Form DE 1, Commercial Employer Account Registration Instructions
This form contains 163 fields organized into 29 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Account Management | ||
| I WANT TO_Reopen#20a#20Previously#20Closed#20Account#20#28Provide#20the#20previous#20Employer#20Account#20Number#20at#20the#20top#20of#20Item#20A#20then#20go#20to#20Item#20B.#29 | RadioButton |
Select this option if you want to reopen a previously closed account. Provide the previous Employer Account Number at the top of Item A and then go to Item B.
|
| I WANT TO_Close#20Employer#20Account#20#28Provide#20the#20Employer#20Account#20Number#20at#20the#20top#20of#20Item#20A.#29 | RadioButton |
Select this option if you want to close the employer account. Provide the Employer Account Number at the top of Item A.
|
| Reason for Closing Account_No#20longer#20have#20employees | RadioButton |
Select this option if you are closing the account because you no longer have employees.
|
| Reason for Closing Account_Out#20of#20Business | RadioButton |
Select this option if you are closing the account because the business is out of business.
|
| Date of Last Payroll (mm) | Text |
Enter the month (mm) of the last payroll.
|
| Business Information | ||
| LEGAL NAME OF ORGANIZATION (Corporation/LLC/LLP/LP: Enter exactly as it appears on your official registration documents.) | Text |
Enter the legal name of the organization exactly as it appears on your official registration documents. This is required for corporations, LLCs, LLPs, and LPs.
|
| DOING BUSINESS AS (DBA) (If applicable) | Text |
Enter the Doing Business As (DBA) name if applicable.
|
| FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) (9 digits) | Text |
Enter the Federal Employer Identification Number (FEIN). This should be a 9-digit number.
|
| STATE OR PROVINCE OF INCORPORATION/ORGANIZATION | Text |
Enter the state or province where the business is incorporated or organized.
|
| CALIFORNIA SECRETARY OF STATE ENTITY NUMBER (12 characters) | Text |
Enter the California Secretary of State Entity Number, which is a 12-character identifier for the business.
|
| Business Sale | ||
| I WANT TO_Report#20a#20Sale#20of#20Business#20#28Provide#20the#20business'#20Employer#20Account#20Number#20at#20the#20top#20of#20Item#20A.#20Complete#20Item#20P.#29 | RadioButton |
Select this option if you want to report the sale of a business. Provide the business's Employer Account Number at the top of Item A and complete Item P.
|
| Date of Sale (mm) | Text |
Enter the month (mm) when the sale of the business occurred.
|
| Date of Sale (dd) | Text |
Enter the day (dd) when the sale of the business occurred.
|
| Date of Sale (yyyy) | Text |
Enter the year (yyyy) when the sale of the business occurred.
|
| Report a Sale of Business - Business Sold_Entire#20Business#20Sold | RadioButton |
Select this option if the entire business was sold.
|
| Report a Sale of Business - Business Sold_Partial#20Business#20Sold | RadioButton |
Select this option if only a part of the business was sold.
|
| Change Reporting | ||
| I WANT TO_Report#20a#20Change#20in#20Status:#20Business#20Ownership,#20Entity#20Type,#20or#20Name | RadioButton |
Select this option if you want to report a change in business ownership, entity type, or name.
|
| Reason for Change | Text |
Provide the reason for the change you are reporting (e.g., new ownership, change in business name).
|
| Change: From | Text |
Specify the previous information before the change (e.g., old business name or ownership details).
|
| Change: To | Text |
Specify the new information after the change (e.g., new business name or ownership details).
|
| Effective Date of Change (mm) | Text |
Enter the month of the effective date of the change in two digits (e.g., 07 for July).
|
| Effective Date of Change (dd) | Text |
Enter the day of the effective date of the change in two digits (e.g., 15 for the 15th).
|
| Effective Date of Change (yyyy) | Text |
Enter the year of the effective date of the change in four digits (e.g., 2023).
|
| Contact Information | ||
| Check to allow e-mail contact | CheckBox |
Check this box to allow contact via e-mail.
