![]() (Open this form in an Adobe reader program to complete. See Refusal to Work page for more information. Report employees who have been placed on temporary layoff but refuse to return to work or quit without good cause. You may also call 605.626.2452 with this information.Įmployer Reporting Refusal of Work When Recalled Back date and late payment requests cannot be done online or through the automated phone system.Įmployers who have furloughed employees and will be recalling them, please provide recall dates if you have not already done so. ![]() The RA Division will review to determine eligibility. Complete one form for each week you are requesting back pay. You may use this form for backdate and late payment requests as well. however you may contact the Customer Service Center at 605.626.2452 if you need a printed form. The preferred and faster methods for submitting weekly requests are online at RAClaims.sd.gov or through the automated phone system at 605.626.3212. Job Search Tracking Sheet (Employer Contacts Form) The RA Benefits forms available below are in Adobe PDF format. State Information Data Exchange System (SIDES) e-Response.Form 1042, Annual Withholding Tax Return for U.S.Form 1042-T, Annual Summary and Transmittal of Forms 1042-S.Form 1095-C, Employer-Provided Health Insurance Offer and Coverage. ![]() Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns.Form 1099-NEC, Nonemployee Compensation.Form 1096, Annual Summary and Transmittal of U.S.Form W-2C, Corrected Wage and Tax Statement.Form W-3C, Transmittal of Corrected Wage and Tax Statements.Form W-3, Transmittal of Wage and Tax Statements.Informational Returns to Furnish to Payees and to File to the Appropriate Governmental Agency: Form 8850, Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits.Form W-9, Request for Taxpayer Identification Number and Certification.Form W-4P, Withholding Certificate for Pension or Annuity Payments.Form W-4, Employee's Withholding Certificate.Form I-9, Employment Eligibility Verification PDF. ![]()
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