Form DE 1, Commercial Employer Account Registration Instructions
This form contains 165 fields organized into 33 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Business Identification | ||
| Federal Employer Identification Number | Text |
Provide the Federal Employer Identification Number (FEIN) for the business.
|
| Ownership Began Month | Text |
Enter the two-digit month when the business ownership began.
|
| Ownership Began Day | Text |
Enter the two-digit day when the business ownership began.
|
| Ownership Began Year | Text |
Enter the four-digit year when the business ownership began.
|
| Change in Status Report | ||
| Report a Change in Status: Business Ownership, Entity Type, or Name | Radiobutton |
Check this box if you are reporting a change in the business ownership, entity type, or name.
|
| Reason for Change | Text |
Enter the reason for the change in status. Fill only if 'Report a Change in Status: Business Ownership, Entity Type, or Name' is 'Yes'.
Depends on:
Report a Change in Status: Business Ownership, Entity Type, or Name
|
| Change From | Text |
Enter the previous status before the change. Fill only if 'Report a Change in Status: Business Ownership, Entity Type, or Name' is 'Yes'.
Depends on:
Report a Change in Status: Business Ownership, Entity Type, or Name
|
| Change To | Text |
Enter the new status after the change. Fill only if 'Report a Change in Status: Business Ownership, Entity Type, or Name' is 'Yes'.
Depends on:
Report a Change in Status: Business Ownership, Entity Type, or Name
|
| Effective Change Month | Text |
Enter the month for the effective date of change. Fill only if 'Report a Change in Status: Business Ownership, Entity Type, or Name' is 'Yes'.
Depends on:
Report a Change in Status: Business Ownership, Entity Type, or Name
|
| Effective Change Day | Text |
Enter the day for the effective date of change. Fill only if 'Report a Change in Status: Business Ownership, Entity Type, or Name' is 'Yes'.
Depends on:
Report a Change in Status: Business Ownership, Entity Type, or Name
|
| Effective Change Year | Text |
Enter the year for the effective date of change. Fill only if 'Report a Change in Status: Business Ownership, Entity Type, or Name' is 'Yes'.
Depends on:
Report a Change in Status: Business Ownership, Entity Type, or Name
|
| Close Employer Account Request | ||
| Close Employer Account | Radiobutton |
Check this box if you are requesting to close your employer account.
|
| No longer have employees | Radiobutton |
Check this box if the reason for closing your employer account is that you no longer have any employees. Fill only if 'Close Employer Account' is 'Yes'.
Depends on:
Close Employer Account
|
| Out of Business | Radiobutton |
Check this box if the reason for closing your employer account is that your business is no longer operating. Fill only if 'Close Employer Account' is 'Yes'.
Depends on:
Close Employer Account
|
| Day of Last Payroll | Text |
Provide the day of the last payroll for the employer account being closed. Fill only if 'Close Employer Account' is 'Yes'.
Depends on:
Close Employer Account
|
| Month of Last Payroll | Text |
Provide the month of the last payroll for the employer account being closed. Fill only if 'Close Employer Account' is 'Yes'.
Depends on:
Close Employer Account
|
| Year of Last Payroll | Text |
Provide the year of the last payroll for the employer account being closed. Fill only if 'Close Employer Account' is 'Yes'.
Depends on:
Close Employer Account
|
| Co-Ownership Employment Eligibility | ||
| Yes, I only employ my minor children (under 18) | Radiobutton |
Check this box if you only employ your minor child(ren) (under 18) and are not subject to UI and SDI but may be subject to PIT. Fill only if 'Co-Ownership' is 'Yes'.
Depends on:
Co-Ownership
|
| No, I do not only employ my minor children (under 18) | Radiobutton |
Check this box if you do not only employ your minor child(ren) (under 18). Fill only if 'Co-Ownership' is 'Yes'.
