NCDES 524 – Certificate of Coverage and Notice to Workers as to Benefit Rights
NCUI 101 – Quarterly Tax and Wage Reporting
Used to meet quarterly tax and wage reporting requirement.
a fast and efficient way for you to submit reports.
Download Form NCUI101 and Instructions:
Form NCUI101B – Continuation Sheet for Report of Employee Wages
Specifications and Record Layouts for Magnetic and Electronic Filing
NCUI 101A – Change in Status Report
Used to notify the Division when changes in status occur such as changes in ownership, changes of address, when the business
closes or ceases to operate, or when a closed or inactive business begins to operate again.
Word Format: NCUI101A
PDF Format: NCUI101A
NCUI 500TW – Voluntary Election for Income Tax Withholdings and/or Direct Deposit of UI Benefits
To have your employees Unemployment Insurance Benefits directly deposited into their bank account, or to have taxes taken out, you can utilize for NCUI500TW.
Word Format: NCUI 500TW
PDF Format: NCUI 500TW
To change tax withholding or direct deposit information you can utilize Form NCUI500TWC.
Word Format: NCUI 500TWC
PDF Format: NCUI 500TWC
NCUI 517x – Information about Unemployment Insurance for Workers on Temporary Layoff
Information about Unemployment Insurance for Workers on Temporary Layoff given to affected employees.
Word Format: NCUI517-X
PDF Format: NCUI517-X
NCUI 604 – Employer Status Report
Each employer in the state of North Carolina must complete Form NCUI 604, Employer Status Report and submit this form for
a determination of liable status.
and get a fast determination.
Download Form NCUI 604:
NCUI 604 Instructions:
NCUI 685 – Adjustment to Employer's Quarterly Tax & Wage Report
Form used to correct errors made on previously submitted quarterly tax and wage reports
Word Format: NCUI 685
PDF Format: NCUI 685
Form NCUI685A - Continuation Sheet
Word Format: NCUI 685A
PDF Format: NCUI 685A
Notice of Attorney Supervision Form
Quarterly Tax and Wage Reporting – Specifications and Record Layouts for Magnetic and Electronic Filing
Quarterly Tax Payment Voucher
If you file your quarterly tax and wage report online and intend to pay by check or money order, download and complete this form.
Attach your payment to the completed form and mailm them to DES to ensure proper credit to your account.
Word Format: Quarterly Tax Payment Voucher
PDF Format: Quarterly Tax Payment Voucher
RC-1 – Employer's Election to Cover Multi-State Workers Under the Employment Security Law of North Carolina
Remitter Authorization Form
Specifications for Automated Account Number Verification Program
Specifications for the Automated Tax Rate Reporting Program
The tax rate reporting program can be run at any time during a calendar year to report the current year tax rates.
Below are links to download the file format specifications and FTP instructions.
PDF Format: File Specifications
Word Format: FTP Instructions
PDF Format: FTP Instructions