Online Contribution User Guide

Protecting Your Bottom Line

Frequently asked questions

Registration forms

UC Compliance / Contractors

UC Benefits Poster 2012

Register your business

Wage reporter

Defaulted accounts

Violators list

UC State Code

E-mail us

Registration Forms



To expedite the registration process all forms should be completed in detail and properly signed. These forms may be submitted by fax to: 304-558-1324.

Employers Initial Statement Download Word document.

Transfer Of Business Download Word document.
(Supplement to Employer's Initial Statement) 

Benefits Reimbursement Agreement Download Word document.

Non-Profit Organization Download Word document.

Voluntary Coverage Form Download Word document.

Application For Establishment of a Joint Account Download Word document.

Refund Application Download Word document.