Form number: IWD 65-5300
Report Name: Employer's Contribution & Payroll Report
References: Unemployment Insurance Handbook of Private Employers, pages 6 thru 14 (Publication # 70-5007) AND Employer Instructions.
Who's Required to Submit: Every employing unit determined liable under Iowa's unemployment insurance laws.
Where to Send Report: Employers should mail completed reports to, Iowa Workforce Development, PO Box 4846 Des Moines, IA 50306-4846. It is unnecessary to include a paper copy of the quarterly Employer’s Contribution & Payroll Report when you have filed through My Iowa UI.
Comments: This form is to be completed for each calendar quarter, even when there is no employment in a specific reporting quarter. The Payroll Listing portion of the report may be submitted through My Iowa UI, the paper version of the quarterly Employer's Payroll Continuation Report.
A Summary of Quarterly Payroll By Location (form # 65-5305) should be submitted with the report by all employers who have requested and been granted the assignment of a location code for various separate and distinct establishments for the specific purposes of mailing a Notice of Claim filing.
The Multiple Worksite Report (form # BLS-3020) can be submitted with the paper version of the quarterly Employer's Contribution & Payroll Report by all employing units who operate the same business activity in more than one location or conduct different business activities from one or more locations within Iowa.
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