Depends on:
Co-Ownership
|
| Contact Person Information | ||
| Contact Person Name | Text |
Enter the full name of the contact person.
|
| Contact Person Phone Number | Text |
Enter the contact person's phone number.
|
| Contact Person Email | Text |
Enter the contact person's email address.
|
| Contact Person Relation | Text |
Enter the relationship of the contact person to the business.
|
| Contact Person Address | Text |
Enter the complete mailing address for the contact person.
|
| Declaration | ||
| Declaration Date | Date |
Enter the date of the declaration.
|
| Signer Name | Text |
Enter the full name of the individual making the declaration.
|
| Signer Title | Text |
Enter the job title or position of the individual making the declaration.
|
| Signer Phone Number | Text |
Enter the phone number of the individual making the declaration.
|
| Doing Business As | ||
| Doing Business As Name | Text |
Please provide the legal name under which the business operates, if different from the registered legal name.
|
| E-Mail Information | ||
| Check to allow e-mail contact | Checkbox |
Check this box if you wish to allow contact via e-mail.
|
| Email Address | Text |
Please provide a valid email address for correspondence.
|
| Employer Type | ||
| COMMERCIAL | Radiobutton |
Check this box if your employer type is Commercial.
|
| PACIFIC MARITIME | Radiobutton |
Check this box if your employer type is Pacific Maritime.
|
| FISHING BOAT | Radiobutton |
Check this box if your employer type is Fishing Boat.
|
| Existing Employer Account Number | ||
| Existing Employer Account Number Segment 1 | Text |
Please enter the first segment of the existing employer account number. Fill only if 'Update Address', 'Update DBA', 'Personal Name Change', 'Update Officer/Partner/Member', 'Report a Purchase of Business', 'Report a Sale of Business', 'Reopen a Previously Closed Account', 'Close Employer Account', 'Report a Change in Status: Business Ownership, Entity Type, or Name' is selected, any.
Depends on:
Update Address, Update DBA, Personal Name Change, Update Officer/Partner/Member, Report a Purchase of Business, Report a Sale of Business, Reopen a Previously Closed Account, Close Employer Account, Report a Change in Status: Business Ownership, Entity Type, or Name
|
| 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 Segment 2 | Text |
Please enter the second segment of the existing employer account number. Fill only if 'Update Address', 'Update DBA', 'Personal Name Change', 'Update Officer/Partner/Member', 'Report a Purchase of Business', 'Report a Sale of Business', 'Reopen a Previously Closed Account', 'Close Employer Account', 'Report a Change in Status: Business Ownership, Entity Type, or Name' is selected, any.
Depends on:
Update Address, Update DBA, Personal Name Change, Update Officer/Partner/Member, Report a Purchase of Business, Report a Sale of Business, Reopen a Previously Closed Account, Close Employer Account, Report a Change in Status: Business Ownership, Entity Type, or Name
|
| 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 Segment 3 | Text |
Please enter the third segment of the existing employer account number. Fill only if 'Update Address', 'Update DBA', 'Personal Name Change', 'Update Officer/Partner/Member', 'Report a Purchase of Business', 'Report a Sale of Business', 'Reopen a Previously Closed Account', 'Close Employer Account', 'Report a Change in Status: Business Ownership, Entity Type, or Name' is selected, any.
Depends on:
Update Address, Update DBA, Personal Name Change, Update Officer/Partner/Member, Report a Purchase of Business, Report a Sale of Business, Reopen a Previously Closed Account, Close Employer Account, Report a Change in Status: Business Ownership, Entity Type, or Name
|
| First Corporate Officer Information | ||
| First Corporate Officer Name | Text |
Please enter the full name of the first corporate officer, partner, or LLC member. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| First Corporate Officer Title | Text |
Please enter the title of the first corporate officer, partner, or LLC member. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| First Corporate Officer SSN | Text |
Please enter the Social Security Number of the first corporate officer, partner, or LLC member. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| First Corporate Officer CA Driver License Number | Text |
Please enter the California Driver License Number of the first corporate officer, partner, or LLC member. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Add First Corporate Officer | Radiobutton |
Check this box if you are adding a new first corporate officer, partner, LLC member, manager, or officer to the company's records. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Change First Corporate Officer | Radiobutton |
Check this box if you are updating or changing existing information for the first corporate officer, partner, LLC member, manager, or officer. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Delete First Corporate Officer | Radiobutton |
Check this box if you are removing the first corporate officer, partner, LLC member, manager, or officer from the company's records. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| First Individual Owner Information | ||
| First Owner Name | Text |
Please enter the full name of the first individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| First Owner Title | Text |
Please enter the title of the first individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| First Owner SSN | Text |
Please enter the Social Security Number of the first individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| First Owner CA Driver License Number | Text |
Please enter the California Driver License number of the first individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| Add Owner/Co-Owner | Radiobutton |
Check this box if you are adding new information for an individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| Change Owner/Co-Owner | Radiobutton |
Check this box if you are changing existing information for an individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| Delete Owner/Co-Owner | Radiobutton |
Check this box if you are deleting information for an individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Individual Owner'.