|
| E-MAIL - Valid E-mail Address | Text |
Enter a valid e-mail address for contact purposes.
|
| Contact Person | ||
| CONTACT PERSON - Name | Text |
Enter the name of the contact person for this employer account.
|
| CONTACT PERSON - Contact Phone Number | Text |
Enter the contact phone number of the contact person. The phone number should be up to 14 characters long.
|
| CONTACT PERSON - E-mail Address | Text |
Enter the email address of the contact person.
|
| CONTACT PERSON - Relation | Text |
Enter the relationship of the contact person to the business (e.g., owner, manager).
|
| CONTACT PERSON - Address | Text |
Enter the address of the contact person.
|
| Corporate Information | ||
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (1)_Chg | RadioButton |
Select this option if you are changing the information of the first corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (1)_Del | RadioButton |
Select this option if you are deleting the information of the first corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (2)_Chg | RadioButton |
Select this option if you are changing the information of the second corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (2)_Del | RadioButton |
Select this option if you are deleting the information of the second corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (3)_Chg | RadioButton |
Select this option if you are changing the information of the third corporate officer, partner, LLC member, manager, or officer.
|
| Date of Purchase | ||
| Date of Purchase (mm) | Text |
Enter the month (mm) when the business purchase occurred.
|
| Date of Purchase (dd) | Text |
Enter the day (dd) when the business purchase occurred.
|
| Date of Purchase (yyyy) | Text |
Enter the year (yyyy) when the business purchase occurred.
|
| Declaration | ||
| DECLARATION - Signature date | Text |
Enter the date when the declaration was signed. The date should be in the format MM/DD/YYYY and up to 10 characters long.
|
| DECLARATION - Name | Text |
Enter the name of the person making the declaration.
|
| DECLARATION - Title | Text |
Enter the title of the person making the declaration. This could be a job title such as 'Manager' or 'Owner'.
|
| DECLARATION - Phone Number | Text |
Enter the phone number of the person making the declaration. The phone number should be in the format (XXX) XXX-XXXX.
|
| Effective Date of Update | ||
| Effective Date of Update(s) (mm) | Text |
Enter the month (mm) when the update(s) to the employer account information will take effect.
|
| Effective Date of Update(s) (dd) | Text |
Enter the day (dd) when the update(s) to the employer account information will take effect.
|
| Effective Date of Update(s) (yyyy) | Text |
Enter the year (yyyy) when the update(s) to the employer account information will take effect.
|
| Employee Location | ||
| LOCATION OF EMPLOYEE SERVICES - Do you have employees working in California?_Yes | RadioButton |
Indicate whether you have employees working in California.
|
| LOCATION OF EMPLOYEE SERVICES - Do you have employees working in California?_No | RadioButton |
Indicate whether you do not have employees working in California.
|
| LOCATION OF EMPLOYEE SERVICES - Do you have employees residing in California that are working outside of California?_Yes | RadioButton |
Indicate whether you have employees residing in California that are working outside of California.
|
| LOCATION OF EMPLOYEE SERVICES - Do you have employees residing in California that are working outside of California?_No | RadioButton |
Indicate whether you do not have employees residing in California that are working outside of California.
|
| Employer Type | ||
| EMPLOYER TYPE_COMMERCIAL | RadioButton |
Select this option if the employer type is commercial.
|
| EMPLOYER TYPE_PACIFIC#20MARITIME | RadioButton |
Select this option if the employer type is Pacific Maritime.
|
| EMPLOYER TYPE_FISHING#20BOAT | RadioButton |
Select this option if the employer type is Fishing Boat.
|
| Employment Details | ||
| PARTNERSHIP: Do you only employ your parent(s)? If yes, you are not subject to UI and SDI but may be subject to PIT_No | RadioButton |
Indicate whether you only employ your parent(s). If yes, you are not subject to Unemployment Insurance (UI) and State Disability Insurance (SDI) but may be subject to Personal Income Tax (PIT).
