Forms - Unemployment Business Tax

Report to Determine Liability SFN 41216  or PDF Note: The PDF version will need to be faxed (701-328-1882) or emailed (jsuits@nd.gov) to JSND for processing.  Registration form is due from all employers within 20 days of first hiring workers.

Employers Contribution and Wage Report 2017 SFN 41263

Employers Contribution and Wage Report 2016 SFN 41263

Instructions for Completing Employers Contribution and Wage Report SFN 41263

Statement to Correct Employers Contribution and Wage Report SFN 41270

For use in correcting mistakes or omissions on prior quarters' reports.

Business Termination/Inactivation Notice SFN 51704
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.

Application to Exempt Corporate Officers or Limited Liability Company Managers from Unemployment Insurance Coverage SFN 18411
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.

Employers Contribution and Wage Report (Reimbursable) SFN 19622
Quarterly report of wages paid and taxes due for reimbursable employers. Due one month from the end of each calendar quarter.
Instructions for Completing Employers Contribution and Wage Report SFN19622

Worker Relationship Questionnaire SFN 50724
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
Sample of poster required to be posted by all employers who are required to cover their workers under the unemployment insurance law.

Employer's Contribution and Wage Report (Advance Reimbursment) SFN 52307
For those users who have chosen the advance reimbursement method (flat rate). Due one month from the end of each calendar quarter.
Instructions for Completing Employers Contribution and Wage Report (Advanced Reimbursement) SFN 52307

Construction Project Registration SFN 52990

Authorization to Disclose Information, Designation of Address of Record and Revocation SFN 59128