the Illinois Department of Employment Security. Missing this step can lead to late fees and penalties.

Documents used along the form

The Illinois UI-HA form is essential for reporting unemployment insurance contributions for household employees. However, several other forms and documents are often used in conjunction with the UI-HA to ensure compliance with state regulations. Below is a list of these documents, each accompanied by a brief description.

  • UI-1 Form: This form is used for reporting wages and contributions for all employees. It provides a comprehensive overview of the employer's liability for unemployment insurance.
  • UI-3 Form: This document is utilized to report an employer's quarterly payroll and is essential for calculating unemployment insurance contributions based on total wages paid.
  • UI-5 Form: This form is for employers to report any changes in their business status, such as changes in ownership or business closure, which may affect unemployment insurance obligations.
  • W-2 Form: The Wage and Tax Statement is provided to employees, detailing their annual wages and tax withholdings. This form is crucial for employees when filing their personal income taxes.
  • W-4 Form: This form is completed by employees to indicate their tax withholding preferences. Employers need this information to accurately withhold federal income tax from employee wages.
  • IRS Form 941: This is the Employer's Quarterly Federal Tax Return, used to report income taxes, social security tax, and Medicare tax withheld from employee wages.
  • Power of Attorney (POA): If someone other than the employer signs the UI-HA form, a POA must be attached. This document grants authority to another person to act on behalf of the employer in matters related to unemployment insurance.
  • Form 1099: This form is issued to independent contractors or freelancers, detailing the income they earned. It is important for tax reporting for non-employee workers.
  • Illinois Department of Employment Security (IDES) Notices: Various notices may be sent by IDES regarding unemployment insurance claims or contributions. These documents are important for maintaining compliance and understanding obligations.
  • Employer Registration Form: This form is required for new employers to register with the Illinois Department of Employment Security. It establishes the employer's account for unemployment insurance purposes.

Understanding these documents can help ensure that employers fulfill their obligations regarding unemployment insurance and maintain compliance with state regulations. It is advisable to consult with a professional if there are questions about any specific forms or requirements.

Similar forms

  • Illinois Unemployment Insurance Contribution Report (Form UI-3): Similar to the UI Ha form, this document is used by employers to report wages and calculate unemployment insurance contributions. Both forms require detailed wage information for employees and the calculation of contributions based on taxable wages.
  • Federal Form 940 (Employer's Annual Federal Unemployment (FUTA) Tax Return): Like the UI Ha form, Form 940 is used to report unemployment taxes. It provides a summary of the employer’s liability for federal unemployment tax, including wages paid and any adjustments, similar to how the UI Ha form reports state-level contributions.
  • Illinois Employee Wage Report (Form UI-1): This form serves a similar purpose by reporting wages paid to employees for unemployment insurance purposes. It collects information about the employees and their earnings, just as the UI Ha form does for household employees.
  • State Quarterly Wage Report (Form UI-3/40): This document is used by employers to report wages paid to employees on a quarterly basis. It is comparable to the UI Ha form as both require reporting of wages by quarter and include calculations for contributions based on those wages.

Dos and Don'ts

Filling out the Illinois UI Ha form can be a straightforward process if you follow some essential guidelines. Here’s a list of things you should and shouldn't do to ensure your submission is accurate and complete.

  • Do enter your 7-digit Illinois Unemployment Insurance Account Number accurately.
  • Do provide the nine-digit Federal Employer's Identification Number (FEIN) assigned by the IRS.
  • Do include your full name, ensuring that the first name, middle initial, and last name are correctly spelled.
  • Do specify the complete street address, including city, state, and zip code, where you want to receive correspondence.
  • Do print the names of all household employees clearly, listing each on a separate line.
  • Do copy your employee’s Social Security number directly from their Social Security card.
  • Do enter total wages paid for each employee for every quarter, using "0" if no wages were paid.
  • Don't forget to use an additional sheet if you have more than eight household employees.
  • Don't overlook the importance of totaling each column accurately before transferring figures to Line 15.
  • Don't neglect to sign the report; if someone else signs, ensure a Power of Attorney is attached.

By adhering to these guidelines, you can avoid common pitfalls and ensure a smoother filing experience. Remember, accuracy is key, as any mistakes can lead to delays or penalties. Stay organized and take your time to review each entry before submission.

Misconceptions

Understanding the Illinois UI Ha form can be challenging. Here are nine common misconceptions about the form, along with clarifications to help you navigate it more effectively.

  • Only large employers need to fill out the form. Many people believe that only businesses with numerous employees are required to complete the UI Ha form. In reality, even household employers with just one or two employees must file.
  • The form is only for full-time employees. Some assume that the UI Ha form applies only to full-time workers. However, it includes both full-time and part-time employees who are covered by unemployment insurance.
  • Wages reported do not include tips. A common misconception is that tips do not count as wages. In fact, tips reported to the employer must be included in the total wages paid for each employee.
  • The taxable wage base amount changes frequently. Many believe that the taxable wage base amount fluctuates regularly. While it does change from year to year, for 2012, it remains fixed at $13,560 per employee.
  • You can ignore employees who worked less than a quarter. Some people think that if an employee worked less than a full quarter, they do not need to be reported. All employees who performed services during the quarter must be included, regardless of the duration of their employment.
  • Filing late has no consequences. Many believe that filing the form late will not incur penalties. In reality, failing to file on time can lead to penalties and interest on the unpaid tax amount.
  • Only wages above the taxable wage base are reported. Some individuals think they only need to report wages that exceed the taxable wage base. However, all wages paid to employees must be reported, even if they fall below this threshold.
  • The form can be signed by anyone. There is a misconception that any individual can sign the form. The report must be signed by the person named in the form, or a Power of Attorney must be attached if someone else signs.
  • Previous payments do not need to be reported. Some employers believe they do not need to mention prior payments made to the Illinois Department of Employment Security. It is crucial to report any previous payments to ensure accurate calculations of contributions due.

By addressing these misconceptions, you can better understand your responsibilities when filling out the Illinois UI Ha form.

Key takeaways

  • The Illinois UI-HA form requires the entry of a 7-digit Illinois Unemployment Insurance Account Number.
  • Employers must provide their nine-digit Federal Employer's Identification Number (FEIN) issued by the IRS.
  • Personal information such as the employer's full name and address must be accurately filled out.
  • Each household employee's name and Social Security number must be listed, using one line per employee.
  • Wages paid to each employee for each quarter must be reported, with "0" entered if no wages were paid.
  • Wages include salaries, bonuses, tips, and other forms of remuneration as specified by the guidelines.
  • If there are more than eight household employees, additional sheets must be used to report their information.
  • The taxable wage base for 2012 is set at $13,560 per employee, and contributions are only required on wages up to this amount.
  • Employers must calculate and report total wages paid in excess of the taxable wage base on the form.
  • Failure to file or pay by the due date may result in penalties and interest charges.