|
| Existing Employer Account Number | ||
| Existing Employer Account Number (first digit of first 3 digits) | Text |
Enter the first digit of the first three digits of your existing employer account number.
|
| Existing Employer Account Number (second digit of first 3 digits) | Text |
Enter the second digit of the first three digits of your existing employer account number.
|
| Existing Employer Account Number (third digit of first 3 digits) | Text |
Enter the third digit of the first three digits of your existing employer account number.
|
| Existing Employer Account Number (first digit of middle 4 digits) | Text |
Enter the first digit of the middle four digits of your existing employer account number.
|
| Existing Employer Account Number (second digit of middle 4 digits) | Text |
Enter the second digit of the middle four digits of your existing employer account number.
|
| Existing Employer Account Number (third digit of middle 4 digits) | Text |
Enter the third digit of the middle four digits of your existing employer account number.
|
| Existing Employer Account Number (fourth digit of middle 4 digits) | Text |
Enter the fourth digit of the middle four digits of your existing employer account number.
|
| Existing Employer Account Number (last digit) | Text |
Enter the last digit of your existing employer account number.
|
| Form Actions | ||
| Button |
Click this button to print the form.
|
|
| Industry Activity | ||
| INDUSTRY ACTIVITY - Describe in detail your specific product/services | Text |
Provide a detailed description of the specific products or services your business offers.
|
| INDUSTRY ACTIVITY - Select your business industry_Services | RadioButton |
Select this option if your business operates in the Services industry.
|
| INDUSTRY ACTIVITY - Select your business industry_Retail | RadioButton |
Select this option if your business operates in the Retail industry.
|
| INDUSTRY ACTIVITY - Select your business industry_Wholesale | RadioButton |
Select this option if your business operates in the Wholesale industry.
|
| INDUSTRY ACTIVITY - Select your business industry_Manufacturing | RadioButton |
Select this option if your business operates in the Manufacturing industry.
|
| INDUSTRY ACTIVITY - Select your business industry_Temporary#20Services | RadioButton |
Select this option if your business operates in the Temporary Services industry.
|
| INDUSTRY ACTIVITY - Select your business industry_Leasing#20Employer | RadioButton |
Select this option if your business operates as a Leasing Employer.
|
| INDUSTRY ACTIVITY - Select your business industry_Professional#20Employer#20Organization | RadioButton |
Select this option if your business operates as a Professional Employer Organization.
|
| INDUSTRY ACTIVITY - Select your business industry_Other | RadioButton |
Select this option if your business operates in an industry not listed above.
|
| INDUSTRY ACTIVITY - Specify other business industry | Text |
Specify the industry your business operates in if it is not listed in the options above.
|
| Mailing Address | ||
| Same as above | CheckBox |
Check this box if the mailing address is the same as the physical business location.
|
| MAILING ADDRESS - Street Number | Text |
Enter the street number of the mailing address.
|
| MAILING ADDRESS - Street Name | Text |
Enter the street name of the mailing address.
|
| MAILING ADDRESS - Unit Number (If applicable) | Text |
Enter the unit number of the mailing address, if applicable.
|
| MAILING ADDRESS - City | Text |
Enter the city of the mailing address.
|
| MAILING ADDRESS - State/Province | Text |
Enter the state or province of the mailing address.
|
| MAILING ADDRESS - ZIP Code | Text |
Enter the ZIP code of the mailing address.
|
| MAILING ADDRESS - Country | Text |
Enter the country of the mailing address.
|
| MAILING ADDRESS - Phone Number | Text |
Enter the phone number for the mailing address. Maximum length is 14 characters.
