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University of California UBEN 121 2021-2024 free printable template

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UC MEDICARE Voicemail white copy to: RASP. O. Box 24570Oakland, CA 946231570 Fax to:8007925178UBEN 121 (R4/21) University of California Human ResourcesThis Enrollment Form has been sent to you because
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To fill out the UBEN 121 form, follow these steps: 1. Start by entering the employer identification number (EIN) in Box 1. This is a nine-digit number assigned by the Internal Revenue Service (IRS). 2. In Box 2, provide the employer’s name and address, including street, city, state, and ZIP code. 3. Enter the quarter and year being reported in Box 3. For example, if you are reporting for the second quarter of 2022, you will enter "2" in Box 3 followed by "2022". 4. Indicate the type of report being submitted in Box 4. For the UBEN 121 form, select "Benefit Report." 5. In Box 5, enter the total number of employees receiving benefits during the quarter being reported. 6. Box 6 requires a breakdown of employees receiving various types of benefits. Enter the number of employees in each category, such as medical benefits, retirement benefits, etc. Make sure the total number in each category adds up to the total entered in Box 5. 7. Box 7 asks for the total cost of benefits provided to employees during the reporting period. This includes all expenses related to employee benefits, such as insurance premiums, retirement plan contributions, etc. 8. If there were any changes to the employer's coverage during the reporting period, such as the addition or termination of benefit plans, provide the details in Boxes 8 and 9. 9. Sign and date the form in Box 10. 10. Prepare a copy of the completed UBEN 121 form for your records. 11. Submit the form to the appropriate authority or party as instructed by your employer or the applicable regulations. Note: The UBEN 121 form may vary slightly depending on the jurisdiction or specific reporting requirements. Be sure to carefully follow the instructions provided by the form's issuer or consult professionals if needed.
UBEN 121 refers to the California Employment Development Department (EDD) form used to report wages and taxes paid to employees during a specific quarter. The following information is typically reported on the UBEN 121: 1. Employer Information: This includes the employer's name, address, EDD employer account number, Federal Employer Identification Number (FEIN), and contact information. 2. Employee Information: The form requires the accurate details of each employee, including their name, social security number or individual taxpayer identification number (ITIN), wages paid during the specific quarter, and the number of hours worked within that quarter. 3. Wage Information: The wages earned by each employee during the quarter should be included. This encompasses any taxable compensation, such as salaries, hourly wages, tips, bonuses, commissions, or other types of payments made to the employee. 4. Tax Information: The form requires reporting the California State Income Tax withheld from employee wages, the amount of Unemployment Insurance (UI) taxable wages, and the UI tax amount paid by both the employer and employee. 5. Other Deductions and Benefits: Any deductions made from employee wages, such as contributions towards a retirement plan, health insurance premiums, or other benefits, should also be reported on the form. It's essential to accurately and comprehensively report this information to ensure compliance with state reporting requirements, proper tax calculations, and accurate records for both the employer and the employee.
There is no specific mention of a form called "uben 121" in any official government or tax resources. It is possible that you may be referring to a different form or a form that is specific to a certain country or jurisdiction. To determine the penalty for late filing, it is important to identify the correct form and refer to the relevant tax legislation or guidelines provided by the appropriate tax authority. These resources should outline the specific penalties, if any, for late filing.
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