Get What Is A Ua3 Form For Oh

The UA3 form is essential for notifying the Bureau of Workers' Compensation (BWC) in Ohio about changes in the relationship between professional employer organizations (PEOs) and their clients. This guide will provide you with clear instructions on how to complete this form online.

Follow the steps to complete the UA3 form accurately.

1. Press the ‘Get Form’ button to obtain the UA3 form and open it for editing.
2. Fill in the professional employer organization (PEO) information section. Here, you need to enter the company name, policy number, contact person's name, and their telephone number.
3. For the PEO lease information, select one option: 'New lease,' 'Lease termination,' or 'Change existing policy number reporting client payroll/claims.' Indicate the effective date of the lease, termination, or change in Ohio.
4. Complete the client company information section by providing the client company name, client policy number, doing business as (DBA) name, federal ID number, mailing address (including P.O. Box if applicable), client phone number, city, state, and nine-digit ZIP code.
5. In the employee reporting section, list the class codes reportable by both the PEO and the client. You can specify if all employees are under the PEO policy, all under the client policy, or a portion under both policies. It is important to note that any partial wages reported must be done under the client's FEIN.
6. Finalizing the form requires signatures from both parties involved. Make sure to include the titles, dates, and print the names of both the client and PEO signatories, as well as their signatures.
7. Once all sections are completed and reviewed, save the changes to the document. You may then download, print, or share the filled UA3 form as needed.

Complete your UA3 form online today to ensure timely and accurate notification to the BWC.