|
| Officer Information | ||
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - NAME (1) | Text |
Enter the full name of the first corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - TITLE (1) | Text |
Enter the title or position of the first corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - SSN (9 digits) (1) | Text |
Enter the Social Security Number (SSN) of the first corporate officer, partner, LLC member, manager, or officer. The SSN should be 9 digits long.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - CA Driver License Number (1) | Text |
Enter the California Driver License Number of the first corporate officer, partner, LLC member, manager, or officer. The number should be up to 8 characters long.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (1)_Add | RadioButton |
Select this option if you want to add information for the first corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - NAME (2) | Text |
Enter the full name of the second corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - TITLE (2) | Text |
Enter the title or position of the second corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - SSN (9 digits) (2) | Text |
Enter the Social Security Number (SSN) of the second corporate officer, partner, LLC member, manager, or officer. The SSN should be 9 digits long.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - CA Driver License Number (2) | Text |
Enter the California Driver License Number of the second corporate officer, partner, LLC member, manager, or officer. The number should be up to 8 characters long.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (2)_Add | RadioButton |
Select this option if you want to add information for the second corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - NAME (3) | Text |
Enter the full name of the third corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - TITLE (3) | Text |
Enter the title or position of the third corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - SSN (9 digits) (3) | Text |
Enter the Social Security Number (SSN) of the corporate officer, partner, LLC member, manager, or officer. This should be a 9-digit number.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - CA Driver License Number (3) | Text |
Enter the California Driver License Number of the corporate officer, partner, LLC member, manager, or officer. This should be an 8-digit number.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (3)_Add | RadioButton |
Select this option if you want to add information for another corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - NAME (4) | Text |
Enter the full name of the corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - TITLE (4) | Text |
Enter the title of the corporate officer, partner, LLC member, manager, or officer (e.g., CEO, Manager).
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - SSN (9 digits) (4) | Text |
Enter the Social Security Number (SSN) of the corporate officer, partner, LLC member, manager, or officer. This should be a 9-digit number.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION - CA Driver License Number (4) | Text |
Enter the California Driver License Number of the corporate officer, partner, LLC member, manager, or officer. This should be an 8-digit number.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (4)_Add | RadioButton |
Select this option if you want to add information for another corporate officer, partner, LLC member, manager, or officer.
|
| Owner Information | ||
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - NAME (1) | Text |
Enter the name of the individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - TITLE (1) | Text |
Enter the title of the individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - SSN (9 digits) (1) | Text |
Enter the Social Security Number (SSN) of the individual owner or co-owner. The SSN should be 9 digits long.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - CA Driver License Number (1) | Text |
Enter the California Driver License Number of the individual owner or co-owner. The number should be up to 8 characters long.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (1)_Add | RadioButton |
Select this option to add information about the individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - NAME (2) | Text |
Enter the name of the second individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - TITLE (2) | Text |
Enter the title of the second individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - SSN (9 digits) (2) | Text |
Enter the Social Security Number (SSN) of the second individual owner or co-owner. The SSN should be 9 digits long.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION - CA Driver License Number (2) | Text |
Enter the California Driver License Number of the second individual owner or co-owner. The number should be up to 8 characters long.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (2)_Add | RadioButton |
Select this option to add information about the second individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (1)_Chg | RadioButton |
Select this option if you are changing the information of the first individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (1)_Del | RadioButton |
Select this option if you are deleting the information of the first individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (2)_Chg | RadioButton |
Select this option if you are changing the information of the second individual owner or co-owner.
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (2)_Del | RadioButton |
Select this option if you are deleting the information of the second individual owner or co-owner.
|
| Ownership Information | ||
| INDIVIDUAL OWNER - Do you only employ your spouse, parent(s), or minor child(ren) (under 18)? If yes, you are not subject to Unemployment Insurance (UI) and State Disability Insurance (SDI) but may be subject to Personal Income Tax (PIT)_Yes | RadioButton |
Select 'Yes' if you are an individual owner and only employ your spouse, parent(s), or minor child(ren) (under 18). Note: You are not subject to Unemployment Insurance (UI) and State Disability Insurance (SDI) but may be subject to Personal Income Tax (PIT).
|
| INDIVIDUAL OWNER - Do you only employ your spouse, parent(s), or minor child(ren) (under 18)? If yes, you are not subject to Unemployment Insurance (UI) and State Disability Insurance (SDI) but may be subject to Personal Income Tax (PIT)_No | RadioButton |
Select 'No' if you are an individual owner and do not only employ your spouse, parent(s), or minor child(ren) (under 18).
