E-File Exception Request Form-New Mexico Department Of Workforce Solutions printable pdf download

E-File Exception Request Form-New Mexico Department Of Workforce Solutions

STATE OF NEW MEXICO DEPARTMENT OF WORKFORCE SOLUTIONS

E-FILE EXCEPTION REQUEST FORM

Name of individual, firm or organization

Mailing address

City

State

ZIP code

Employer ID #

Who May Use This Form:

Employers may request an exception from the requirement to e-file their quarterly wage and

contribution reports by filing this E-File Exception Request Form. Exceptions will be granted if a hardship exists and there is

no reasonable access to the Internet in the employer's community. The employer must also show a good faith effort to

comply with the electronic filing requirements before an exception is granted.

NOTE: To qualify for exception, this form must be received by the Department at least 30 days before the employer's

electronic return is originally due.

You must submit this form yearly for each quarter for which you wish to request an exception of the e-file requirement. The

Department will notify you of the results of the approval.

1. The exception requested is for the year ______.

2. Provide a clear statement of the hardship that exists, the reason you feel there is no reasonable Internet access in

your community, and the good faith efforts taken to comply. If additional space is needed, attach a separate page.

I declare that the information stated above is true and correct in every material matter

Printed Name

Date

Authorized Signature

Title

DEPARTMENT USE ONLY

The Department has reviewed this request for exception from the requirement to e-file quarterly wage and

contribution reports.

The request has been:

Approved

Denied

For the year _______.

Signature of Secretary or Delegate

Explanation for denial, if applicable:

Date of determination: __________________________

Initials of first reviewer ______ Exception number: _________

E-File Exception Request Form-New Mexico Department Of Workforce Solutions