Get Hearing Or Speech Impairment Monthly Surcharge Remittance Form Ut

Filling out the Hearing Or Speech Impairment Monthly Surcharge Remittance Form Ut online is an essential process for businesses managing surcharges related to hearing or speech impairment services. This guide provides clear instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the Hearing Or Speech Impairment Monthly Surcharge Remittance Form Ut in your online editor.
2. Complete the 'Company or Carrier Name' field with the legal name of your organization responsible for the surcharges.
3. Enter your 'Utah Business Entity Number' to identify your business in accordance with state regulations.
4. Fill in the 'Reporting Person' section with the name of the individual submitting the form, followed by their 'Telephone Number' for any necessary follow-up.
5. Indicate the 'Statement Remittal Date,' which is the date you are submitting the form.
6. Input the total number of taxable access lines in the first section, labeled 'Taxable Access Lines.' Ensure the number is accurate to avoid discrepancies.
7. Calculate the total surcharges billed by multiplying the number of access lines by $0.02, and enter this amount in the 'Surcharges Billed @ $0.02 Per Access Line' section.
8. If applicable, deduct any 'Administrative Cost' related to handling the surcharges, and note any other adjustments in the designated section.
9. Sum the surcharges you are remitting for the current period and place the total in the 'Total Surcharges Remitted this Period' field.
10. Attach a check for the total amount remitted outlined in the previous field. Review all entries for accuracy.
11. Lastly, sign and date the form to certify its correctness, noting your approval in the specified section.

Complete your Hearing Or Speech Impairment Monthly Surcharge Remittance Form Ut online today to ensure timely processing.