|
| CO-OWNERSHIP - Do you only employ your minor child(ren) (under 18)? If yes, you are not subject to UI and SDI but may be subject to PIT_Yes | RadioButton |
Select 'Yes' if you are a co-owner and only employ your minor child(ren) (under 18). Note: You are not subject to UI and SDI but may be subject to PIT.
|
| CO-OWNERSHIP - Do you only employ your minor child(ren) (under 18)? If yes, you are not subject to UI and SDI but may be subject to PIT_No | RadioButton |
Select 'No' if you are a co-owner and do not only employ your minor child(ren) (under 18).
|
| PARTNERSHIP: Do you only employ your parent(s)? If yes, you are not subject to UI and SDI but may be subject to PIT_Yes | RadioButton |
Select 'Yes' if you are in a partnership and only employ your parent(s). Note: You are not subject to UI and SDI but may be subject to PIT.
|
| DATE OWNERSHIP BEGAN (MM) | Text |
Enter the month (MM) when the ownership of the business began.
|
| DATE OWNERSHIP BEGAN (DD) | Text |
Enter the day (DD) when the ownership of the business began.
|
| DATE OWNERSHIP BEGAN (YYYY) | Text |
Enter the year (YYYY) when the ownership of the business began.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (3)_Del | RadioButton |
Indicate if you want to delete the information of the third corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (4)_Chg | RadioButton |
Indicate if you want to change the information of the fourth corporate officer, partner, LLC member, manager, or officer.
|
| CORPORATE OFFICER(S), PARTNERS, OR LLC MEMBER(S), MANAGER(S), AND/OR OFFICER INFORMATION (4)_Del | RadioButton |
Indicate if you want to delete the information of the fourth corporate officer, partner, LLC member, manager, or officer.
|
| Payroll Information | ||
| Date of Last Payroll (dd) | Text |
Enter the day of the last payroll in two digits (e.g., 05 for the 5th).
|
| Date of Last Payroll (yyyy) | Text |
Enter the year of the last payroll in four digits (e.g., 2023).
|
| First payroll date wages paid exceeded $100 (mm) | Text |
Enter the month (mm) when the first payroll date wages paid exceeded $100.
|
| First payroll date wages paid exceeded $100 (dd) | Text |
Enter the day (dd) when the first payroll date wages paid exceeded $100.
|
| First payroll date wages paid exceeded $100 (yyyy) | Text |
Enter the year (yyyy) when the first payroll date wages paid exceeded $100.
|
| Physical Business Location | ||
| PHYSICAL BUSINESS LOCATION - Street Number | Text |
Enter the street number of the physical business location.
|
| PHYSICAL BUSINESS LOCATION - Street Name | Text |
Enter the street name of the physical business location.
|
| PHYSICAL BUSINESS LOCATION - Unit Number (If applicable) | Text |
Enter the unit number of the physical business location, if applicable.
|
| PHYSICAL BUSINESS LOCATION - City | Text |
Enter the city of the physical business location.
|
| PHYSICAL BUSINESS LOCATION - State/Province | Text |
Enter the state or province of the physical business location.
|
| PHYSICAL BUSINESS LOCATION - ZIP Code | Text |
Enter the ZIP code of the physical business location.
|
| PHYSICAL BUSINESS LOCATION - Country | Text |
Enter the country of the physical business location.
|
| PHYSICAL BUSINESS LOCATION - Business Phone Number | Text |
Enter the business phone number for the physical business location. Maximum length is 14 characters.
|
| Purchase Details | ||
| Purchase Price ($) | Text |
Enter the purchase price of the business in dollars ($).
|
| Registration Options | ||
| I WANT TO_Register#20for#20a#20New#20Employer#20Account#20Number#20#28Go#20to#20Item#20B.#29 | RadioButton |
Select this option if you want to register for a new employer account number. If selected, proceed to Item B.