Depends on:
Individual Owner
|
| First Payroll Date | ||
| First Payroll Date Month | Text |
Enter the two-digit month for the first payroll date.
|
| First Payroll Date Day | Text |
Enter the two-digit day for the first payroll date.
|
| First Payroll Date Year | Text |
Enter the four-digit year for the first payroll date.
|
| Form Actions | ||
| Button |
Click this button to print the form.
|
|
| Fourth Corporate Officer Information | ||
| Fourth Corporate Officer's Name | Text |
Enter the full name of the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Fourth Corporate Officer's Title | Text |
Enter the official title of the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Fourth Corporate Officer's SSN | Text |
Enter the Social Security Number (SSN) of the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Fourth Corporate Officer's CA Driver License Number | Text |
Enter the California Driver License Number of the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Add | Radiobutton |
Check this box to add information for the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Change | Radiobutton |
Check this box to change existing information for the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Delete | Radiobutton |
Check this box to delete information for the fourth corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Individual Owner Employment Eligibility | ||
| Employ Spouse, Parents, or Minor Child (Yes) | Radiobutton |
Check this box if you only employ your spouse, parent(s), or minor child(ren) (under 18). Fill only if 'Individual Owner' is 'Yes'.
Depends on:
Individual Owner
|
| Employ Spouse, Parents, or Minor Child (No) | Radiobutton |
Check this box if you employ individuals other than your spouse, parent(s), or minor child(ren) (under 18). Fill only if 'Individual Owner' is 'Yes'.
Depends on:
Individual Owner
|
| Industry Activity | ||
| Specific Product/Services Description | Text |
Please provide a detailed description of your specific products or services.
|
| Services | Radiobutton |
Check this box if your primary business industry involves providing services.
|
| Retail | Radiobutton |
Check this box if your primary business industry is retail, involving the sale of goods directly to consumers.
|
| Wholesale | Radiobutton |
Check this box if your primary business industry is wholesale, involving the sale of goods in large quantities to retailers or other businesses.
|
| Manufacturing | Radiobutton |
Check this box if your primary business industry involves the production of goods from raw materials or components.
|
| Temporary Services | Radiobutton |
Check this box if your primary business industry provides temporary staffing or services.
|
| Leasing Employer | Radiobutton |
Check this box if your business operates as a leasing employer, providing employees to other businesses.
|
| Professional Employer Organization | Radiobutton |
Check this box if your business is a professional employer organization (PEO), providing comprehensive HR and payroll services to other businesses.
|
| Other (Specify) | Radiobutton |
Check this box if your primary business industry is not listed above and specify it in the provided space.
|
| Other Industry | Text |
If 'Other' is selected for the business industry, please specify your industry. Fill only if 'Other (Specify)' is 'Yes'.
Depends on:
Other (Specify)
|
| Legal Name of Organization | ||
| Legal Name of Organization | Text |
Provide the legal name of the organization exactly as it appears on official registration documents. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Location of Employee Services | ||
| Employees Working in California - Yes | Radiobutton |
Check this box if you have employees working in California.
|
| Employees Working in California - No | Radiobutton |
Check this box if you do not have employees working in California.
|
| Employees Residing in CA, Working Outside CA - Yes | Radiobutton |
Check this box if you have employees who reside in California but work outside of California.
|
| Employees Residing in CA, Working Outside CA - No | Radiobutton |
Check this box if you do not have employees who reside in California and work outside of California.
|
| Mailing Address | ||
| Same as above | Checkbox |
Check this box if the mailing address is the same as the physical business location provided in Section O.
|
| Mailing Street Number | Text |
Please enter the street number for the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing Street Name | Text |
Please enter the street name for the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing Unit Number | Text |
Please enter the unit number for the mailing address if applicable. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing City | Text |
Please enter the city for the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing State/Province | Text |
Please enter the state or province for the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing ZIP Code | Text |
Please enter the ZIP code for the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing Country | Text |
Please enter the country for the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Mailing Phone Number | Text |
Please enter the phone number associated with the mailing address. Fill only if 'Same as above' is 'No'.
Depends on:
Same as above
|
| Partnership Employment Eligibility | ||
| Yes | Radiobutton |
Check this box if your partnership (consisting of siblings only) only employs your parent(s). Fill only if 'General Partnership' is 'Yes'.
Depends on:
General Partnership
|
| No | Radiobutton |
Check this box if your partnership (consisting of siblings only) employs individuals other than only your parent(s). Fill only if 'General Partnership' is 'Yes'.
