Forms

Forms

Employers

• Application for Certificate of Compliance with Section 3-122-112, HAR (LIR#27)
  Use this form to request a tax clearance from the Department of Labor & Industrial Relations for Professional Service Awards.
• Basic Business Application (BB-1)
  Use this form to register your business with the Unemployment Insurance Division when employment commences. Apply online at Business Express
• Quarterly Wage, Contribution and Employment and Training Assessment Report (UC-B6)
  Download the QWRS Software  to create your UC-B6
• Notification of Changes (UC-25)
  Use this form to notify the Unemployment Insurance Division of any changes to an employer's address or status of business.
• Election By Family Owned Corporation to be Excluded from coverage Under Section 383-7(20), HRS (UC-336)
  Use this form to elect exclusion from unemployment insurance coverage of a family-owned corporation.
• Waiver of Employer's Experience Record (UC-86)
  Use this form to request acquisition of the experience record of a predecessor employer.

UI Claimants

• Record of Contacts Made for Work (UC-253)