nd.gov - The Official Portal for North Dakota State Government
North Dakota: Legendary. Follow the trail of legends

Forms

SFN41263 Employer's Contribution and Wage Report 2014
(PDF: 1 page / 269 KB)
SFN41263 Employer's Contribution and Wage Report 2013

(PDF: 1 page / 258 KB)
SFN41263 Employer's Contribution and Wage Report 2012

(PDF: 1 page / 696 KB)
SFN41263 Employer's Contribution and Wage Report 2011

(PDF: 1 page / 254 KB)
SFN41263 Employer's Contribution and Wage Report 2010
(PDF: 1 page / 381 KB)

Instructions for SFN41263 (PDF: 2 pages / 59 KB)

SFN41216 - Report to Determine Liability (PDF: 4 pages / 991 KB)
Registration form, due from all employers within 20 days of first hiring workers. (In order to properly view SFN41216, Adobe Acrobat Reader settings will need to be set to view pdfs in a browser.  See instructions to change Adobe Acrobat Reader preferences.)  See Employer's Guide.

SFN41270 Statement to Correct Employers Contribution and Wage Report (PDF: 1 page / 16 KB)
For use in correcting mistakes or omissions on prior quarters' reports.

SFN51704 - Business Termination/Inactivation Notice (PDF: 1 page / 22 KB)
Use this form to tell us if you are no longer in business or if you are but are no longer hiring workers and want to temporarily stop filing quarterly reports.

SFN18411 - Application to Exempt Corporate Officers or Limited Liability Company Managers from Unemployment Insurance Coverage (PDF: 1 page / 470 KB)
This form is used to apply for exemption of certain corporate officers or limited liability company managers from insurance under the unemployment program. Please check the information on the form to determine the due dates.

SFN19622 - Employers Contribution and Wage Report (Reimbursable) (PDF: 1 page / 251 KB)
Quarterly report of wages paid and taxes due for reimbursable employers. Due one month from the end of each calendar quarter.
Instructions for SFN19622 (PDF: 2 pages / 31 KB)

SFN50724 - Worker Relationship Questionnaire (PDF: 5 pages / 24 KB)
Completion and submittal of this form will provide us with information necessary to determine whether a worker is an employee and must be covered under the unemployment insurance program.

Poster - Unemployment Compensation Benefits Poster (PDF: 1 page / 12 KB)
Sample of poster required to be posted by all employers who are required to cover their workers under the unemployment insurance law.

SFN52070-Electronic Reporting Remittance Transmittal (PDF: 1 page / 194 KB)
Use this form when you are remitting taxes for quarterly reports that are filed electronically.

SFN52307 Employer's Contribution and Wage Report (Advanced Reimbursable) (PDF: 1 page / 270 KB)
For those users who have chosen the advance reimbursement method (flat rate). Due one month from the end of each calendar quarter.
Instructions for SFN52307 (PDF: 2 pages / 64 KB)

SFN52990 Construction Project Registration (PDF: 1 page / 151 KB)

SFN59128-Authorization to Disclose Information, Designation of Address of Record and Revocation (PDF: 1 page / 93 KB)