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[ Field Tax Procedures Manual - TOC ] [ Ch 1 - Status Investigations ] [ Ch 2 - Employers Quarterly & Adjustment Reports ] [ Ch 3 - B-27 (Block Claim) Investigation ] [ Ch 4 - Tax Collections ] [ Ch 5 - Forms ] [ Ch 6 - Miscellaneous ] [ Ch 7 - Electronic Worklists ] [ Ch 8 - Rule 13 Tax Coverage Hearings ]
[ 5.1 - Forms Used by Accts Examiners ]

Chapter 5:  Forms


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Table of Contents

This chapter provides information on the different forms used by Field Accounts Examiners.

5.1  -   Forms Used by Accounts Examiners

5.1.1   -   C-1 - Status Report
5.1.2   -   C-1FR - Status Report Farm and Ranch Employment
5.1.3   -   C-1AM - Amended Status Report
5.1.4   -   C-1P - Status Report for Political Subdivisions
5.1.5   -   C-1SA - State Agency Reporting Unit Status Report
5.1.6   -   C-3 - Employers Quarterly Report
5.1.7   -   C-3I - C-3 Instructions
5.1.8   -   C-3SCF - Status Change Form
5.1.9   -   C-3V - Payment Voucher
5.1.10 -   C-4 - Employers Quarterly Report Continuation Sheet.
5.1.11 -   C-5 - Adjustment Report
5.1.12 -   C-6 -Application for Voluntary Election of Coverage
5.1.13 -   C-6A - Election To Reimburse

5.1.13.1 -   Advantages and Disadvantages of Reimbursements in Lieu of Taxes for IRS Section 501(c)(3) Nonprofit Organizations
5.1.13.2 -   Advantages and Disadvantages of Reimbursements in Lieu of Taxes for Political Subdivisions

5.1.14  -   C-6F - Withdrawal of Election
5.1.15  -   C-7 - Wages List Adjustment Schedule
5.1.16  -   C-8 - Employment Status - A Comparative Approach
5.1.17  -   C-12 - Independent Contractor
5.1.18  -   C-12TEADS - Driving Safety Schools/Driver Education Schools
5.1.19  -   C-13 - Employment Discontinued
5.1.20  -   C-22 - Tax Rate Notice
5.1.21  -   C-24 - Voluntary Contribution Election
5.1.22  -   C-31 - Landman Questionnaire
5.1.23  -   C-38 - Transfer of Compensation Experience Questionnaire
5.1.24  -   C-42 - Written Authorization
5.1.25  -   C-43 - Revocation of Written Authorization
5.1.26  -   C-55 - Cashier's Field Receipt
5.1.27  -   C-58R - Statement of Account - Reimbursing Employers
5.1.28  -   C-59 - Cosmetologists Questionnaire
5.1.29  -   C-60 - Staff Leasing Questionnaire
5.1.30  -   C-61 - Staff Leasing Service's Affidavit
5.1.31  -   C-69QCR - Refunds of Money
5.1.32  -   C-71 - Termination of Coverage
5.1.33  -   C-78 - Truck Driver Questionnaire
5.1.34  -   C-81 - Subpoena Duces Tecum
5.1.35  -   C-81a - Punishment For Failure To Obey A Subpoena (small blue slip)
5.1.36  -   C-81b - Notice to Sheriff
5.1.37  -   C-82 - Partial Transfer
5.1.38  -   C-83 - Partial Wage Distributed
5.1.39  -  C-85 - Delivery/Courier Questionnaire
5.1.40  -  C-95 - Product Demonstrator Questionnaire
5.1.41  -  C-102 - Pre-Audit Questionnaire
5.1.42  -  C-104 - Installment Payment Proposal
5.1.43  -  C-105 - Real Estate Broker/Sales Questionnaire
5.1.44  -  FL-9   - Call-in Letter
5.1.45  -  FL-92 - Post Audit Letter
5.1.46  -  FL-96 - Forwarding Address Form
5.1.47  -  FL-204 - Interoffice Memorandum
5.1.48  -  FL-300S - Call-In Letter
5.1.49  -  FL-310S - Collection Letter
5.1.50  -  PI-5 - Employer Responsibilities
5.1.51  -  PI-5A - Farm and Ranch
5.1.52  -  Y-10 - Attention Employees
5.1.53  -  Y-69 - Emergency Delivery


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Last Revision: November 22, 2011