The District of Columbia Quarterly Premium Surcharge Payment Form is used by employers in the District of Columbia to report and remit quarterly premium surcharges to the Department of Employment Services. The form is used to pay premiums for the District of Columbia Temporary Disability Insurance Program and the District of Columbia Paid Family Leave Program. There are two types of District of Columbia Quarterly Premium Surcharge Payment Form: an Employer Quarterly Report (Form DC-1) and an Employer Payment Form (Form DC-2). Form DC-1 is used to report information about each quarterly period, including the total number of hours paid, the total wages, and the total premium surcharge due. Form DC-2 is used to pay the premium surcharge due, and includes information about the employer's payment, such as the total amount of surcharge due, the payment method, and the payment date.
District of Columbia Quarterly Premium Surcharge Payment Form
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District of Columbia
Control #:
DC-SKU-0577
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Quarterly Premium Surcharge Payment Form
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Quarter Ending Date. Checks shall be made payable to the "DC Treasurer," and transmitted with the Quarterly Premium Surcharge Payment Form.Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings. Service provider fees may apply. Service provider fees may apply. General Filing Information. Taxpayer, Filing Requirement, Due Date. Are made using the Electronic Federal Tax Payment System. (EFTPS). Part A (Hospital Insurance) costs.