Homepage Ohio Ua 3 Template in PDF

Documents used along the form

The Ohio UA-3 form is a crucial document for notifying the Bureau of Workers' Compensation (BWC) about changes in the relationship between a Professional Employer Organization (PEO) and its clients. Several other forms and documents often accompany the UA-3 to ensure compliance and proper reporting. Below is a list of these related documents.

  • Ohio BWC Application for Coverage: This form is used by employers to apply for workers' compensation coverage in Ohio. It provides essential information about the business and its employees.
  • Employer's Report of Injury: This document is submitted to report workplace injuries to the BWC. It must be filled out promptly to ensure that injured employees receive the necessary benefits.
  • PEO Client Agreement: This contract outlines the terms of the relationship between the PEO and the client. It includes details about responsibilities, services provided, and fees.
  • Payroll Reports: These reports detail the payroll information for employees covered under the PEO’s policy. They are crucial for accurate premium calculations and claims management.
  • Change of Ownership Form: This form is necessary when there is a change in the ownership of a business. It ensures that the BWC has updated information for coverage and claims purposes.
  • Articles of Incorporation: This document is essential for establishing a corporation in Arizona, outlining key details such as the business name, purpose, and structure. For a helpful resource, refer to Arizona PDFs.
  • Termination Notice: This document formally notifies the BWC of the termination of the relationship between the PEO and the client. Timely submission is essential to avoid complications.
  • Client Policy Change Form: This form is used to report any changes to the client’s policy, such as changes in coverage or classifications. It helps maintain accurate records with the BWC.

Each of these documents plays a vital role in the overall process of managing workers' compensation for businesses in Ohio. Properly completing and submitting them ensures compliance with state regulations and protects the interests of both the PEO and its clients.

Dos and Don'ts

When filling out the Ohio UA-3 form, it’s important to follow certain guidelines to ensure your submission is correct and timely. Here’s a list of things you should and shouldn’t do:

  • Do ensure that you notify the Bureau of Workers' Compensation (BWC) within the required time frames: 30 days for new contracts and 14 days for terminations.
  • Do include all necessary information, such as company names, policy numbers, and contact details.
  • Do check only one box regarding lease information to avoid confusion.
  • Do make sure both parties sign the form, acknowledging that the information is complete and accurate.
  • Do send the form to the correct address or fax number provided by the BWC.
  • Don’t forget to use the correct federal ID number and mailing address for the client company.
  • Don’t attempt to split employees within a manual classification; this is not allowed.
  • Don’t leave any required fields blank, as this may lead to delays or rejection of your submission.
  • Don’t misrepresent any information; doing so could lead to serious consequences, including revocation of registration.

Following these guidelines will help ensure that your Ohio UA-3 form is processed smoothly and efficiently.

Key takeaways

Filling out the Ohio UA-3 form is an important step for businesses working with Professional Employer Organizations (PEOs). Here are some key takeaways to keep in mind:

  • Purpose of the Form: This form is used to notify the Bureau of Workers' Compensation (BWC) about new client relationships, changes, or terminations with a PEO.
  • Timely Submission: New contract notifications must be submitted within 30 days of the effective date, while contract termination notifications should be sent within 14 days.
  • Effective Date Recognition: If the BWC does not receive the form within the specified time frames, they will use the date they receive the UA-3 as the effective date.
  • Mailing Instructions: Send the completed form to the BWC, PEO Unit, located at 30 W. Spring St., Columbus, OH 43215-2256. Alternatively, you can fax it to 614-719-5925.
  • PEO Information: Ensure to include the PEO's name, policy number, contact person, and telephone number accurately.
  • Client Company Details: Provide complete information about the client company, including the name, policy number, and Federal ID number.
  • Employee Reporting: Clearly list the class codes for both the PEO and the client, ensuring that partial wages are reported correctly under the appropriate policies.
  • Signatures Required: Both the client and PEO must sign the form, confirming that all information is accurate. Misrepresentation may lead to severe consequences, including registration revocation.

By following these guidelines, you can ensure that the UA-3 form is filled out correctly and submitted on time, helping to maintain compliance with Ohio's regulations.

Similar forms

  • IRS Form 941: Similar to the Ohio UA-3 form, this document is used to report employment taxes. Both forms require accurate information about employees and payroll to ensure compliance with regulations.
  • W-2 Form: This form reports annual wages and taxes withheld for employees. Like the UA-3, it involves detailed employee information and must be filed accurately to avoid penalties.
  • Texas Power of Attorney for a Child Form: This legal document is essential for parents or guardians who wish to temporarily delegate decision-making authority for their child to another adult. Important considerations include healthcare, education, and overall welfare. For those in Texas, Texas PDF Forms provide a convenient way to fill out this important form.
  • Ohio Employer’s Quarterly Wage Report: This report provides the state with information about employee wages. It shares the same goal of maintaining accurate records for tax purposes as the UA-3.
  • Form 1099-MISC: Used for reporting payments made to independent contractors, this form is similar in that it requires detailed information about the payee and the nature of payments, much like the UA-3 requires for client relationships.
  • Ohio Workers' Compensation Policy Application: This application is used to establish a workers' compensation policy. It, too, requires specific information about the business and its employees, paralleling the UA-3's requirements.
  • PEO Registration Form: This document registers a Professional Employer Organization with the state. It shares similarities with the UA-3 in that it also involves client and employee data for regulatory purposes.
  • Form 8850: This is the Pre-Screening Notice and Certification Request for the Work Opportunity Credit. Like the UA-3, it requires detailed information about employees to ensure compliance with specific tax credits.
  • State Unemployment Insurance (SUI) Registration: This registration is necessary for businesses to report unemployment taxes. Both this and the UA-3 are crucial for maintaining proper employment records and fulfilling state requirements.