Blank Texas Workforce Commission Report PDF Form Get Texas Workforce Commission Report Here

Blank Texas Workforce Commission Report PDF Form

The Texas Workforce Commission Report form is a document required from every employing unit in Texas to assess liability under the Texas Unemployment Compensation Act. This report collects essential information about a business's employment history and structure, including details on ownership and employee wages. It is important for businesses operating in Texas to complete this form accurately to ensure compliance with state regulations.

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The Texas Workforce Commission (TWC) Report form is an essential document for every employer operating within the state. This form helps determine a business's liability under the Texas Unemployment Compensation Act, ensuring compliance with state regulations. Employers are required to provide detailed information about their business, including the account number assigned by TWC, Federal Employer ID Number, and the type of ownership, such as corporation, partnership, or sole proprietorship. Additionally, the form requests the business's mailing address, contact information, and details about the owner(s) or officer(s). Employment history is also crucial; employers must report the dates they first had employees and paid wages in Texas. For those with domestic employees, specific sections are designated to capture pertinent information about wages paid. If a business has undergone changes, such as acquisitions, the form allows for necessary disclosures about previous ownership and operations. Finally, employers have the option to voluntarily elect to pay state unemployment tax, which comes with its own set of commitments. Completing this report accurately is vital for maintaining compliance and ensuring that the business can benefit from the unemployment compensation system when needed.

Texas Workforce Commission Report Preview

Mail To:

Cashier - Texas Workforce Commission

P.O. Box 149037

Austin, TX 78714-9037

This form can be completed online at

www.texasworkforce.org

STATUS REPORT

This report is required of every employing unit, and will be used to determine liability under the Texas Unemployment Compensation Act.

If you have employment in Texas on a farm or ranch, please complete Form c-1fr, available online.

Identification Section

1. Account Number assigned by TWC (if any)

2. Federal Employer ID Number

 

 

3. Type of ownership (check one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

corporation/pa/pc

 

limited partnership

4. Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

partnership

 

estate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

individual (sole proprietor/domestic)

trust

5. Mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

limited liability company

 

other (specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. City

 

 

 

7. County

 

 

8. State

 

8(a). Zip code

9. Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

10.

Business address where records or payrolls are kept:

(if different from above)

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

City

 

 

 

State

 

Zip

 

Phone Number ( )

11.

Owner(s) or officer(s) [attach additional sheet if necessary]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

Social Security No.

Title

 

 

 

 

Residence Address, City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Business locations in Texas [attach additional

sheet if necessary]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trade name

 

Street Address, City, Zip

 

 

 

 

 

 

 

Kind of business

 

No. of employees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

If your business is a chartered legal

entity, enter:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Charter number

State of Charter

Date of Charter

 

Registered agent's name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registered agent's address

 

 

 

Original legal entity name, if name has changed

 

 

 

 

 

Employment section

14.

Enter the date you first had employment in Texas (do not use future date):

 

 

 

 

Month

Day

Year

 

 

 

 

 

 

 

 

 

 

 

 

15.

Enter the date you first paid wages to an employee in Texas (do not use future date):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

If your account has been inactive:

Enter the date you resumed employment in Texas:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter the date you resumed paying wages in Texas:

 

 

 

 

 

 

 

17.

Enter the ending date of the first quarter you paid gross wages of $1,500.00 or more:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

Enter the Saturday date of the 20th week that individuals were employed in Texas.

 

 

 

 

 

 

 

 

 

 

 

(All weeks should be in the same calendar year. Count a week if anyone performed any service for any portion of any day.

 

 

 

 

 

 

 

 

The services do not have to be performed on the same day of the week, in consecutive weeks or by the same employee. If

 

 

 

 

 

 

 

 

you do not reach 20 weeks of employment in the first calendar year of operation, begin again with the second calendar year

 

 

 

 

 

 

 

 

and count until you reach 20 weeks in that year.) Do not use future dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

If you hold an exemption from Federal Income Taxes under Internal Revenue Code Section 501(c)(3), attach a copy of your

 

 

 

 

 

 

 

 

Exemption Letter. Also, enter the ending date of the 20th week of the calendar year in which 4 or more persons were

 

 

 

 

 

 

 

 

employed in Texas:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Enter the year(s) your organization was liable for taxes under the Federal Unemployment Tax Act:

 

 

 

 

 

 

 

 

(begin with most recent year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(year)

(year)

(year)

(year)

 

 

 

 

 

 

 

 

 

 

21. Does this employer employ any U.S. citizens outside of the U.S.?

Yes

No

 

 

 

 

 

 

 

C-1 (091415)

Page 1 of 2

Domestic - Household Employment Section

Complete 22 only if you have domestic or household employees (includes maids, cooks, chauffeurs, gardeners, etc.)