Depends on:
General Partnership
|
| Physical Business Location | ||
| Street Number | Text |
Enter the street number of the physical business location.
|
| Street Name | Text |
Enter the street name of the physical business location.
|
| Unit Number | Text |
Enter the unit number of the physical business location, if applicable.
|
| City | Text |
Enter the city of the physical business location.
|
| State or Province | Text |
Enter the state or province of the physical business location.
|
| ZIP Code | Text |
Enter the ZIP code of the physical business location.
|
| Country | Text |
Enter the country of the physical business location.
|
| Business Phone Number | Text |
Enter the business phone number for the physical business location.
|
| Purchase of Business Report | ||
| Report a Purchase of Business | Radiobutton |
Check this box if you are reporting the purchase of a business.
|
| Purchase Date Month | Date |
Enter the month of the business purchase date. Fill only if 'Report a Purchase of Business' is 'Yes'.
Depends on:
Report a Purchase of Business
|
| Purchase Date Day | Date |
Enter the day of the business purchase date. Fill only if 'Report a Purchase of Business' is 'Yes'.
Depends on:
Report a Purchase of Business
|
| Purchase Date Year | Date |
Enter the year of the business purchase date. Fill only if 'Report a Purchase of Business' is 'Yes'.
Depends on:
Report a Purchase of Business
|
| Purchase Price | Number |
Enter the total monetary amount paid for the business. Fill only if 'Report a Purchase of Business' is 'Yes'.
Depends on:
Report a Purchase of Business
|
| Entire Business Purchase | Radiobutton |
Check this box if the reported purchase involved the entire business. Fill only if 'Report a Purchase of Business' is 'Yes'.
Depends on:
Report a Purchase of Business
|
| Partial Business Purchase | Radiobutton |
Check this box if the reported purchase involved only a partial part of the business. Fill only if 'Report a Purchase of Business' is 'Yes'.
Depends on:
Report a Purchase of Business
|
| Register for New Employer Account | ||
| Register for a New Employer Account Number | Radiobutton |
Check this box if you want to register for a new employer account number.
|
| Reopen Previously Closed Account | ||
| Reopen a Previously Closed Account | Radiobutton |
Check this box if you are reopening an employer account that was previously closed and provide the previous employer account number.
|
| Request Account for CalJOBS | ||
| Request Account for CalJOBS | Radiobutton |
Check this box if you wish to request an account for CalJOBS.
|
| Sale of Business Report | ||
| Report a Sale of Business | Radiobutton |
Check this box if you are reporting the sale of a business.
|
| Sale Month | Date |
Enter the month when the business was sold. Fill only if 'Report a Sale of Business' is 'Yes'.
Depends on:
Report a Sale of Business
|
| Sale Day | Date |
Enter the day when the business was sold. Fill only if 'Report a Sale of Business' is 'Yes'.
Depends on:
Report a Sale of Business
|
| Sale Year | Date |
Enter the year when the business was sold. Fill only if 'Report a Sale of Business' is 'Yes'.
Depends on:
Report a Sale of Business
|
| Entire Business Sold | Radiobutton |
Check this box if the entire business was sold. Fill only if 'Report a Sale of Business' is 'Yes'.
Depends on:
Report a Sale of Business
|
| Partial Business Sold | Radiobutton |
Check this box if only a portion of the business was sold. Fill only if 'Report a Sale of Business' is 'Yes'.
Depends on:
Report a Sale of Business
|
| Second Corporate Officer Information | ||
| Second Corporate Officer Name | Text |
Enter the full name of the second corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Second Corporate Officer Title | Text |
Enter the official title of the second corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Second Corporate Officer SSN | Text |
Provide the Social Security Number (SSN) of the second corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Second Corporate Officer CA Driver License Number | Text |
Enter the California Driver License number of the second corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Add Second Corporate Officer | Radiobutton |
Check this box if you are adding a second corporate officer, partner, LLC member, or manager to the form. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Change Second Corporate Officer | Radiobutton |
Check this box if you are changing information for a second corporate officer, partner, LLC member, or manager on the form. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Delete Second Corporate Officer | Radiobutton |
Check this box if you are deleting a second corporate officer, partner, LLC member, or manager from the form. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Second Individual Owner Information | ||
| Second Owner Name | Text |
Please provide the full name of the second individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| Second Owner Title | Text |
Please provide the title or position of the second individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| Second Owner SSN | Text |
Please provide the Social Security Number of the second individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| Second Owner CA Driver License Number | Text |
Please provide the California Driver License number for the second individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| INDIVIDUAL OWNER/CO-OWNER INFORMATION (2)_Add | Radiobutton |
Select this option to add information about the second individual owner or co-owner. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| 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. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| 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. Fill only if 'TAXPAYER TYPE' is 'Co-Ownership'.