|
| I WANT TO_Request#20Account#20for#20CalJOBS#20SM#20#28Service#20mark#29#20#28Go#20to#20Item#20B.#29 | RadioButton |
Select this option if you want to request an account for CalJOBS. If selected, proceed to Item B.
|
| Report a Purchase of Business | ||
| I WANT TO_Report#20a#20Purchase#20of#20Business#20#28Provide#20the#20Seller's#20Employer#20Account#20Number#20at#20the#20top#20of#20Item#20A.#29 | RadioButton |
Select this option if you want to report the purchase of a business. Provide the seller's employer account number at the top of Item A.
|
| Report a Purchase of Business - Business Purchase_Entire#20Business#20Purchase | RadioButton |
Select this option if the business purchase involves the entire business.
|
| Report a Purchase of Business - Business Purchase_Partial#20Business#20Purchase | RadioButton |
Select this option if the business purchase involves only a part of the business.
|
| Taxpayer Information | ||
| TAXPAYER TYPE_Other | RadioButton |
Select this option if the taxpayer type is 'Other'.
|
| Specify other taxpayer type | Text |
Specify the type of taxpayer if 'Other' was selected.
|
| Taxpayer Type | ||
| TAXPAYER TYPE_Individual#20Owner#20#28D,#20E1,#20F,#20G,#20J,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the taxpayer type is Individual Owner.
|
| TAXPAYER TYPE_Limited#20Partnership#20#28D,#20F,#20H-T#29 | RadioButton |
Select this option if the taxpayer type is Limited Partnership.
|
| TAXPAYER TYPE_Joint#20Venture#20#28D,#20F,#20H,#20I,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the taxpayer type is Joint Venture.
|
| TAXPAYER TYPE_Co-Ownership#20#28D,#20E2,#20F,#20G,#20J,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the business is a Co-Ownership. This field is used to specify the type of taxpayer for the employer account.
|
| TAXPAYER TYPE_Association#20#28D,#20F,#20H-T#29 | RadioButton |
Select this option if the business is an Association. This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_Receivership#20#28D,#20F,#20H,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the business is under Receivership. This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_General#20Partnership#20#28D,#20E3,#20F,#20H,#20J,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the business is a General Partnership. This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_Limited#20Liability#20Company#20#28LLC#29#20#28D,#20F,#20H-T#29 | RadioButton |
Select this option if the business is a Limited Liability Company (LLC). This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_Estate#20Administration#20#28D,#20F,#20H,#20I,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the business is under Estate Administration. This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_Corporation#20#28D,#20F,#20H-T#29 | RadioButton |
Select this option if the business is a Corporation. This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_Limited#20Liability#20Partnership#20#28LLP#29#20#28D,#20F,#20H-T#29 | RadioButton |
Select this option if the business is a Limited Liability Partnership (LLP). This field is used to specify the type of taxpayer for the employer account.
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| TAXPAYER TYPE_Trusteeship#20#28D,#20F,#20H,#20I,#20K,#20L,#20O-T#29 | RadioButton |
Select this option if the business is under Trusteeship. This field is used to specify the type of taxpayer for the employer account.
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| Update Employer Account Information | ||
| I WANT TO_Update#20Employer#20Account#20Information#20-#20Personal#20Name#20Change#20#28G#29 | RadioButton |
Select this option if you want to update the employer account information specifically for a personal name change.
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| I WANT TO_Update#20Employer#20Account#20Information#20-#20Add#2FChange#2FDelete#20Officer#2FPartner#2FMember#20#28H#29 | RadioButton |
Select this option if you want to update the employer account information to add, change, or delete an officer, partner, or member.
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| Update Options | ||
| I WANT TO_Update#20Employer#20Account#20Information#20-#20Address#20#28O,#20P#29 | RadioButton |
Select this option if you want to update your employer account information, specifically the address. Refer to sections O and P for details.
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| I WANT TO_Update#20Employer#20Account#20Information#20-#20Doing#20Business#20As#20#28D#20B#20A#29#20#28J#29 | RadioButton |
Select this option if you want to update your employer account information, specifically the Doing Business As (DBA) name. Refer to section J for details.
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