22. Enter the ending date of the first calendar quarter in which you paid gross wages of $1,000 or more to employees

Month

Day

Year

performing domestic service:

 

 

 

Nature of Activity Section

 

 

 

 

 

 

 

23.Describe fully the nature of activity in Texas, and list the principal products or services in order of importance:

_________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________

24.If the business in Texas was acquired from another legal entity, you must complete items 24-26. If a partial acquisition occurred, the predecessor/successor may jointly submit information regarding a partial transfer of experience.

a)

Previous owner’s TWC Account Number (if known)

______________________________________________________________________________

b)

Date of acquisition

_________________________________________________________________________________________________________

c)

Name of previous owner(s)

_________________________________________________________________________________________________

d)

Address

________________________________________________________________________________________________________________

e) City

_______________________

What portion of business was acquired? (check one)

State

__________________________

Zip

_________________________________

all

part (specify)

 

 

 

 

25.On the date of the acquisition, was the previous owner(s), or any partner(s), officer(s), shareholder(s), other owner(s) or a person related by blood or marriage to any of these individuals, holding a legal or equitable interest in the predecessor business, also an owner, partner, officer, shareholder, or other owner of a legal or

equitable interest in the successor business?

Yes

No

If “Yes”, check all that apply:

same owner, officer, partner, or shareholder

sole proprietor incorporating

same parent company

other (describe below)

_________________________________________________

If “No,” on the date of the acquisition, did the previous owner(s), partner(s), officer(s), shareholder(s), other owner(s) or a person related by blood or marriage to any of these individuals, holding a legal or equitable interest in the predecessor business, hold an option to purchase such an interest in the successor business?

yes

no

26.After the acquisition, did the predecessor continue to:

Own or manage the organization that conducts the organization, trade or business?

Own or manage the assets necessary to conduct the organization, trade or business?

Control through security or lease arrangement the assets necessary to conduct the organization, trade or business?

Direct the internal affairs or conduct of the organization, trade or business?

Yes

No

If “Yes” to any of above, describe:

_____________________________________________________________________________________________

Voluntary Election Section

27.A non-liable employer may elect to pay state unemployment tax voluntarily. If an employer elects to do so, the employer is obliged to pay taxes for a minimum of two calendar years, beginning with January 1 of the first year of the election. The employer may withdraw the election by written request, at the end of the 2-year period, if not yet liable under the Texas Unemployment Compensation Act. To elect this option, complete the following:

Yes, effective Jan. 1,

 

 

I wish to cover all employees (except those performing service(s) which are specifically exempt in the Texas Unemployment

Compensation Act).

 

 

 

 

 

 

 

 

Signature Section

 

 

 

 

I hereby certify that the preceding information is true and correct, and that I am authorized to execute this Status Report on behalf of the employing unit named herein. (this report must be signed by the owner, officer, partner or individual with a valid Written Authorization on file with the Texas Workforce Commission)

Date of signature:

Month ___ Day

___ Year ___

Sign here________________________________________

Title

_______________

 

 

 

 

 

 

 

 

 

 

Driver's license number

__________________ State

__________ E-mail address

______________________________________________

 

 

 

 

 

 

 

 

 

 

Individuals may receive, review and correct information that TWC collects about the individual by emailing to open.records@twc.state.tx.us or writing to: TWC Open

Records, 101 E. 15th St., Rm. 266, Austin, TX 78778-0001.

C-1BK (091415)

Page 2 of 2

Document Specs

Fact Name Description
Purpose This report is essential for every employing unit in Texas. It helps determine liability under the Texas Unemployment Compensation Act.
Filing Requirement Every employer with employees in Texas must complete this report. It ensures compliance with state unemployment laws.
Identification Section Employers must provide key information, such as their account number, federal employer ID, and type of ownership.
Employment Dates Employers need to enter significant dates, including when they first had employment and when they first paid wages in Texas.
Domestic Employment If hiring domestic workers, employers must report wages exceeding $1,000 in a calendar quarter.
Acquisition Information When a business is acquired, details about the previous owner and the nature of the acquisition must be disclosed.
Voluntary Election Non-liable employers can choose to pay state unemployment tax voluntarily, committing to a minimum of two years.
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