Depends on:
Co-Ownership
|
| State Registration Information | ||
| State or Province of Incorporation | Text |
Please provide the state or province where the business was incorporated or organized. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| California Secretary of State Entity Number | Text |
Please provide the entity number assigned by the California Secretary of State. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Taxpayer Type | ||
| Individual Owner | Radiobutton |
Check this box if the taxpayer is an individual owner.
|
| Limited Partnership | Radiobutton |
Check this box if the taxpayer is a limited partnership.
|
| Joint Venture | Radiobutton |
Check this box if the taxpayer is a joint venture.
|
| Co-Ownership | Radiobutton |
Check this box if the taxpayer is a co-ownership.
|
| Association | Radiobutton |
Check this box if the taxpayer is an association.
|
| Receivership | Radiobutton |
Check this box if the taxpayer is a receivership.
|
| General Partnership | Radiobutton |
Check this box if the taxpayer is a general partnership.
|
| Limited Liability Company (LLC) | Radiobutton |
Check this box if the taxpayer is a Limited Liability Company (LLC).
|
| Estate Administration | Radiobutton |
Check this box if the taxpayer is an estate administration.
|
| Corporation | Radiobutton |
Check this box if the taxpayer is a corporation.
|
| Limited Liability Partnership (LLP) | Radiobutton |
Check this box if the taxpayer is a Limited Liability Partnership (LLP).
|
| Trusteeship | Radiobutton |
Check this box if the taxpayer is a trusteeship.
|
| Other (Specify) | Radiobutton |
Check this box if the taxpayer type is not listed and then specify the type in the provided space.
|
| Other Taxpayer Type | Text |
Specify the taxpayer type if the 'Other' option is selected. Fill only if 'Other (Specify)' is 'Yes'.
Depends on:
Other (Specify)
|
| Third Corporate Officer Information | ||
| Third Corporate Officer Name | Text |
Enter the full legal name of the third corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Third Corporate Officer Title | Text |
Enter the official title of the third corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Third Corporate Officer SSN | Text |
Enter the Social Security Number of the third corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Third Corporate Officer CA Driver License Number | Text |
Enter the California Driver License Number of the third corporate officer, partner, LLC member, or manager. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Add Third Corporate Officer | Radiobutton |
Check this box if you are adding information for the third corporate officer. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
|
| Change Third Corporate Officer | Radiobutton |
Check this box if you are changing existing information for the third corporate officer. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
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| Delete Third Corporate Officer | Radiobutton |
Check this box if you are deleting the third corporate officer from the records. Fill only if 'TAXPAYER TYPE' is 'Corporation'.
Depends on:
Corporation
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| Update Account Information | ||
| Update Address | Radiobutton |
Check this box if you are updating the physical or mailing address for the employer account.
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| Update DBA | Radiobutton |
Check this box if you are updating the Doing Business As (DBA) name for the employer account.
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| Personal Name Change | Radiobutton |
Check this box if the personal name associated with the employer account has changed.
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| Update Officer/Partner/Member | Radiobutton |
Check this box if you are adding, changing, or deleting an officer, partner, or member of the business.
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| Effective Date Month | Number |
Provide the two-digit month for the effective date of the update. Fill only if 'Update Address', 'Update DBA', 'Personal Name Change', 'Update Officer/Partner/Member' is selected, any.
Depends on:
Update Address, Update DBA, Personal Name Change, Update Officer/Partner/Member
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| Effective Date Day | Number |
Provide the two-digit day for the effective date of the update. Fill only if 'Update Address', 'Update DBA', 'Personal Name Change', 'Update Officer/Partner/Member' is selected, any.
Depends on:
Update Address, Update DBA, Personal Name Change, Update Officer/Partner/Member
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| Effective Date Year | Number |
Provide the four-digit year for the effective date of the update. Fill only if 'Update Address', 'Update DBA', 'Personal Name Change', 'Update Officer/Partner/Member' is selected, any.
Depends on:
Update Address, Update DBA, Personal Name Change, Update Officer/Partner/Member
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